deck 22 Flashcards
syncope with exercise?
manifestation of organic heart disease in which cardiac output is fixed and does not rise (or even fall) with exertion. Syncope, commonly on exertion, is reported in up to 42% of patients with severe aortic stenosis.
preferred treatment for scabies
topical permethrin (5%)
management of hep B exposure
hep B immune globulin + hep b vaccine
strong RF for dupuytren’s disease
diabetes
stool character in c diff colitis
- semiformal rather than watery stool + **
fecal leukocytes (not seen in viral gastroenteritis) - CAN BE SEEN outside abx use
conservative management of unstable angina/NSTEMI
clopidogrel + aspirin
granuloma annulare treatment
- self-limited
- can be treated with topical corticosteroids
use of probiotics
- reduce incidence, duration, and severity of antibiotic-associated and infectious diarrhea.
when to screen for GDM
24-28 weeks
normal EF
55-75%o
management of asymptomatic uterine fibroids
observation
cognitive therapy
helps patients correct false self-beliefs that can lead to negative moods and behaviors.
RF’s for delirium in hospitalized patients
vision impairment, hearing impairment, dehydration, immobility, cognitive impairment, and sleep
deprivation
best method for estimating gestational age
crown-rump length
treatment for latent TB
isoniazid monotherapy
treatment for latent TB in HIV positive person
isoniazid monotherapy
best imaging procedure for hematuria
CT urography
initial treatment of neurogenic bladder (i.e. with DM)
strict voluntary urination schedule
then bethanechol
many need to self-cath
treatment of cocaine-associated chest pain
BENZOS
- HTN, tachycardia, and CP will often respond to IV benzos
when to give fibrinolytics for ACS
only to patients who clearly have an STEMI and can’t get PCI
amount of exercise necessary to begin burning fat stores
- at least 30 minutes (glycogen is primary energy source fro muscles during the first 20 minutes of exercise)
management of herpes zoster opthalmicus
Systemic antiviral + ophthalmology referral
supplement that can cause hepatotoxicity
niacin
most common cause of hypoglycemia in a previously stable, well-controlled diabetic patient
renal disease
value of chest films in ACS
While they do not confirm or rule out the presence of myocardial ischemia, other causes of chest pain may be evident, such as pneumothorax, pneumonia, or heart failure. The chest film may also provide clues about other possible diagnoses, such as pulmonary embolism, aortic disease, or neoplasia.
management of exercise-related oligomenorrhea
increased caloric intake
influenza vaccine for fetus?
some protective effect up to age of 6 months
diet and when to initiate in pancreatitis
- low-fat solid diet has been shown to be safe compared with clear liquids, providing more calories and shortening hospital stays
recommended test to confirm eradication of h pylori
1) urea breath test OR stool antigen
vaccine diabetics need if not previously vaccinated
hepatitis B
recommended treatment for OCD
CBT
confirming PD diagnosis
positive response to levodopa
management of postpartum urinary retention
discharge with a catheter in place and close follow-up
diagnosis of gastroparesis
gastric emptying scintigraphy
mgmt of low back and pelvic pain in pregnant women
core stability exercise
mgmt of patient who doesn’t want to know prognosis
ask pt to designate someone with whom you can discuss the results and prognosis
skin tags are associated with…
DM + obesity
flu shot for pt with egg allergy?
give inactivated + observe for at least 30 minutes afterward
Etiology of DI
Caused by a deficiency in the secretion or renal action of arginine vasopressin (AVP). AVP, also known as antidiuretic hormone, is produced in the posterior pituitary gland and the route of secretion is generally regulated by the osmolality of body fluid stores, including intravascular volume. Its chief action is the concentration of urine in the distal tubules of the kidney. Both low secretion of AVP from the pituitary and reduced antidiuretic action on the kidney can be primary or secondary, and the causes are numerous.
treatment of choice for PSVT
IV adenosine
pernio
localized inflammatory lesion of the skin, usually found
in the extremities following exposure to nonfreezing cold temperatures. It is generally a benign condition,
and is not associated with any systemic diseases. These lesions are red-purple plaques with deep swelling,
and are accompanied by itching or burning. They are not associated with infections or connective tissue
disease.
rule about release of patient information
always has to be in writing
alternative medication with best evidence for anxiety
kava
tarsal tunnel syndrome
Entrapment of the posterior tibial nerve or its branches as the nerve courses behind the medial malleolus results in a neuritis known as tarsal tunnel syndrome. Causes of compression within the tarsal tunnel include varices of the posterior tibial vein, tenosynovitis of the flexor tendon, structural alteration of the tunnel secondary to trauma, and direct compression of the nerve. Pronation of the foot causes pain and paresthesias in the medial aspect of the ankle and heel, and sometimes the plantar surface of the foot.
- leads to paresthesias
usual site for a stress fracture
2nd, 3rd, 4th metatarsals
loss of smell think…
vitamin A, B6, b12 deficiency, brain tumors