Fresh cut grass Flashcards
what do you measure for acromegally testing
insulin like growth factor
confirmation with glucose suppression test (acro= GH stays elevated)
Labs in paget disease
normal ca/ phose
elevated alk phos
rx: bisphosphonates
Labs in OA
normal ca, phos, alk phos
Lung nodules with surrounding ground glass should tip you off for?
aspergillosis
rx: IV voriconazole
Hydroxychloroquine
disease modifying agent
vs TNF and IL1
adr: retinopathy
Magnesium and calcium
HypoMag–> HypoCa
low mag causes PTH resistance
Dupuytren contracture
4th and 5th digit palmer fascia fibrosis from ETOH free radicle damage
HCM inheritance pattern
auto dom
Indications for carotid endarectomy
symptomatic 70-99% stenosis
men w/ no s/s 60-99% stenosis
TNFa inhibitor ards
ex: infliximab, adalimumab
Significant ards:
- HF
- Demylination
- inc ca risk
- neutropenia
Ankle brachiasl index for PAD
under 0.90
When to NOT use succinylcholine in RSI
can cause electrolyte derangment
bad in severe muscle injury
use roc instead
when to not use etomidate in RSI
can cause adrenal suppression
bad in elderly/ sepsis
when to not use propofol
s/e: severe hypotension and mycocardial supression
caution in ventricular systolic dysfxn
number one risk factor for stroke
htn
ALL pts presenting with ischemic stroke should be given?
aspirin
stroke on aspirin? add clopidogrel
timeframe to give tPA
alteplase
4.5 hours
t2dm bp target
130/80
most best way to prevent diabetic nephropathy
phenytoin vitamine deficiency
B6
isonizide pt has LFT elevation. next step?
nothing- this will self resolve
carry on
cardiac index
amount of blood pumped per minute per meter of body
envelope shaped ua crystals
classic for ethylene glycol poisoning
rx for antiphospholipid syndrome
heparin
what helps control for cofounding
randomization
