III Flashcards
signs diabetes inspidus
polyuria, polydipsia, hypernatremia, low urine osmolality and high serum osmolality
acute pancreatitis essential imaging
US for gallstones because commonly cause acute pancreatitis
electrolyte imbalance with succinylcholine
cause increased potassium leading to arrhythmias
what causes metabolic acidosis after a grand mal sezure
lactic acidosis that will resolve
What do you give someone post MI to prevent ventricular remodeling
ACEI
what type of cancers can give multiple mets to brain
lung cancer and malignant melanoma
which cancers give solitary brain mets
breast
colon
renal cell
signs of diabetic retinopathy
microaneurysms, hemorrhage, exudates, retinal edema
cotton wool spots
newly formed vessels
Tx for diabetic retinopathy
argon laser photocoagulation
porphyria cutanea tarda
fragile skin, photosensitivity, vesicles and erosions on dorsum of hands
what hepattis is correlated with porphyria cutanea tarda
hep C
presentation of mixed cryoglobulinemia
palpable purpura, arthralgias, renal complications like membranoproliferative glomerulonephritis
erythema nodosum
streptococcal or TB
sarcoid
or idiopathic
polyarteritis nodosa
Hep B
necrotizing vasculitis in small and medium vessels
primary effect of nitroglycerin in angina is
dilation of capcitance (veins)
decreasing preload
what causes heart failure in systemic sclerosis
pulmonary arterial HTN
antimitochondrial Ab
Primary biliary cirrhosis
ANCA
wegeners
anti smooth muscle Ab
autoimmune hepatitis
sore throat, muffled voice with a deviated uvula
peritonsillar abscess
progressive scotoma
macular degeneration
vaccines for post spleectomy
meningococcal, PCV13, Hib in 2 weeks post surgery
bite cells and heinze bodies
G6PD deficiency
started thiazide for HTN and get hypokalemia shortly after
hyperaldosteronism
will also have hypernatremia
check early morning aldosterone and plasma renin activity
ehrlichiosis
flu like
neurologic (confusion)
rash uncommon
leukocytopenia and thrombytopenia
Tx erlichiosis
doxy
cafe au lait, axillary freckling and has decreased visual acuity, what is the syndrome and what is causing visual acuity decrease
Neurofibromatosis I
optic glioma
Bakers cyst is what
inflammed synovium in popliteal fossa
most common site of hypertensice hemorrhage
putamen
internal capsule right next door
clinical presentation interstitial cystitis
bladder pain with filling, relief with voiding
increased urgency and frequency
dyspareunia
common tumors in sella turcica
pituitary adenoma
craniopharyngioma
meningioma
shy drager syndrome
multiple system atrophy
parkinsonism
autonomic dysfunction like orthostatic hypotension
widespread neurological signs
lupus nephritis next step
renal biopsy because different types need different treatment
diarrhea in HIB
salmonella,c ampylobacter, entamoeva, chlamydia, shigella and giardia
CMV cryptosporidium, isopora belli, blastocystis, MAC
CMV colitis
bloody diarrhea, abdominal pain and CD4
management of exertional heat strok
ice water immersion
fluid resuscitation
electrolyte correction
IV for infective endocarditis
vanco
what causes thrombocytpoenia in SLE
immune mediated destruction
what causes leukopenia in SLE
autoimmune mediated
medications, hypersplenism or bone marrow dysfunction also likely
Tx cat scratch fever
bartonella
give azithromycin
what medication can cause crystal induced acute kidney injury
IV acyclovir
pain management in cancer patients
don’t be afraid to use narcotics
Tx malignant otitis externa
IV cipro
salvage therapy
Tx disease when standard therapy fails
target INR for idiopathic VTE or atrial fib
2-3
poor prognostic factor for CLL
thrombocytopenia
heinz bodies
G6PD deficiency
AA amyloidosis is associated with what conditions
rheumatoid, IBD, osteomyelitis, TB
AL amyloidosis is associated with what conditions
MM
waldenstrom macroglobulinemia
what makes up the AA amyloid
beta 2 microglobuline or apolipoprotein or transthyretin
what makes up amyloid in AL amyloid
light chains, like lambda
causes of nephrotic syndrome
membranous glomerulopathy, focal segmental glomerulosclerosis, minimal change disease, amyloidosis
stain for amyloidosis
birefringence green under polarized light
