Inservice deck 10 - heme/onc and derm Flashcards
Peripheral smear reports schistocytes and helmet cells. What is happening?
intravascular hemolysis
serum sickness reaction, and what type of hypersensitivity is it?
type 3
patient with transfusion of PRBCs develops headache/nausea/vomiting/fever and back pain. Next step?
stop transfusion
tx and disposition of sickle cell,. fever 103.5, but no obvious source
iv abx, septic work up and admit
renal transpplant patient with PNA think of this organism?
CMV
patient who gets transfusion is at greater risk for infection if they have what immunoglobulin deficiency?
IgA
ED tx given to patient on coumadin who presents with uncontrollable bleed?
FFP
vit K
PCC
agent is tx for severe bleeding patient on heparin?
protamine
cancer patient with nausea, vomiting, abd pain, and AMS requires what tx?
think hypercalcemia, saline, then furosemide
etiology for CA patient who presents with seizures and Na of 120? what is treatment?
SIADH
tx = IV hypertonic saline vs restriction
patient presents with facial swelling and upper extremity edema. Dx and tx?
SVC syndrome
tx = head elevation, diuretics
LYMPHOMA PATIENT presents anuric and peaked T waves on EKG. Dx and tx?
tumor lysis syndrome
tx = IVF, hemodialysis
patient with fatigue, abd pain, HA, AMS, and peripheral smear shows stacking of RBCs. Dx and tx? malignancies?
rouleaux formation
tx = hydration
etiology = multiple myeloma or macroglobulinemia
tx for sickle cell pt with stroke?
exchange transfusion
tx for polycythemia vera who develops hemiparesis?
phlebotomy
