Medicine 5 Flashcards
Type of fluid to use for pulmonary contusion
Colloids (not crystalloid)
Treatment for urethral injury
Suprapubic catheter (not in dwelling)
Parkland formula
4 x kg x %body surface area burned
50% first 8 hours,
50% in 16 hours
Treatment for ethylene glycol or methanol
Foneizole- prevents breakdown to toxic metabolite
Treatment for cyanide
Thiosulfate
Amyl nitrate
what disease has positive hydrogen breath test and positive stool for reducing substances?
lactose intolerance
does lactose intolerance have high or low stool pH?
low- acidic
when to start c-scopes for people with IBD?
8-10 years post diagnosis, and every 1-3 years
when to start c scopes if lynch syndrome?
20-25 y/o
every 1-2 years
patient with cirrhosis and portal HTN develops pleural effusion. think…
hepatic hydrothorax- small defects in diaphragm (right sided)
treatment for hepatic hydrothorax
salt restriction, diuretics
liver transplant
diagnosis and treatment of zenker diverticulum
dx: contrast esophogram
tx: surgery
most common cause of esophageal rupture
endoscopy
diagnosis of esophageal rupture
contrast esophogram
first line treatment for uncomplicated vs complicated UTI
uncomplicated: TMP-SMX, nitrofurantoin, fosfomycin
complicated: fluroquinolone
primary polydipsia is common in which population
people witih psych conditions
woman 35 yo with HTN, palpable bilateral kidney masses, and microhematuria. think…
ADPKD
extra-renal complications of ADPKD
berry aneurysm
hepatic cysts*
MVP, AR
diverticula
inguinal hernia
urge incontinence due to
overactive detrusor
treating urge incontinence
kegels, PFPT
antimuscarinic drug- oxybutynin
patient with cirrhosis and end stage liver disease starts to get renal dysfunction. why?
hepatorenal syndrome
cirrhosis –> splanchnic arterial dilation –> decrease vascular resistance –> R-A-A –> renal vasoconstriction and decreased GFR
diagnosing kidney stones
US or noncontrast spiral CT
what type of acidosis is addison’s dz?
non anion gap metabolic acidosis
complication of cocaine that would affect kidneys
rhabodmyolysis
