mar 6 Flashcards
which is more anterior, the trachea or the esophagus?
the trachea
lab findings of rocky mountain spotted fever?
- low platelets
- low sodium
- increased AST/ALT
how does rocky mountain spotted fever effect platelets?
decreases them due to intravascular platelet destruction
abdominal findings of rocky mountain spotted fever?
severe abdominal pain
what are potential complications of a biliary cyst?
- cholangiocarcinoma
- acute cholangitis
- pancreatitis
- stone formation
treatment of a biliary cyst?
Surgical resection
why is surgical resection of a biliary cyst important?
decreases risk of future malignancy
what is the most common secondary cause of resistant hypertension (hypertension that doesnt respond to 3+drugs)?
renovascular disease
renal vein thrombosis is most commonly associated with which nephrotic syndrome?
membranous nephropathy
why is the risk of renal vein thrombosis increased in nephrotic syndrome?
loss of ATIII
what usually precedes SJS?
fever and flu-like symptoms
treatment of botulinism?
equine serum heptavalent botulinum antitoxin
immunoglobulin findings in CD40 ligand deficiency?
elevated IgM, low igG
findings of X-linked agammaglobulinemia?
low immunoglobulins (all) and reduced CD19+ B cells
clinical presentation of erlichiosis?
- flu like illness
- neurological symptoms
lab findings of erlichiosis?
- leukopenia and thrombocytopenia
- elevated LFTS and lactate dehydrogenase
treatment of erlichiosis?
doxycycline
what is the opening pressure on spinal tap in a patient with HSV encephalitis?
normal
what is the opening pressure on spinal tap in a patient with cryptococcal menignitis?
ELEVATED
onset of cryptococcal menignitis?
insidious
what kind of myocarditis is caused by kawasaki disease?
lymphocytic myocarditis
lugn findings in beta blocker overdose?
diffuse wheezing
blood sugars in beta blocker overdose?
decreased - may cause hypoglycemia
treatment of calcium channel overdose?
glucagon
treamtent of beta blocker overdose?
glucagon
what indicates that a facial nerve palsy is central?
forehead sparing
what is a normal GFR?
60 or above
A GFR of <30 is considered..
severe renal impairement
which anticoagulants CANNOT be used in a patient with severe renal impairment?
low-molecular weight heparin (enoxaparin), fondaparinux, rivaroxabin
what anticoagus do you give to a patient with severe renal impairment?
warfarin - bridged with UNfractionated heparin
