Good Luck Flashcards
Benzodiazepine withdrawal
Anxiety N Fatigue Tremor Concentration difficulties Myoclonus Depersonalisation Delirium Insomnia
T: flumenazile
HSP
IgA vasculitis
Palpable purpura (100%)
Abdominal pain (80%)
Arthritis (75%)
Glomerulonephritis
Tx: self limiting. Hydration+ analgesics
Appendix tumours management
Mucinus adenocarcinoma- R.hemicolectomy
Carcinoid → <1cm → observation
→ 1-2cm → invasion lymphovascular → R. Hemicolectomy
→ No invasion → observation
Insulinoma
A/W MEN1
Whipple triad → hypoglycemia
- sx of hypoglycemia
→ relief of symptoms after administration of glucose
Tx: enucleation, if <2 mm from pancreatic duct → pancreatectemy
Prolonged qt
qt > 480
Etiology: congenital Acquired → hypocalcemia Hypokalemia Hypo / hipermagnesemia Drug
Tx: b-blocker
Puberty in males
Testicular enlargement → pubic hair → penil elongation
Breast MRI indication
- Invasive lobular carcinoma
- Pager dz
- BRCA mutation
- 1st degree relative w/ BRCA1/2
- Radiation therapy to the chest b/w age 10-30
- Li framini Sx
Peptic ulcer perforation repair
<1cm Graham patch
>3cm pyloric exclusion / anterectomy
CLL
~ 65 y
Smudge cells
Aw hemolytic anemia
Dx: > 5000 monoclonal B cells in peripheral blood
Staging =
0= lymphocytosis
1= lymphocytosis+ lymphadenopathy
2= lymphocytosis+ anemia / thrombocytopenia
Tx: fludarbine + chlorambucil
Vacuum delivery
Contraindication:
- Cephalopelvic disproportion
- <34w
- > 4kg
- Face presentation
- < 10 cm cervical dilation
Complication:
- Subgleal hematoma(emissary Venus rupture) 48-72 שעות אחרי לידה
- Shoulder dystocia → Erb palsy
- Cephalohematoma ישר אחרי לידה
- Retinal hemorrhage
Positive DPL
> 250 WBC
300,000 RBC
Î peritoneal bilirubin
Î peritoneal Cr
Thoracotomy indication
> 1500 ml drained on insertion
300 ml drained per 3h
Massive air leak A/W pneumothorax
Truncus arteriosus
DiGeorge Sx
Transposition of great vessels
Gestational DM
Chest drain indication
In decreasing priority
Presence of pus Positive gram stain Pleural fluid glucose< 60 Pleural fluid ph< 7.2 Localted Pleural fluid
McCune Albright Sx
Unilateral cafe au laot
Polycystic fibrous dysplasia
Precocious puberty
OCP advantage
Reduce risk for colorectal cance, endometrial cance, ovarian cancer, ectopic pregnancy, PID, acne, bone mineral density, progression of RA, benign breast disorder
Spontaneous bacterial peritonitis
PMN>250
Mc due to e.coli
Tx: cefotaxime (3rd generation)
Anal fistula
Friends mnemonic
Foreign body Radiation Inflammation Epithelazation Neoplasm Distal obstruction Steroids
MC location~ INNER SPINCHTER
High output> 500
Low output< 200
Ringer lactate solution
Calcium Potassium Chloride Sodium Lactate
Danazole
Inhibit gonadotropin realest at HYPOTHALAMUS → decreases LH+FSH
Pre renal azotemia
FeNa< 1 %
Urine sodium <20
Bun/cr >20
Urine osmolarity >500
Internal azotemia
FeNa>2 %
Urine sodium > 40 %
Bun/cr <15
Urine osmolarity <350
Gallstone lieus
Pneumobilia
On imaging - air in bile system, calcified mass, distended loop of small bowel, cholelithiasis on US
Tx: enterotomy
