ITE - General IM and Geriatric Flashcards
Lead TIme bias: dfn.
Dfn: Occurs when early detection artificially leads to an increase in measured survival.
Painless, gradual worsening of visual acuity in patient with lens opacification, diminished red reflex, and obscured funduscopic examination.
Cataracts: clues.
Cataracts: Dx, Tx.
Dx: ophthalmoscopy with lens opacification, funduscopic exam obscured, diminished red reflex.
Tx: surgery when vision impairment becomes problematic.
Rash often limited to neck/face/scalp. Hypo- or hyperpigmented patches/plaques with erythema which can be atrophic or hyperkeratotic. Can cause scarring, atrophy, permanent alopecia.
Discoid lupus erythematosus (DLE): clues.
DLE: Dx, Tx.
Dx: Clinical in setting of SLE with destructive neck/face/scalp rash. Usually ANA positive.
Tx:
Types of cutaneous disease that can associated with SLE. Which is most associated with SLE?
Types; Acute CLE, subacute CLE, Chronic CLE
Most associated: ACLE
Glaucoma, open angle: Dx, Tx.
Dx: open angle - increased pressure, increased CDR, CDR asymmetry, gradual/painless peripheral visual loss
Tx: open - ophtho consult
Glaucoma, acute angle: Dx, Tx.
Dx: severe eye pain, headache, blurred/haloed vision, cunjunctive hyperemia, corneal edema, dilated nonreactive pupil, severe pressure increase
Tx: immediate ophth consult
Hereditary angioedema: Dx.
Dx: Absent or dysfunctional C1 esterase inhibitor
Sporadic, localized edema involving the head/neck.
Hereditary angioedema: clues.
Restless leg syndrome: Dx, screening, Tx.
Dx: clinical.
Screen for: Iron deficiency anemia
Tx: Supportive
Dizziness, fatigue, headache, and nausea within 1-7 days of abruptly stopping…
antidepressant. should be tapered
Herpes labialis: Screen, Tx.
Screen: for possible immunosuppressing conditions (i.e., HIV)
Tx: Oral antivirals
Prepatellar bursitis in pt with CKD: Tx.
Tx: same as usual (PT, lifestyle mod) except avoid NSAIDs
AAA in geriatric pt: Tx.
If unstable for surgery, consider palliation.
