July Flashcards
Regular dose for folic acid
0.4-0.8
Neck mass 2x2, left side of neck, posterior angle of mandible, US: large LN w/cystic component, FNA: follocular cells, dx?
Papillary thyroid carcinoma
Unstable + unrestainee RTA + abdominal distension + signs of organ dysfunction, best mx
Explarotry laprotomy
Abd pain + back pain + headache w/menses + resolves 3rd day
Primary amenorrhea
2x2 perirectal abscess + asymp, mx?
Incision & drain
What’s the INR to keep patients on warfarin in
2-3
N.meningitidis contact
droplet
Pedia + Multiple red spots + large red spot around eye, mx?
Refer to optha
Papillary thyroid cancer + lymph node in the rt side, next step
Refer to surgerg
Bleeding after 5 days of tonsillectomy caused by
Infection
If >2wks it’s coagulopathy
Tonisillitis + painful swallowingc coryza for 2d, inv?
CT
18m + otitis media + pain + crying for 24hrs, mx?
AB: amoxycillin “pt is toxic apprearance”
Give AB if < or eq 6m, <2yrs if bilateral, more that 48-72, severe, systemic, toxic appearance, chochlear implants
Laugh loudly and squels, age?
4-5m
Polymyalgia rehunatica + b-sx, dx
GCA
Baby + contact w/grandfather w/TB, how to dx?
Do tuberculin skin test or igra, and asses for patients sx
Cannon A wave disease
Pulmonary artery stenosis
Pyloric stenosis, next step
Npo then iv fluid
Severe dehydration, fluid type
LR
35 female + smoke+ complicated pregnancy, why?
Smoker
If age more than 35 then age
Crohns controlled on steroid + multiple fistula, mx?
Infliximab combined w/antibiotic
Dvt + warfarin + inr 6.8, next?
Hold warfain
5-9
Tibia + fibula fracture + parasthesia + abaent pulse, nxt?
Fasciotomy
Significant ASD + Asymptomatic, when to do tx?
patch repain 3-5
“if he says mild & asymptomatic, wait for spontanous closure.
Subehaptic biloma, mx
CT guided treatment
Collection + behind the stomach at the para-aortic area + constipation
Pancreatic psudocyst
If inflamed go with percutanous darin
If not inflamed go with endoscopic drain
