MKSAP Pearls Flashcards
Chronic/Active Hepatitis B during Pregnancy
tenofovir
Carotid Duplex Ultrasound vs CT angiography for diagnostic purposes
U/S: carotid stenosis
angiography: PAD, atherosclerotic disease
Inhaled Steroid for Asthma During Pregnancy
Budesonide
Primary Ovarian Insufficiency in Adults
less than age 40, secondary amenorrhea, two FSH in post-menopausal range
Diverticulitis and Colonoscopy
perform 4-8 weeks after resolution of episode to evaluate for colon cancer
Aldrenodate for Osteoporosis and Discontinuation
can consider after 5 years if stable
Differential for Celiac Disease
medication induced enteropathy, esp olmesartan
low risk MGUS, IgG of
less than 1.5
Intracranial HYPOtension
orthostatic headache
due to CSF leakage
Rx w/ epidural blood patch
Anemia of Chronic Disease - classic labs that are low
low iron + low TIBC
erythrocyte cast appearance
tubular structure
small granular spherocytes within them
Immune Mediated Necrotizing Myopathy
due to statins, can continue to worsen despite d/c
Rx with steroids
Where does pemphigus vulgaris start?
Mouth/oral membranes
MIC & Susceptibility
<2 susceptible
4-8 are intermediate
Treatment of Early Stage Laryngeal Cancer
radiation
Intraductal Papillary Mucinous Neoplasms
dilation of pancreatic duct w/o clear sign of lesion
mucin secreted from ampulla of vater
Aspirin and Colonoscopies
No need for discontinuation
if polypectomy, can consider holding if primary prevention is indication
Thrombocytosis/Leukocytosis/Etc - what to consider first
EPO, should be normal/low
if high think paraneoplastic i.e. RCC
Associations with ITP
HIV
When can you not use TSH as a marker of thyroid function
in secondary hypothyroidism, ex pituitary apoplexy etc where the gland can’t make hormones
gastric antral vascular ectasia (GAVE)
watermelon striped appearance
associated with systemic sclerosis
Cameron lesions
erosions found on the crest of gastric folds within a large hiatal hernia and are thought to be caused by mechanical trauma as the hiatal hernia slides up and down
Meltzer Triad
consisting of asthenia, arthralgia, and palpable purpura—which is the classic presentation of type II mixed cryoglobulinemia
Chemo for Lynch Syndrome/mismatch repair genes
immune checkpoint inhibitors, such as pembrolizumab or nivolumab
anti-U1-ribonucleoprotein (RNP) antibodies.
mixed connective tissue disease
mortality is PAH
Dexamethesone Suppression Test & Cushings
> 5 considered positive
PPI and Renal Disease
chronic TIN
usually presents in 6-9 months
Chronic Fatigue in Multiple Sclerosis Rx
Modafinil
Pyoderma Gangreosum Treatment
prednisone
medication for impaired mobility in MS
dalfampridine
