medicine- renal/ endo Flashcards
most common nephrotic syndrome in lymphoma?
MCD
AA with HIV, or heroin use –> nephrotic syndrome?
FSGS
infectious endocarditis associated with heart valves? with nosocomail UTI?
vlaves: staph
uti: enterococci
bleeding abnormality seen in UREMIA?
increased bleeding time –> platelet dysfunction
nl plt number, PT, PTT
desmopressin
ADH analogue
treat DI
CURB65
C-confusion U-uremia BUN> 19.6 R- resps >30 B-BP <90/60 >65 yo
2= admit to ward 3= admit to ICU
go to, non resistant, PNA abx?
azithromycin –> will cover atypicals like mycoplasma and chlamydophila
Levo is a big gun and used when fear of resistant strep pneumo
enthesitis
pain at insertion of tendons
seen in ankylosin spondy
common causes of RLS
Fe def anemia uremia DM MS Parkinsons
drugs used to decrease pressure in acute angle glaumcoma
mannitol, beta blocker, acetazolamide, pilocarpine
MANNITOL is first line
how does osteomalacia cause defective mineralization of bone
ex: malabsorption –> do not absorb D–> dec Ca and Phos for mineralization –> causes hyperparathyroidism to maintain Ca, which inc Phos excretion in urine
treatment for GBS paralysis
IV Ig and plasmaphoresis
offenders of drug induced interstitial nephritis
cephalosporins penicillins sulfas NSAIDS rifampin allopurionl phenytoin
signs of psuedotumor cerebri
opening pressure >250
papilledema
vision loss
CN palsy –>VI
acute flashes of light, gray appearing retina on opthalmascope
retinal tear
lambert eaton
PREsynaptic
absent DTR
proximal muscle weakness
polymyositis/dermatomyositis
muscle fiber injury
paraneoplastic
gottron papules
signs of glomerular hematuria
dysmorphic RBC
RBC casts
proteinuria
nerve injured in humerus break
radial
wrist drop
t/f: avascular necrosis of hip is complication of GC use?
true
go to tx for PE in CKDIII and above?
unfractionated hep. Others are renally cleared.
Warfarin takes 5-7 days to be therapeutic, so you have to start with hep then bridge
what is the problem in mineiers?
inc volume and pressure of endolymph
treatment for pagets?
bisphosphonates
“fuo” (kind of) with low white count with low neutrophil count
neutropenic fever, give broad anti pseudomomonal coverage like pip-taz, cefepime, meropenem
t/f: TB is a common cause of constrictive pericarditis
true prease
s/sx of PSGN
low C3, hematuria, periorbital swelling, proteinura, HTN
polymyositis.
PROXIMAL/ symmetrical muscle weakness \+CK \+ANA, anti jo, ESR shoulders often affecte treat with GCs
can you culture PCP?
no. silver stain. BAL to see the org
a sign that can differentiate between liver and heart pathology?
positive hepatojugular reflex –> heart related
indicates a failing right ventrice that cannot accept pressure
s/sx of lacunar stroke
pure motor
pure sensory
develop slowly over 24-36 hours
no cortical signs like aphasia, neglect, aprxia,
HSV vs VZV retinal necrosis in immunocompromised patient?
VZV is painless
skin association: celiac
dermatitis herpetiformis
intensely pruritic, group vesicles on extensor surfaces and butt
trichonella s/sx
myositis, periorbital edema, eosinophilia
mixed cryoglobulinemia
assoc with chornic HCV
palpable purpura, renal injury, elevated ALT/AST, +RF
nephrotic syndrome puts people at risk for
atherosclerosis –> inc lipoprotein synth in place of low albumin
thromboembolism–> loss of ATIII
