internal medicine

Question 1

indications for use of steroids in LUPUS

Answer 1

renal involvement
thrombocytopenia
hemolytic anemia
CNS involvement
SLE pericarditis

Question 2

What is a Charcot Joint?

Answer 2

aka neurogenicarhtropathy; occurs in patients with peripheral neuropathy (diabetes).
Usually presents as deformity of foot arches and toes; deformed bones with new bone formation adjacent to bony cortex; several large bizarrely shaped osteophytes present at margins

Question 3

Labs in Bernard Soiulier:

Answer 3

Thrombocytopenia, large platelets on smear

Question 4

What is the first line treatment for actinobacter baummani?

Answer 4

Imipenem

Question 5

how does anterior dislocation of the shoulder present?

Answer 5

Patient presents with arm held close to the body and forearm rotated outward.
Shoulder looks “square” (non-rounded)
Axillary nerve injury is common; numbness in area of the deltoid muscle

Question 6

most common cause of otitis externa (swimmers ear)

Answer 6

pseudomonas aeruginosa