Misc Flashcards

1
Q

before starting IV fluids, make sure to r/o

A

pulmonary edema from heart failure
pleural effusion
(done with CXR)

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2
Q

indications for PPSV23 before 65

A

chronic heart, lung, liver disease

diabetic, alcoholic, current smoker

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3
Q

indications for PCV13 + PPSV23 before 65 (very high risk patients)

A

immunocompromised
CKD
CSF leaks
cochlear implants

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4
Q

pneumonia vaccines after turning 65

A

PCV13 then PPSV23 6-12 months later

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5
Q

Cushings electrolyte abnormality and reasoning

A

hypernatremia, hypokalemia

cortisol has mineralocorticoid activity, binds aldosterone receptors, causes K wasting

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6
Q

causes of Charcot joint / neurogenic arthropathy

- tx

A

diabetes
B12 deficiency
tertiary syphilis
peripheral nerve damage

tx underlying disease, special shoes

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7
Q

management of mild, drug induced hypersensitivity reaction (urticaria, no systemic sxs)

A

antihistamine and d/c offending drug

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8
Q

positive FAST

equivocal FAST

A

positive: ex lap
equivocal: diagnostic peritoneal lavage

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9
Q

shock within a few minutes of transfusion

  • dx
  • mechanism
A

anaphylactic reaction

recipient preformed IgA Ab

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10
Q

respiratory distress and pulm edema within 6 hours of transfusion

  • dx
  • mechanism
A

TRALI

donor’s leukocyte Ab

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11
Q

transient hypotension in patient taking ACEi, and given transfusion

  • dx
  • mechanism
A

primary hypotension reaction

bradykinin in blood products

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12
Q

fever, chills, septic shock, DIC within minutes of transfusion
- dx

A

bacterial sepsis

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13
Q

splenectomy vaccinations

A

Meningococcal
PCV13
Hib
all either at least 2 weeks before or 2 weeks after splenectomy

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14
Q

complications of heat stroke

A

rhabdo
renal failure
ARDS
coagulopathic bleeding

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15
Q

abd pain, constipation, polydipsia

A

hypercalcemia

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16
Q

dry skin
HA
abd pain
blurry vision

A

vit A toxicity

17
Q

straight lines actually appear wave. dx?

A

macular degeneration

18
Q

indication for using IV sodium bicarb

A

pH less than 7.2

19
Q

prophylaxis post splenectomy

A

daily PCN 3-5 years after splenectomy

20
Q

people at risk for thiamine deficiency

A

alcoholics

bariatric surgery

21
Q

timeline of febrile non hemolytic reaction

what to do to blood in future

A

1-6 hours after transfusion

leukoreduction

22
Q

acute hemolytic reaction

  • time frame
  • sxs
  • complications
A

within 1 hour of transfusion
fever, chills, flank pain, hemoglobinuria
renal failure, DIC

23
Q

patients with IgA deficiency should get what type of blood transfusion

A

washed blood

24
Q

what diseases increase production of vitamin D / calcitriol and result in kidney stones and renal failure?

A

sarcoidosis

TB

25
Q

tx of renal transplant rejection

A

IV corticosteroids

26
Q

scrotal bulge that increases when standing and decreases when lying down
- tx

A

varicocele (dilated pampiniform plexus)
gonadal vein ligation if want kids
scrotal support and ligation if don’t want kids

27
Q

characteristics of milk alkali syndrome

A

hypercalcemia
renal insufficiency
metabolic alkalosis

28
Q

qualities of McCune Albright syndrome

A

precocious puberty
light brown cafe au lait spots
bone defects

29
Q

patient ingested foreign object.. what are indications for surgical removal instead of endoscopic removal?

A

hematochezia
melena
extreme abd pain

30
Q

screening test for primary ciliary dyskinesia

A

exhaled nasal NO