Lab Med 61-75 Flashcards
What are the signs of sirolimus toxicity? (6)
HypERcholesterolemia HypER tg Renal dysfx Pneumocystis Carinii infection CMV infection
What are the signs of tacrolimus toxicity?
"My New Hat and The Hallowed Cat" Mental status Nephrotoxic HypERkalemia Tremor Headache Changes in motor function
What are the signs of theophylline toxicity?
"VAN HHATS" Vomiting Anion gap Nausea HypOkalemia/hypERglycemia Acidosis TachyC Seizures
What are the signs of valproic acid toxicity?
Hepatic toxicity
Acute encephalopahty
What are the signs of vancomycin toxicity?
Ototoxic
Nephrotoxic
What are the stages of ethylene glycol intoxication? 3 stages
- CNS depression (12 hours)
- Cardiotoxic (24 hours)
- Renal stage (72 hours)
What are the steps in the coagulation cascade?
Injury releases TF –> activates VII –> activates IX and X –> binds V –> prothrombin to thrombin (II) –> fibrinogen to fibrin –> XIII crosslinks –> clot
What are the steps in the intrinsic coag pathway (amplification)?
XII –> XI –> IX + VIII –> X
What are the symptoms of acetaminophen toxicity? 4 steps
- GI distress
- General well being
- Liver toxicity
- Recovery
What are the symptoms of Conn’s syndrome? 9 sx’s
HTN Weakness Tetany Paraesthesia Polydipsia Polyuria HypERnatermia HypOkalemia Metabolic alkalosis
What are the symptoms of elevated cortisol? (12)
Truncal obesity Moon face Buffalo hump Abdominal purple striae Muscle weakness Osteoporosis HTN Amenorrhea Mental disturbances Hirsutism Virilization DM
What are the symptoms of hyperthyroidism?
“SWEATTTIINGG” with increased DTRs
Sweating Weight loss Emotional liability Appetite increased Tremor/Tachy/Tiredness Intolerance to heat/Irregular menstruation Nervousness Goiter/GI
What are the symptoms of hypothyroidism?
“MOMM’S SO TIREDD”
Memory loss Obesity Malar flush/ Menorrhagia Slowness Skin and hair dryness Onset gradual Tiredness Intolerance to cold Raised BP Energy levels fall (low labido) Depression/Delayed relaxation of reflexes (🠗 DTR's)
What are the symptoms of low cortisol?
WANT MMy Purple HHHeart
Weight loss Abdominal pain Nausea Tiredness Mental disturbances/metabolic acidosis Pigmentation of skin/buccal mucosa HypO tension/glucose/Na+
Other:
HypERkalemia
Elevated SUN
What are the three types of iron overload?
Hemosiderosis
Hemochromatosis
Heriditary hemochromatosis