I think I have hypochondrosis Flashcards
Teen w/ SI, do you have to tell parents?
YES
and admit- but you dont need consent from parents/ kid
1st line rx for acne
- topical retinoids
- add topical abx for inflammatory
- add oral abx for severe
- unresponsive add isotretinoin
mitral regurg murmur
holosystolic at apex
radiates to axilla
s/s: dyspnea, fatigue, a fib, HF
Alcoholic cirrhosis
-Liver shrunken/ nonpalpable
AST 2x > ALT
Down syndrome iris
brushfield spots- grey/ white spots
Most effective emergency contraception
copper IUD
used 0-120 hours
toxic to sperm, impairs implantation
Most common cause of tricuspid stenosis
rheumatic heart disease
Most common sequelae of hemochromatosis
cirrhosis HF DM hypogonadism arthritis
Small PTX rx
observation
supplemental o2- speeds resorption
Ulipristal pill
anti-progesterone
emergency contraception
used 0-120 hours
Autoimmune hepatitis
young/ middle aged women
LFTs in 1000s
significant liver injury
syringomyelia
common after whiplash
impaired strength/ pain/ temp
Donepezil
acetylcholinesterase inhibitor
slows cognitive decline in alzheimer’s
The only absolute INFANT contraindication to breast feeding is?
Galactosemia
Cervical spondylosis
> 40 yo
neck pain/ stiffness
may –> stenosis
Amphetamines in pregnancy
preterm delivery preeclampsia fetal growth restriction placental abruption fetal demise
Does hypoxia cause cerebral palsy
NO
risks are:
prematurity, growth restriction, infection, hemorrhage, twins, etoh, tobacco
Physical exam of mesenteric ischemia
pain on history is out of proportion (worse) than exam
Bed wetting is normal before age?
5 years
Biophysical profile measures?
- non-stress test- FHT
- amniotic fluid index
- fetal movements
- fetal tone
- fetal breathing
Non stress test antepartum fetal surveillance
measures external fetal heart tones
- normal > 2 accels
- non- reactive < 2 accels or any decels
Normal fetal movement on biophysical profile
> 3 general body movements
most common cause of primary adrenal insufficiency in developed countries
autoimmune adrenalitis (addisons)
Sympathetic opthalmia
immune mediated damage of one eye after penetrating injury of other eye due to uncovering of hidden antigens
Contraction stress test
external FHT during induced contractions
late decels > 50% of contractions= abnormal
dont do if there are contraindications to labor ( placenta previa)
Fetal tone on biophysical profile
> 1 episode of flexion/ extension of limbs
Adrenoleukodystrophy
congenital, affects males
accumulation of long chain fatty acids in adrenals –> adrenal failure
Trigeminal neuralgia and MS
MS should be suspected if neuralgia is bilateral
How long is a nonstress test in fetus?
> 40 min
needs to account for sleep
When is a doppler umbilical study helpful?
fetal growth restriction
fetal weight < 10%
no, decreased, or reversed flow= abnormal
