Day 9 Flashcards
who gets posterior urethral valves
ONLY BOYS
young kid with recurrent UTIs, what anomaly should be on differential?
vesicouretal reflux
what happens in vesicouretal reflux?
get kidney scarring and blunted calcyes along with recurrent UTIS
what is rx for stimulant toxicity?
lorazepam
what is treatment of molloscum in adults? kids?
liquid nitrogen in adults
reassurance in kids
what is complication of epidural that progresses slowly after it is removed?
spinal epidural hematoma
describe symptoms of spinal epidural hematoma
will progress slowly, tenderness over back with neuro changes of legs
what is imaging for spinal epidural hematoma?
MRI
what is rx of spinal epidural hematoma?
surgery
what is management of Serotonin syndrome?
stop serotonergic meds, give benzo if needed, the cyproeheptadine
what is longterm complication of hemophilia in joints?
hemophilia arthropathy
should dextrose be in fluid boluses? any age?
NO not at any age
how do vagal maneuvers end SVT?
slow AV node conduction pathway
what is standard for post exposure prophylaxis for varicella?
if immunized nothing
if not immunized but immunocompetent then vaccine
if not immunized and immunocompromised then VZIG
when are varicella vaccines
1 and 4 years old
what abx for human bite?
augmentin
what is normal vaginal pH?
3.8-4.5
what is ph of candida vaginosis?
normal
what is pH of trich and BV?
4.5+ basic
does tamponade cause hyper or hypotension?
hypotension…muffled heart sounds and JVD
persistent oxygen requirement in premature baby after mechanical ventilation is what?
bronchopulmonary dysplasia
what is cxr findings in bromchopulmonary dysplasia?
haziness and decreased lung volumes
what is rx of sporotrichosis?
itraconazole
what is sign of sporotrichosis?
skin papule that ulcerates and puts out fluid then can move up lymphatic tract
what are sx of hodgkin lymphoma?
B symptoms, mediastinal mass, painless lymphadenopathy
what are reasons for doxy ppx after tick bite?
if it was a deer tick
longer than 36 hour attachment
within 72 hours of tixk removal
must meet them all
if patient getting chlamydia multiple times in a row…what is happening?
sex with untreated partner
what are two qualifications for status epilepticus?
2 seizures without appropriate return to neuro baseline or seizure of more than 5 minutes
what is rx of status epilepticus? 2 things
benzos to stop it then fosphenytoin or valproate or leviteracetam to prevent more
how long is brief psychotic disorder?
a day to month `
describe diagnosis of schizophreniformdisorder
1-6 months of schizophrenia symptoms
describe schizoaffective disorder
mood episodes with psychotic features and 2+ weeks of only psychotic features
elderly with hyperthyroid should get what rx?
methimzole
what i hyperthyroid rx in pregnancy?
PTU first trimester then methimazole after
malignant hyperthermia has what classic lab finding?
sky high CK
bugs you see in CGD?
burkholderia nocardia aspergillus staph aureus serratia
which stage of labor can epidural extend?
2nd stage
what abx for acute endocarditis?
vancomycin
when can ECV be done?
37 weeks plus
who gets an ECV?
patients without contraindications to vaginal delivery and who are breech
what are Cardio contraindications to pregnancy?
sx mitral stenosis
sx aortic stenosis
EF less than 30
PAH
