Feb 2024 Flashcards
Fecal elastase testing
indication?
pancreatic insufficiency
(level < 100)
SeHCAT test indication
diagnose bile acid malabsorption
(e.g., pt post-ileal resection for CD)
pyoderma gangrenosum Rx ?
PO steroids
HIT type2
Dx ?
marked fall in PLT count post-heparin use in 5-10days.
HIT type 1
Dx ?
direct PLT activation by Heparin
(not associated with increase risk of venous thrombosis)
microscopic colitis cause ?
PPI or NSAIDs use
Anemia of chronic disease
Dx ?
known case of RA
Low Hb plus MCV (at lower limit)
WM
Dx ?
Rx ?
headache
features of hyperviscocity syn (increase thrombosis risk)
Dexa + Rituximab + cyclophosphamide
IgA nephropathy
Rx ?
Observation
(if needed Rx - modefied release budesonide)
achalasia
Dx ?
intermitent regugitation of solids and liquids
Weil’s Dz
Dx ?
Rx ?
acute infection + severe liver damage + kidney damage
Rx: Benzylpenicillin IV
Brugada syn
Dx ?
family member death in sleep
Congenital long QT syn
Dx ?
Ventricular arrhythmia during extreme SNS activity (stress)
Mirabegron use ?
Urge incontinence in old age with mild cognitive impairment
Type 2 respiratory failure
(not improved with 1 hr NIV)
Next step ?
Elective intubation
MM Rx with steroids - causing N/V, hyperK+, HypoNa+, low BP
Next step?
IV hydrocortisone
(Rx adrenal insufficiency)
Number of PVCs - high risk level ?
> 10,000 per day
neuroborreliosis
Dx ?
Rx ?
neuro menifestation of lyme Dz
caused by Borrelia burgdorferi with meningitis + 7th CN palsy
Rx: penicillin + doxy
fludarabine related AIHA
Dx ?
Rx with CLL
Remission rates can be increased by adding fludarabine with rituximab
Increase Cl- levels post-DKA Rx
cause ?
plasma volume expansion
carbamazepine overdose Rx ?
activated charcoal
1st Hemodialysis session. pt acute unweel. Rx ?
sodium modeling (manipulate sodium conc in dialyser machine)
Liraglutide use ?
reduce weight, reduce HbA1C level, better CVS outcome
ovarian teratoma associated antibodies ?
NMDA ab (autoimmune encephalitis - psychiatric and neuro symptoms)
brachial neuritis Dx ?
pain + sensory + motor loss in upper trunk of brachial plexus. associated with trauma/exercise.
Prolactinoma Rx ?
cabergoline > bromocriptine
acromegaly Rx ?
octeriotide
Bisphosphonate
(check before start it) ?
dental examination
(poor dental hygiene - risk factor for osteonecrosis of jaw)
Granulomatosis with polyangitis Rx ?
(young female plan to get pregnant)
methylprednisolone + rituximab
Small cell lung Ca with limbic encephalitis. AutoAb ?
Hu
paget dz
Dx ?
High Alk phos
Normal Ca++
bone pain
histoplasmosis Rx ?
itraconazole
acute dystonia Rx ?
Diphenhydramine
Lambert-Eaton Myasthenia Syn (Small cell lung Ca association) Rx ?
3,4, Diaminopyridine (increase ACh release)
Eosinophilic pneumonia
Dx ?
Rx ?
increase blood eosinophil
increase alveolar eosinophil
peripheral consolidation on CXR
Rx - steroids
Rx Raynaud’s in Systemic sclerosis ?
Bosentan
retroperitoneal fibrosis - causing B/L ureteric obstruction.
Rx ?
B/L nephrostomy tube insertion
70% stenosis in ICA with TIA
stroke prevention ?
clopidogrel 75mg OD
Lung volume reduction surgery
mortality benefit ?
C/I ?
predominant upper lobe emphysema
C/I: FEV1 < 1.5
CKD anti-coagulation ?
Unfractionated heparin
pt with DM in pregnancy
start Metformin ?
only if no improvement with diet and exercise (minor improvement means - continue diet and exercise)
