I Flashcards
Rx that can decrease hyperkalemia by causing intracellular shift
insulin, glucose, Na-bicarb, and albuterol
type of urinary crystals seen in ethylene alcohol poisoning
rectangular envelope shaped
lumbar puncture showing predominance of lymphocytes
normal opening pressure and normal glucose
herpes encephalitis
suicide by drinking highly alkaline solution. what to do
secure airway
decontamination
CXR if respiratory Sx
endoscope in first 24 hrs to address severity of damage and need for more aggressive Tx
HIV screening test
p24 Ag and Ab
+ coombs test
autoimmune hemolytic anemia
electrical alterans, varying QRS complexes
pericardial effusion. needs centesis
screening for diabetic nephropathy
microalbumin/creatinine ratio
murmur with aortic dissection
aortic regurg– early diastolic murmur
lab key to heparin induce thrombocytopenia
platelets drop below 50% of what they were prior
risk now for arterial thrombosis
prophylaxis for HIV CD4 count
azithromycin for MAC prevention
riluzole
glutamate inhibitor used in ALS
Acute Tubular necrosis findings
muddy brown casts of renal epithelial cells
urine osmol 300-350
urine Na >20
FeNa >2%
preferred respiratory support for Acute exacerbation COPD
noninvasive positive pressure ventilation
risk of the main antipsychotic medications
can develop extreme hypothermia
showing of cutaneous larva migrans
ancylostoma braziliense- hookworm
serpinginous reddish brown lesions on skin in lower and upper extremities
findings in adrenal insufficiency or addisons
mineralocorticoid deficiency
increased vasopressin secretion
hyperkalemia
hyponatremia
risks for idiopathic intracranial hypertension
overweight women childbearing age
possible like to medications: tetracyclines and hypervitaminosis A
Systemic Sclerosis findings
esophageal dysmotility, fibrotic lung disease, arthralgias
thickening or hardening, edema and pruritis
diabetic pyelonephritis
parenteral antibiotics after 48-72 hours
TMP-SMX
most common secondary solid tumor malignancies
lung, breast, thyroid, bone and GI
presentation vitreous hemorrhage
sudden loss of vision and onset floaters
common cause is diabetic retinopathy
fundus is hard to visualize
Primary biliary cirrhosis marker
anti mitochondrial Ab
will have inc alk phos
inc IgM and inc Cholesterol
pericardial knock
early heart sound after S2
pericardial calcifications
JVP
kussmaul sign
sharp x and y descents
pericarditis
cause of constrictive pericarditis in Africa India and China
TB
difference of eythlyene glycol and methanol poisioning
ethylene glycol damages kidneys
methanol damages eyes
findings sarcoidossi
erythema nodosum, anterior uveitis, acute polyarthritis, paratracheal adenopaty and reticulonodular infiltrates on CXR
noncaseating granulomasACE increased
Tx symptomatic sarcoidosis
glucocorticoids
another name for vasovagal syncope
neurocardiogenic
how to decrease CCB pedal edema with adjunct Rx
add ACEI
acanthosis nigricans
insulin R
GI malignancy
lung infection after bone marrow transplant
45 days ~ CMV
TSH and LH levels in prolactinoma
low LH normal TSH
what cause inc homocysteine
deficiency in folate or cobalamin
inc blood in urine after tonic clonic seizure
rhabdomyolysis
reaction with niacin
PG release cause peripheral vasodilation and pruritis– give low dose aspirin
polycythemia vera can cause what other condition
gout
pulmonary physical findings for pleural effusion
decreased tactile fremitus, dullness to percussion, decreased breath sounds
findings in carcinoid syndrome
skin: flushing, telangiectasias, cyanosis, diarrhea, cramping, valvular lesions, bronchospasms, niacin deficiency (dermatitis, diarrhea, dementia)
presentation of post strep glomerulonephritis
periorbital swelling, hematuria, oliguria
hypertension, RBC casts
mild proteinuria
signs thalamic hemorrhage
eye deviates towards hemiparesis
signs basal ganglia hemorrhage
contralateral hemiparesis and hemisensory loss
homonymous hemianopsia
gaze palsy
sign of stroke in anterior cerebral a
incontinence
contralateral somatosensory and motor in lower extremity
Tx acute pancreatisis
conservative, 4-7 days with analgesics, IV fluids and no oral food
