Mehl. bullets IM pdf nr.2

Question 1

IBD + eczematoid plaque on forehead + sore joints = Dx?

Answer 1

psoriatic arthritis (HLA-B27 -> PAIR -> Psoriasis, Ankylosing spondylitis, IBD, Reactive arthritis)

Question 2

Vesicles anywhere on body (not limited for extensors) + Celiac = Dx?

Answer 2

dermatitis herpetiformis

Question 3

Weird factoid about Celiac?

Answer 3

increased risk of T cell lymphoma

Question 4

Steatorrhea in guy who went swimming or scuba diving? Dx Tx?

Answer 4

Giardia
Metronidazole

Question 5

Liver abscess Tx?

Answer 5

percutaneous drainage BEFORE antibiotics

Question 6

46M + alcoholic + Q shows you hypersegmented neutrophil; what’s the vitamin deficiency?

Answer 6

B9

Also in antiepiletic use (valproic, carbamazepine, phenytoin)