hammer33 Flashcards
What is the treatment for neutropenic fever in COPD patient?
Cefepime for antipseudomonal coverage and only
What is th ebest treatment for achalasia? best iniital treatmetn?
Heller myotomy. Pneumatic dilation.
What is a classif finding of aortic dissection?
Decrescendo diastolic murmmur
What is the most common cause of meningitis even among immunocompromised patients?
Strep pneumo
What is used in treatment of treatment-resistant schizophrenia? Mechanism and sideeffects?
Clozapine with antagonistic effects on D1 and D4, histamine, seretonin, alpha adrenergic cholinergic. Agranulocytosis so monitor CBCs
What should you suspect when you see an upper GI bleed with normal endoscopy? Treatment?
Dieulafoy lesion. Band or sclerose it
What is the p/t of choledochal cysts?
fusiform dilation or saccular diverticula of the biliary tree. Surgical excision to reduce risk of cholangiocarcinoma
What is the most common cause of early deterioration in liver transplants?
Abnormalities in the vascular and biliary anastomosis via ultrasound check
What is the initial development in puberty in boys and girls
Testicular development and thelarche. Followed by adrenarche and growth rate.
What meds should you use in Heparin induced thrombocytoenia?
Fondaparinaux, argatroban, danaparoid. Warfarin contraindicated if plt count is < 150000
What is on top of the differential in persistent headache with breast cancer? Diagnostic modality
Mets to the brain , CT with contrast to identify lesions
What is the hormone situation in Turner’s syndrome?
High FSH and LH aand low Estradiol
What is the treatment for patients with acute gout and chronic renal failure?
Corticosteroids
What is the radiologic findings of uric acid stones and treatment?
Radiolucent. Hydration, NSAIDS and Potassium citrate or potassium bicarbonate to alkalinize the urine and dissolve the stone
What is the renal presentation of Wegner’s granulomatosis?
RBCs and RBC casts
What is the cause of adrenal insufficiency 2/2 stopping corticosteroid meds?
Iatrogenic.
What is the presentation of Jervell- Lange-Neilsen syndrome?
Prolonged QT, deafness ,AR, family history
What does the abdomen look like in esophageal atresia?
GASLESS
What is the side effect of pyrazinamide in TB treatment?
GI discomfort
What is a 2nd line treatment for acute pulmonary edema when furosemide, nitrates and morphine don’t work?
Hydralazine which is a smooth muscle relaxant working on arteries and arterioles
What is the presentation of hairy cell leukemia?
Dry bone tap, CD11c and CD22 antigens, fatigue, splenomegaly and abdominal pain
What is the orders of the drugs of coice to treat acromegaly when surgery is not possible?
- Octreotide 2. Bromocriptine/cabergoline and Pegvisomant (GHR antagonist)