Interne Flashcards
which changes in eletrolyten kun je verwachten bij tumor lysis syndrome ?
when does tumor lysis syndrome start?
most commonly occurs after initiating cytotoxic treatment; breakdown of cancer cells
a
febrile neutropenia, what to do?
epiric AB should bre started within the first hours of onset, like meropenem (better than ceftriaxon or cefuroxime or vanco), those who continue to have persistent fever of unidentified cause following 4 to 7 days of ab, should be given epiric antifungal therapy like amphotericin B
d
c
b
b
pernicious anemia?
causes B12 defi
difference between anemia due to folate def or vitamin b12 def?
Vitamin B12 deficiency causes neurological symptoms due to demyelination of dorsal columns, lateral corticospinal tracts, and spinocerebellar tracts (subacute combined degeneration).
Folate deficiency does NOT cause neurological symptoms.
Methylmalonic acid (MMA) is elevated in vitamin B12 deficiency but normal in folate deficiency.
Both cause elevated homocysteine levels.
Starting folate treatment before excluding vitamin B12 deficiency may correct anemia, but it can worsen neuropathy!
TRUE
hypersegmented neturophils seen in
b12 def anemia
iemand from the middle east + jaundice + high reticulocyte
avoid aspirin
ieman from the middel eat + recurrent fever + arthralgia or and abdomianal pain, chest pain
avoid amoxicillin, macrolide, steroid, verapamil/diltiazem
The incubation period of malaria is a minimum of seven days (7-30 days); if fever occurs before the seventh day following exposure in an endemic region, it is most likely
not due to malaria
malaria common symptoms
malaria epidemioogy
malaria prophylaxis
you should give atorvaquone-proguanll
atorvaquone-proguanll alternative if someone has psychiatrisch vg
doxycycline
treatmetn of malaria
malaria medicatie met veel resistence
chloroquine