Def1 Flashcards
A complication of Infectious mononucleosis?
acute airway obstruction(C/S inpatient with risk of o)
Hemolytic anemia and thrombocytopenia
Splenic rupture
hyperkalemia managment indication?
if >=6.5
If symptomatic
management?
Insulin + glucose
calcium gluconate
vestibular neuritis?
Acute persistent vertigo
may have an ass. nausea, vomiting, and ataxia
following URT viral infection
may have hearing loss and fullness sensation
erythropoietin indication?
ESRD + Hg < 10 g
S/E?
mild or severe HTN
age-related Sicca syndrome?
Dry eye and oral area
d/t from shorgen(in young and posetive ANA)
associated with DM and throid disease
Arsenic poisoning symptoms?
ACUTE Garlic breath vomiting Diharoa QT prolongation Hepatitis pancytopenia Chronic skin hypo/hyperpigmentation mees line(horizontal straination of finger line stock glove pnurophaty
Precontemplation?
patient dosnt ready to change
not acknowledge it
action?
encourage the patient to evaluate the consequences of his behavior
Contemplation?
patient ambivalent
acknowledge it
action?
evaluate the pros and cons of his action
promote new behavior
preparation?
ready to change
encourage small initial action
action?
start to change
help to identify an appropriate strategy
maintenance?
change integrated
give follow up and social support
prevent relapse
Identification?
action is automatic
praise
marijuana(cannabis) intoxication sign?
tachycardia tachypnea dry mouth injected conjunctiva increase appetite slow reaction time impaired concentration short term memory, cognition, and coordination may be affected
Transient tachypnea of newborn pathophysiology?
Defect in reabsorption of fluid produced by alveoli
Risk factor?
Prematurity
C/S
Maternal DM
CM?
Tachypnea
Clear chest on auscultation
Hypoxia
CXR:Hyperinfleted lung and fluid in intraaleveolar space
management?
Supportive
Nutrition and o2
self resolve within 1-3 week
other than ABCDE for melanoma suspicion?
Ugley duck sign: Melanoma different appearance to other surrounding nevi
Elevation from the surrounding area
Firm to palpation
continuous growth
electrolyte abnormality in tumor lysis syndrome?
High PKU(Pos.Pot.UA) LOW Ca
Macrocephaly in children’s definition?
HC>97%
can be pathologic or benign
benign cause?
MCC Familial macrocephaly due to megalocephaly treatment not needed only U/S needed to exclude other pathology No need of MRI/CT
Clinical feature for benign?
normal development
no syndromic feature
No sign of ICP
No sign of infection
Fibrocystic change of breast?
due to estrogen and progesterone dysregulation
Bilateral ,fibrocystic ( cord-like) mass.
perimenestruan difuse breast and chest tenderness
management?
1stL: NSAID
2nd: OCP
peripheral single blu inclusion in RBC?
Immature RBC Nuclear remaining(HJB)
Normally cleared by splenic macrophage
Occur inpatients with functional absence or complete absence of the spleen.
Differentials?
Lead poisoning (ribosomal remaining, Multiple blue staining(striping)) G6PD(oxidized Hgb Onley seen by CV staining and will have bite cells)