OooohWorld 2/16/15 Flashcards
What condition is systolic anterior motion (SAM) of the mitral valve associated with?
HOCM
By the current guidelines, whom and how do we screen for lung cancer?
> 55 yo w/ significant smoking Hx (>30 pack-yrs, smoking w/in last 15 yrs); CT scan annually
Cushing’s triad (bradycardia, bradypnea, and hypertension) is indicative of what?
increased ICP
What is the initial therapy in acute aortic dissection?
beta-blockers (specifically esmolol gtt)
What are the 3 initial medical treatment objectives for acute aortic dissection?
lower HR, BP, and LV contractility
What are the best 2 ventilator adjustments for increasing oxygenation?
FiO2 and PEEP!
Which 2 vent settings can be increased to decrease PaCO2?
TV and RR
Next step in mgmt of pt w/ clinically diagnosed severe acute limb ischemia?
emergency surgical revascularization (Do not image, do not pass go, do not collect $500. Get thee to an OR!)
What malignancy is Vemurenafib used to treat?
metastatic melanoma
What is the typical GI manifestation of Trypanosoma cruzi (Chagas dz)?
achalasia
Top 3 causes of esophagitis (HIV+ or otherwise)
herpes, Candida, and CMV
What would causes isolated GASTRIC varices in a pt w/ pancreatitis?
splenic vein thrombosis
What is the cause of Budd-Chiari syndrome again?
thrombosis of hepatic vv. or IVC w/in or just superior to the liver
What clnical feature distinguishes subacute grnulomatous (DeQuervain’s) thyroiditis from painless thyroiditis?
painful thyroid
