June 1 Flashcards

1
Q

what is purulent pericarditis?

A

bacterial infection of the pericardium

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2
Q

management of suspected purulent pericarditis?

A

urgent pericardiocentesis

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3
Q

what does persistent bloody ascites on multiple paracentesis indicate?

A

underlying malignancy (such as HCC)

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4
Q

what is the most common malignancy to present with bloody ascities?

A

HCC

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5
Q

what colour is the ascites in abdominal TB?

A

straw coloured

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6
Q

charcot join AKA

A

neurogenic arthropathy

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7
Q

pathophys of neurogenic arthropathy (charcot joint)

A

impaired sensation/proprioception leads to altered weight bearing/recurrent trauma and inflammatory response

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8
Q

what conditions are assocated with charcot joint?

A

diabetic peripheral neuropathy, syringomyelia, spinal cord injury, etc.

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9
Q

clinical features of post-cardiac injury syndrome?

A

-pleuritic chest pain, fever, leukocytosis

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10
Q

pathophys of post-cardiac injury syndrome?

A

-cardiac injury/procedure causes immune system exposure to cardiac antigens -> immune complexes deposit in the pericardium

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11
Q

dressler syndrome is a type of…..

A

post-cardiac injury syndrome

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12
Q

treatment of post-cardiac injury syndrome?

A

NSAIDS and colchicine

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13
Q

does dressler syndrome occur only after MIs?

A

yes

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14
Q

does post-cardiac injury syndrome occur only after MIs?

A

no - can be after MI, surgery, etc.

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15
Q

investigations for patients with asymptomatic sliding hiatal hernia

A

if asymptomatic -> none

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16
Q

spread of ascaris lumbriodes?

A

fecal-oral route

17
Q

what does a pulmonary contusion look like on XRAY?

A

patchiness not confined to lobe borders

18
Q

risk factors for a splenic abscess?

A
  • ENDOCARDITIS
  • hemoglobinopathy
  • immunosuppression
  • IV drug use
  • trauma
19
Q

treatment of splenic abscess?

A

-antibiotics and splenectomy (poor survival rate if no splenectomy)

20
Q

most cases of ludwig angina occur from…

A

contiguous spread of dental infections

21
Q

stress fractures of WHICH metatarsal usually require casting?

A

the fifth metatarsal because of high risk of non-union

22
Q

stress fractures of metatarsals other than the 5th are usualyl treated…

A

with rest and analgesia