jan 19 Flashcards
clinical features of serum-sickness-like reaction
fever
skin rash
polyarthralgia
what causes a serum-sickness-like reaction?
type III hypersensitivity reaction (can be in response to drugs such as penicillin)
which drugs may cause a serum-sickness-like reaction?
beta lactams and TMP-SMX
treatment of serum-sickness-like reaction?
- remove offending agent
- supportive care
- if severe: steroids or plasmapheresis
should you use a CT with or without contrast in after an unprovoked first time seizure?
WITHOUT - more helpful in identifying intracranial hemorrhage and faster
what should you give to reverse warfarin induced bleeding?
vitamin K and prothrombin complex concentrate (contains vitamin K dependent clotting factors)
which type of cardiac hypertrophy is seen with acromegaly?
concentric hypertrophy
when may a baby start having pain crises in sickle cell disease?
usually not until about 6 months when the HbA increases
what should you give a patient with the reccurrence of anaphylactic symptoms after initial resolution?
IM epineprhine again
clinical features of preseptal cellulitis?
- eyelid erythema and swelling
- chemosis
treatment of preseptal cellulitis?
oral antibiotics
clinical features of orbital cellulitis?
- eyelid erythema and swelling, chemosis
- PLUS pain with extraocular movements, proptosis and or opthalmoplegia with diplopia
treatment of orbital cellulitis?
IV antibioitics +- surgery
treatment of papulopustular rosacea?
topical metronidazole
adverse effects of methimazole?
- agranulocytosis
- 1st trimester teratogen, cholestasis
