Mixed Questions Flashcards
painless abdo bleeding in 60 year old
ANGIODYSplasia
- dilated submucosal wins and AV malformation
sudden onset abode pain and tenderness followed by bloody diarrhea within 24 hours
ischemic colitis
if SSRI fails for depression what do you use
- make sure you have an adequate trail of SSRI - 6 months
- SNRI ( Venlafaxine)
- or other 1st line : Bupropion ( c/i in anorexia) , mirtazapine
conversion disorder
dx. of exclusion
- neurological symptoms inconsistent when you do the exam
functional impairment
precipitated by psych stress
Treatment:
- education about disorder, CBT , physical modalities for motor symptoms
watery diarrhea in 26 year old female - think of what?
laxative abuse
- ,melanosis coli - dark brown discolouration with pale patches of lymph follicles
failure of follicle to mature - other name?
PCOS
failure of mullein duct fusion
anatomic cause of infertility
what complication occurs within days - months after cardiac surgery
PARACARDIAL EFFUSION
x-ray findings in Pulmonary embolism
atelectasis
decreased passive and active abduction flexion and rotation at the left shoulder
adhesive capsulitis
decrease passive and a active range of motion
pain with abduction external rotation and subacromial tenderness
Rotator cuff tendinopathy
rotator cuff tear
similar to rotator cuff tendiopathy but weakness with external rotation age > 40
acute GI symptoms , forgetfulness, motor and sensory neuropathies ( stocking and glove distribution) , microcytic anemia
LEAD POSSIONING Labs: - anemia - elevated venous lead level - elevated since protoporphyrin level - basophilic stippling on peripheral smear
when do you give penicillin to treat GBS
before onset of labour - if treated too early before labour starts - you can get bacterial regrowth
DDX for bilious vomit in neonate
- meconium ileus
- hirchsprung
- malrotation
- Duodenal atresia
mittelschmerz
unilateral abdo pain in young women ( days 10-14 of cycle )
- reassurance
suspect nursemaid elbow - what do you do?
gently hyperpronate the right forearm
OR supination of forearm and flexion of elbow
x-ray is NORMAL
cause of acanthuses nigicans
- insulin resistance
2. gastrointestinal malignancy
multiple skin tags
insulin resistance
pregnancy
crowns disease ( periano)
Porphyria cutanea tarda
Hep C
sudden onset of severe psoriasis , recurrent herpes zoster , disseminated molluscs contaginosum
HIV infect
severe seborrheic dermatitis
HIV
Parkinson disease
Pyoderma gangrenosum
inflammatory bowl disease
pneumonitis, hepatitis , gastroenteritis - in immunocompromised patient
think CMV
Dx: PCR