Medicine Misc. Flashcards
Pulsatile tinnitus cause
Most common cause dural AV fistula, can be reduced by compression of the occipital artery over the mastoid process
Primary vs secondary hyper aldosterone test
Aldo-Renin-ratio is the most sensitive
Can also use captopril testing
Clinical manifestations of thoracic aortic dissection
Horner’s, dysphagia, murmur, wide pulse pressure, stroke (secondary to carotid obstruction)
CT scan with brain mass + progressive headache and confusion
Glioblastoma multiforme - usually presents sx
Nasal sx, neck swelling, fullness/ effusion in the ear
Nasopharyngeal carcinoma
Risk factor for nasopharyngeal carcinoma
EBV, Smoking
Biggest risk for mortality post transplant?
Infection
Tx for angular chelitis
Mupirocin and anti-fungal agents
Lots of RBCs in the LP?
Bleed or HSV encephalitis
Tamoxifen vs Raloxifene risk factors
Tamoxifen is associated with a risk of endometrial CA
Raloxifene decreases risk of osteoporosis and thromboembolic events
Cocaine chest pain is caused by
Vasospasm, beta-blockers are contraindicated
Findings in labs for diabetes insipidus
Drop in vasopressin/ADH - will find high serum sodium, low urine sodium, low extracellular fluid, and low ADH
- You lose the ability to concentrate your urine - and lose lots of water.
Homonymous hemianopsia - what artery has stroke?
PCA
What heart finding should you not give digoxin?
AV block
Advice to help jet lag
Take melatonin 0.5-5mg nightly for 2-5 nightly starting on the first night in the destination
Tx for alopecia
Can try topicals with added oral corticosteroids- nothing really works
Pentad of microangiopathic hemolysis (low RBC/ high bili), thrombocytopenia, neurologic abnormalities, fever and renal impairment
Thrombotic Thrombocytopenia Purpura
Triad of normal pressure hydrocephalus
Wet (urine incontinence), wacky (motor disturbance), weird (mental impairment)
Common sx in temporal lobe epilepsy?
Aura of rising episgastric sensation, can also have unease - with feeling of deja-vu
Tx for VWF deficiency
Desmopressin (induces the release of VWF from inside cells) and transfusion therapy
Hypothermia ECG finding
J wave
Sx of Sjogrens
Dry mouth, eyes, painful mouth + anti-ro/ la
Tx Sjogrens
Pilocarpine and topical cyclosporine to help with the sx
Hyperthyroid types how to differentiate
Grave - increased iodine uptake, other autoimmune thyroid - decreased
What can look like breast cancer on exam but is in fact benign (fixed, spiculated mass)
Fat necrosis of the beast - path will show foam macrophages
Tx for cardiogenic pulmonary edema
Nitroglycerin
Non healing lesion on site of prior skin graft/scarring?
Concern for SCC
Triad of sweating, headache and tachycardia in a young otherwise healthy person
Pheochromoxytoma - look for unexplained HTN and hyperglycaemia too (take a plasma or urine metanephrine)
Epstein-Barr risk factor for which cancer?
Nasopharyngeal carcinoma
Common drugs causing drug-induced pancreatitis?
Diuretics - lasix, Hydrochlorothiazide
NPH sx
Wet, wobbly, wacky - urinary incontinence, gait changes, cognitive impairment
Stopping clonidine suddenly?
Reflex HTN
Tx for ALS?
It is fatal but riluzole can help improve survival
Mild respiratory sx, diarrhea and increasing Ha/ confusion from an LTC/ hospital
Legionella
Best test for legionella?
UAT + sputum culte on charcoal yeast agar
Xanthanchromia on LP?
SAH - csused by lysis of RBCs
Cardiac implication of ankylosing spondylitis
Aortic regurgitation
