Misc 4 Flashcards
susceptible populations and characteristics of B2 deficiency
undernourished country
lactose intolerant
anorexic
celiac
stomatitis (edematous, sore throat) cheilitis (fissures at corner of lips) glossitis (hyperemic tongue) normocytic anemia seborrheic dermatitis
tx of ascites, step by step
Na and water restriction to less than 2 L/day
spironolactone
furosemide
tap ascitic fluid (abd paracentesis)
patients in developed country prone to pellagra
alcoholics
Hartnup disease
carcinoid
prolonged isoniazid therapy
sxs of acute intermittent porphyria
N/V/abd pain
agitated
confused
paresthesias
unfavorable metabolic side effects of thiazides
hyperglycemia
incr LDL and TG
hyperuricemia
first step in suspected lead toxicity
draw lead lvl
lead levels and tx
5-44: no meds, repeat lead in less than 1 month
45-69: DMSA
70+: dimercaprol + EDTA
med to avoid in glaucoma
atropine
ADR of hydroxychloroquine
retinopathy
K sparing diuretics
triamterene
amiloride
dx of malignant hypertension
HTN (180/120) with retinal hemorrhages, papilledema, or exudates
2 types of hypertensive emergency
malignant HTN
hypertensive encephalopathy
TCA overdose tx and indication
sodium bicarb if QRS greater than 100 ms
malignant otitis externa sxs, cause, tx
severe nocturnal ear pain
purulent drainage
sense of fullness
conductive hearing loss
pseudomonas
anti pseudomonal (cipro is DOC)
retinal detachment sxs
floaters
flashes of lights
curtain
see grey elevated retina
ophth exam of central retinal artery occlusion
pale optic disc
cherry red fovea
management of hypovolemic hypernatremia
isotonic 0.9% saline
when volume deficit restored, switch to half NS
tx for euvolemic and normovolemic hypernatremia
D5W
features of hereditary telangiectasia (Osler Weber Rendu syndrome)
diffuse telangiectasias
epistaxis
AVMs (can cause polycythemia and hemoptysis)
Behcet syndrome characteristics
oral and genital ulcers
eye lesions (uveitis)
skin lesions (erythema nodosum)
thrombosis
features of leukocyte adhesion deficiency
skin infxns (cellulitis, abscess) mucosal (periodontal) infxns lack purulence delayed umbilical cord separation (more than 3 wks) neutrophilia
diff between methanol and ethylene glycol
methanol damages eyes
ethylene glycol damages kidneys
methotrexate ADRs
and what to give with MTX
stomatitis
hepatotoxicity
BM suppression
alopecia
folate
PCP vs bath salts
bath salts last about a week
features of cyanide toxicity
AMS
lactic acidosis
seizures
coma
Hashimoto’s antibodies
anti TPO
anti Tg
risk factors for brain abscess
otitis media
frontal or ethmoid sinusitis
dental infxn
cyanotic heart disease
features of wernicke encephalopathy
encephalopathy
oculomotor dysfunction
gait ataxia
