Deck 3 Flashcards
What are the ANCA positive vasculitides?
Microscopic polyangitis, GAP (wegeners), Churg-Strauss
What happens when taking epinephrine after Phentolamine?
Phent = reversible a antagonist so epi only stimulates B receptors –> decreased blood pressure
Signs of Kawasaki’s and possible complications?
Conjunctival erythema, high fever, oral blisters (strawberry tongue), edema of hands and feet, desquamative rash, enlarged cervical lymph nodes. Ages < 4 years. Acute necrotizing vasculitis of small/ medium vessels. Complication = HEART (changes in coronary arteries- coronary aneurysms with MI)
Dresslers syndrome?
Fibrinous pericarditis post MI. friction rub and chest pain- “DRESS in your FIBER PETTYCOAT”
Amiodarone is used in Vfib. What are side effects?
Pulmonary fibrosis, hypotension, thyroid, hepatotoxicity, occular changes, other arrythmias
Lesions of right side of heart? Aorta?
Right- carcinoid? Aorta- syphilis, endocarditis?
What heart medication causes blurry or yellow vision? Don’t take with what else?
Digoxin. Don’t take with loop diuretics (cause severe hypokalemia)
What happens with Wolff parkinson white? Characteristics of ECG?
Accessory path that goes to ventricles and bipasses AV node leading to AVRT. ECG = delta wave, short PR, long QRS
How do you accentuate mitral valve prolapse?
Decrease LV return (Valsava, standing). Mid systolic click with crescendo-decrescendo murmor …………. Seen in Marfans!
Mnemonic for causes of dilated cardiomyopathy?
ABCCCD: alcohol, Beri beri, Cocksackie, cocaine, Chagas dz, doxorubicin
Symptoms of Hodgkins lymphoma
Asymptomatic lymphadenopathy, fever, night sweats, fatigue, pruritus, unintentional weightloss (B symptoms). More common in young men. Reed sternberg cell
ABVD regimen for Hodgkins lymphoma
Adriamycin, Bleomycin, Vinblastine, Dacarbazine
What medication combined with statins worsens myopathy?
Fibrates- use ezetimide instead
Histology associated with RF?
Aschoff bodies= lymphocytes, plasma cells, activated macrophages called Anitschkow cells
Blood pressure medications indicated for pregnancy?
HCTZ, Bblockers, methyldopa, CCB’s, hydralazine. No ACEI’s or ARB’s!!!
Patent ductus arteriosus is associated with what maternal infection?
Rubella