Oct 2020 Flashcards
nephrotic syn
keft sided sudden onset pleuritic chest pain
low Sp02
fall in AT-3
d/t nephrotic syn
tafamidis
stabilize amyloid tetramers (cardiac amyloidosis) - reduce amyloid fibrils formation and prevent progression of neuropathy and cardiac failure.
ASA infarction
acute painless, flaccid B/L lower limb weakness with reduce reflexes, reduce temp sensation, but preserved dorsal column function.
its possible diarrhea - increase viscosity and cause arterial occlusion.
late presenting prosthetic joint infection
cause ?
P acnes
breakthrough pain Mx in oncology ?
divide the total dose by 6.
hemorrhagic pulmonary edema
potential consequence of intubation in obese pts whose airway is obscured. rapid deterioration seen after extubation.
PID
Rx ?
ceftriaxone 1gm IV
Doxy 100mg TDS 14 days
metro 400mg BD 14days
DM-II
although his 1600 h cortisol is elevated, its not Dx of cushing.
low dose Dexa suppression is needed to confirm Dx
Ranibizumab
Anti-VEGF
Rx diabetic macular oedema.
other choice: focal retinal photocoagulation
adenocarcinoma of kidney association with ?
polymyalgia rheumatica
adrenal insufficiency
steroids dose ?
100mg IV steroids stat and repeat 6hrly till delivery
COPD Rx ?
LAMA (Aclidinium)
+
LABA (Formetrol)
IgA nephropathy
Rx ?
No need steroids
small cell lung CA association ?
Cushing syn (ectopic ACTH)
CKD
Dx iron deficiency anemia ?
%age of hypochromic red cells
Barthel Index
walking independently - 3
walking with help of 1 person - 2
wheel chair - 1
immobile - 0
whether pt, independent, dependent or between the 2
Empa A/E
Normoglycemic ketoacidosis esp for pts in DM-I.
Provoked DVT
Rx ?
apiban
(no need LMWH as the beginning)
