June 1 Flashcards
what is purulent pericarditis?
bacterial infection of the pericardium
management of suspected purulent pericarditis?
urgent pericardiocentesis
what does persistent bloody ascites on multiple paracentesis indicate?
underlying malignancy (such as HCC)
what is the most common malignancy to present with bloody ascities?
HCC
what colour is the ascites in abdominal TB?
straw coloured
charcot join AKA
neurogenic arthropathy
pathophys of neurogenic arthropathy (charcot joint)
impaired sensation/proprioception leads to altered weight bearing/recurrent trauma and inflammatory response
what conditions are assocated with charcot joint?
diabetic peripheral neuropathy, syringomyelia, spinal cord injury, etc.
clinical features of post-cardiac injury syndrome?
-pleuritic chest pain, fever, leukocytosis
pathophys of post-cardiac injury syndrome?
-cardiac injury/procedure causes immune system exposure to cardiac antigens -> immune complexes deposit in the pericardium
dressler syndrome is a type of…..
post-cardiac injury syndrome
treatment of post-cardiac injury syndrome?
NSAIDS and colchicine
does dressler syndrome occur only after MIs?
yes
does post-cardiac injury syndrome occur only after MIs?
no - can be after MI, surgery, etc.
investigations for patients with asymptomatic sliding hiatal hernia
if asymptomatic -> none
spread of ascaris lumbriodes?
fecal-oral route
what does a pulmonary contusion look like on XRAY?
patchiness not confined to lobe borders
risk factors for a splenic abscess?
- ENDOCARDITIS
- hemoglobinopathy
- immunosuppression
- IV drug use
- trauma
treatment of splenic abscess?
-antibiotics and splenectomy (poor survival rate if no splenectomy)
most cases of ludwig angina occur from…
contiguous spread of dental infections
stress fractures of WHICH metatarsal usually require casting?
the fifth metatarsal because of high risk of non-union
stress fractures of metatarsals other than the 5th are usualyl treated…
with rest and analgesia
