IM UW 3 Flashcards
What do you do if a HC worker has a +PPD but a negative CXR?
tx w/ INH
How do HC workers get C.diff?
spores!
Pulsus Paradoxus
Pulsus paradoxus is a sign that is indicative of several conditions, including cardiac tamponade, constrictive pericarditis, chronic sleep apnea, croup, and obstructive lung disease (e.g. asthma, COPD).[1]
52 yo male w/alcoholism, unable to move lower extremities for 4 hrs, swelling of lower extremities, bladder cath shows small urine + positive blood by dipstick. dx?
Rhabdomyolysis = death of muscle fibers = releases contents into blood.key: m swelling, weakness, ARF & blood or myoglobin on dipstickother sx: ab pain, NVF, tachy, conf, dehydra, CK elevation
tx for prostatitis?
If uropathogen = bactrim or FQif STI = Ceftriaxone or Azithromycin
why hypoglycemia with T1 DM?
Low blood sugar happens when a person with diabetes does one or more of the following:●Takes too much insulin (or an oral diabetes medication that causes your body to secrete insulin)●Does not eat enough food●Exercises vigorously without eating a snack or decreasing the dose of insulin beforehand●Waits too long between meals●Drinks excessive alcohol, although even moderate alcohol use can increase the risk of hypoglycemia in people with type 1 diabetes
bronze diabetes association…
hemochromatosis! = check ferritin levels
Kallman Syndrome
delay/absence of signs of puberty along with an absent/impaired sense of smell
Old lady comes into the ER after she fell and broke her hip. she has elevated na and glucose along with an elevated leukocyte count. what should be the first thing you give her?
NS ! dont give insulin! she doesnt need it! shes not acutally hyperglycemic she is only dehydrated. hence the elevated Na.
premature venticular contractions originate from….
ventricles = purkinje fibers!normal: SA - AV- BoH - ventricles
Sx of Pagets dz?
elevated alk phos, increased bone remodeling/turnover imbalance. joint/bone pain, bowing deformity of bone, hearning loss dur to narrowing of auditory foramen.tx: bisphosphonates
Patient with what ur almost positive is a DVT. What test do you do? D-dimer, CT angio, anticoag or compression US. Why?
US! = must confirm dx!No: ddimer bc this will not confirm, CT bc she has no sx of PE yet, anticoagulant bc u need to confirm dx
Pt with ESRD was given EPO now has microcystic anemia. tx?
boost in RBC production has decreased Fe stores = give Fe
pt tests positive for Hep C ab. next step?
test for hep C RNA ! need to know if this is a chronic infection or a infection that they previously cleared
Pt with frequent watery stools for 10-12 days, nocturnal bm w/cramping, hypoK, met alk. +melanosis coli w/pale lymph folicles. dx? tx?
laxitive abuse! stop
side effects of methamazole
1st trimester teratogen, cholestasis, agranulocytosis, hepatic failure
What to do in someone who gets stuck by a hepB+ person but they are not vaccinated?
hep B Ig + vaccinate now and continue on regular vac schedule. if already vac do nothing
What is a Charcot joint? causes?
joint that gets beat up due to decrease sensation caused by: B12 def, 3 syphilis, DM, PN dmg, SC injury, Sryingomyelia.sx: DJD, osteophyles, loose bodies, decrease in cartilage, deformites.
HIV STD screening via..
p24 antigena nd Ab testing
leading cause of urinary incon. in elderly?
UTI