Firecracker Flashcards
What vaccinations are indicated for patients with diabetes Mellitus?
Pneumovax and yearly influenza shots are indicated because of the immunosuppresive effect of diabetes
Secondary causes of reduced HDL?
Malnutrition, Gauchers disease, anabolic steroids, beta blockers
What 2 antibiotics can be used to treat patients w/crohns disease that do not respond to ASA therapy?
ciprofloxacin and metronidazole
When is CABG recommended in the setting of acute MI?
STEMI patients with occlusion of the L main coronary or severe 3 vessel involvement
What med is indicated in acute severe UC attack?
high dose corticosteroids
How do you perform a needle decompression for a tension pneumothorax?
Placing a needle catheter at the bottom of the second intercostal space at the midclavicular line
When in the course of the disease are pts w/UC at greatest risk of developing toxic megacolon?
Early in the course of the disease (within 3 years of dx)
To diagnose zenkers?
Barium swallow
Most sensitive imaging study for chronic pancreatitis and what does it reveal?
MRCP reveals calcification within the pancreatic ducts
How is cholelithiasis discovered in most patients?
Asymptomatic in most patients ~80% and found asymptomatically
Spontaneous Pneumothorax direction of trachea?
Trachea deviates towards affected lung d/t decreased pressure from atelectasis
Tension Pneumothorax direction of trachea?
Opposite side
Surgical procedure for GERD refractory cases?
Nissen Fundoplication (wrapping the gastric fundus around the esophagus to increase sphincter pressure)
Testing that should be included as part of diabetic neuropathy?
Should include electrophysiologic testing of nerve function, including the use of nerve conduction velocity (NCV) or electromyography (EMG).
At what TIMI score should heparin and angiography be considered?
If TIMI risk score ≥ 3, consider early low molecular weight heparin and angiography.
Nitrite in urine reflects the presence of what bacteria?
Enterobacteriaceae (grm (-) bacteria) species
In order to diagnose a UTI, how many organisms must be seen in a urine culture if the sample is obtained from a catheter?
Only10^3organisms/mL are needed if the sample is obtained from a catheter.
Which antibiotics can be used to treat UTIs in pregnant women?
Nitrofurantoin (most common)
Cephalexin
Amoxicillin-clavulanic acid
Fosfomycin
Treatment for swimmers ear
Ofloxacin otic drops
When do you place a tympanostomy tube?
For recurrent cases of acute otitis media
Complex regional pain syndrome?
Following a traumatic injury nerves become rewired into sympathetic neuronal pathways leading to chronic pain
Can pneumothorax present with JVD?
Yes it can. It can compress the SVC leading to a JVD
1 cause of chronic pancreatitis
Alcohol
Elecrocardiography for a patient with pulm embolism
T wave inversion in anterior leads
Modalities that help in the dx of crohn’s?
barium enema and small bowel follow through
Finding in hemmorhagic pancreatitis?
Bruising around flank and umbillicus
Agents used to tx menieres?
Anticholinergics, Antihistamines, Antiemetics, Benzos
Cervical lymphadenopathy findings
Posterior- Mono
Anterior- Strep Phrayngitis
Chronic cough must last how long in order to be considered chronic?
> 8 wks
