jan 26 Flashcards
treatment of transient synovitis?
rest and NSAIDs
what is craniotabes?
skull bones that depress with pressure
what is craniotabes a sign of?
rickets
what causes rickets?
vit D deficiency
bilateral widening of the wrist is a sign of…
rickets
frontal bossing is a sign of..
rickets
path of diamond-blackfan anemia?
congenital erythroid aplasia
clinical findings of diamond-blackfan anemia?
- craniofacial abnormalities
- triphalangial thumbs
- increased risk of malignany
FBC findings in diamond-blackfan anemia?
- macrocytic anemia
- reticulocytopenia
- normal platelets and white blood cells
treatment of diamond-blackfan anemia?
- corticosteroids
- RBC transfusions
what is ‘salvage’ therapy?
an additional form of treatment for a disease after the initial therapy fails
what is legg-calve-perthes disease?
idiopathic osteonecrosis of the femoral head
management of legg-calve-perthes disease?
- start with conservative: immobilization and splinting of limb
- surgery is needed for displaced femoral heads
characteristics of systematic juvenile idiopathic arthritis?
- daily fevers (for at least two weeks)
- pink macular rash that worsens with fever
- fixed arthritis lasting at least 6 weeks
what kind of stridor do patients with laryngomalacia have?
inspiratory stridor
effects of adenosine on the heart?
stimulates vascular smooth muscle cells -> vasodilation -> increased myocardial blood flow
how does angiotensin II effect the glomerulus?
constricts the efferent arteriole
what is a delayed sleep-wake phase disorder?
‘night owl’ - someone who has late night insomnia and excessive morning sleepiness - their natural circardian rhythym is to go to bed late and wake up late
what is an advanced sleep-wake phase disorder?
someone who falls asleep very early in the evening and wakes up very early in the morning
why may a patient with infective endocarditis have painful fingers?
osler nodes
what skin infection may pseudomonas cause in an immunocompromised patient?
ecythema gangrenosum
are the lesions of ecythema gangrenosum painful or non-painful?
non-painful
are the lesions from a drug induced hypersensitivity SJS painful or non-painful?
painful
treatment of legionella?
fluoroquinoline
which has flat edges - cellulitis or erysipylas?
cellulitis
which has raised edges - cellulitis or erysipylas?
erysipylas
does food-protein induced enterocolitis present with bililous or non-bilious vomiting?
NON - bilious
CSF findings of Creutzfield-Jakob?
positive 14-3-3 protein titers, positive RT-QuIC
what are the musculoskeletal manifestations of rheumatoid arthritis?
osteoporosis/osteopenia
what type of malignancy is hairy cell leukemia?
chronic B cell malignany
clinical manifestations of hairy cell leukemia?
-pancytopenia (bone marrow fibrosis)
-splenomegaly
-
diagnosis of hairy cell leukemia?
- blood smear -> hairy cells
- bone marrow biopsy
bactermia with C. septicim is associated with…
bowel cacer
a patient with Clostriudium septicim should undergo which procedure?
colonoscopy
what type of antibiotic is amikacin?
aminoglycoside
Nitrofurantoin respiratory complications?
Acute- hypersensitivity reaction in lungs / pleural effusino
Chronic use - interstitial lung disease
if an MRI should Multiple Sclerosis findings do you also need a LP before beginning treatment?
no
path of exercise associated postural hypotension?
during strenous exercise the muscles exert significant force on the venous system -> venous return
Abrupt cessation -> venous return dramatically decreases -> transient postural hypotension and collapse
does a patient remain conscious during an episode of exercise associated postural hypotension?
yes
