June 8 Flashcards
can you use glucocorticoids to treat cerebral edema in a patient with traumatic brain injury?
no - steroids increase death in patients wtih TBI
treatment of severe digoxin toxicity?
digoxin antibodies
treatment of mercury poisoning?
dimercaprol
treatment of caustic ingestino?
copious irrigation, activated charcoal
DO NOT MAKE PATIENT VOMIT
treatment of pusless electrical activity
CPR, epinperphine, consider vasopression
treat cause
all penetrating abdominal trauma requires..
exploratory laparotomy
autologous blood donation is..
blood taken from the patient, given to the patient
what is posttransfusion purpura?
thrombocytopenia that develops 5-10 days after transfusion
treatment of posttransfusion purpura?
IVIG, plasmapheresis
what is phenylephrine?
agonist for alpha adreneric
what can you give patients with renal insufficiency that have to receive contrast?
N-acetyl-cysteine
a woudn healing by secondary intention is left open to heal by…
epithelialization
when do you use delayed primary closure of a wound?
heavily contaminated wounds - leave open for a few days and clean before closure
waxy tight skin, with purple rash, is seen in which condtion?
AL amyloidosis
presentation of osteopetrosis?
fractures, impaired fracture healing, blind/deaf, variable neuro symptoms
lab findings in osteopetrosis?
decreased Hb, decreased hematocrit, increased CK and acid phosphatase
treatment of osteopetrosis?
bone marrow transfusion
osteoporosis is less likely to occur in…
obese people (weight on bones helps prevent osteopenia)
probenicid MOA
inhibits kidney uric acid resorption
inflammatory cells are found ____ muscle fasciles in POLYMYOSITIS
WITHIN
inflammatory cells are found ____ muscle fasciles in DERMATOMYOSITS
SURROUNDING
pencil in cup deformity is seen in….
psoriatic arthritis
path of aromatase deficiency
inability to convert DHEAS to estradiol
what is elevated in aromatose deficiency (DHEAS or DHEA)?
DHEAS
A patient has a glucagonoma. What medication can we give them to immediately improve symtoms?
ocreotide - suppresses secretion of glucagon
treatment of primary CNS lymphoma?
methotrexate
brain radiation
is unilateral lymphadenopahty more likely bacterial or viral?
bacterial
what amniotic fluid index is considered polyhydramnios?
> 24
which two genetic diseases have a cherry red spot?
tay sachs
neimen pick
what is deficient in neiman pick disease?
sphingomyelinase
what is deficient in tay sachs disease?
B-hexosaminidase
when does depression screening start?
age 12
when does autism screening occur?
18 months and 2 years
when is vision evaluated in a child?
every well child visit
waxy tight skin, with purple rash, is seen in which condtion?
AL amyloidosis
what is the most common kidney problem caused by IV acyclovir?
crystal induced acute kidney injury
