Q12$ Flashcards
Hyperventilation without any cardiac or pulmonary problems. In patient stressing. Over school . Tingling of fingers , headache lightheaded was, carpopedal spasm
Management
Hyperventilation syndrome - reassurance and breathing. Retraining by keeping chest still
Preg woman with RUQ pain radiating to back which has progressively worsened . Increasing sob and fatigue . BP 136/84 . 2/6 midsystolic murmur
Cause of symptoms
Dx
Tx
Intermittent obstruction of the cystic duct - symptomatic cholelithiasis of pregnancy- due to inc estrogen predisposes to cholesterol stones . Progesterone can prevent gallbladder motility .
Management- RUQ US
TREAT A conservative. Do cholecystectomy maybe after deliver
Diminished sensation over dorsum of foot, weak extension of big toe, can’t walk on heel
Cause
Peripheral nerve compression (common fibulae perineal neuropathy- can’t dorsiflex
6 yo evaluated for recurrent seizures. Frequent mucho cutaneous Cándida infections, stunted growth, displástico nails, Hyperpigmented lips
Labs normal except for low calcium and low pth.
Management
Calcium and calcitriol
Severe (corrected calcium <+7.5- iv calcium gluconate
Hypoparathyroidism- adult (iatrogenic and kids (autoiimune-polyglandulsr ai syndrome type 1- candidiasis, Hyperpigmented, nail dystrophy, Hypoparathyroidism, maybe adrenal insufficiency (Poot growth)
30 yo female with recent history of uveitis has mild sob and presyncipal episodes. Marked bradycardia and atrioventrixular block and LBBB
Diagnosis
Sarcoidosis
Diabetic foot ulcer with bone palpating with probe.
NBSIM
Metatarsal bone biopsy - check for osteomyelitis
65 yo female with anterior shoulder dislocation and mild sip laced fracture of the humeral neck
NBSIM
Open surgical repair of the dislocation and fracture
- bc has fracture
If no fracture or evidence of Neuro vascular injury so closed reduction under sedation
73 yo male with anterior thigh pain and pulsátiles mass in right groin
Diagnosis
Femoral artery aneurysm
- thigh pain because femoral
Vein next to the artery is compressed
Common complication of aaa repair
**symptoms **
Ischemia of bowel
- abdominal pain and bloody diarrhea
Clavicular fracture with decreased radial pulse
NBSIM and why
Ct angiogram - soft signs (stable hematoma, reduced pulses)
- hard signs do surgery : distal limb ischemia , absent distal pulses, active hemorrhage or expanding hematoma , bruit or thrill at site of injury
Man with cardiomyopathy already on furosemide digoxin carvedilol lisinopril was put on rivaroxavan and amiadorone. Now has profound anorexia nausea and generalized weakness
Cause
Drug interaction
- ami prevents metabolism of dig so dig toxicity
Complication of AOM and how to treat the complication and bugs that cause it
Mastoiditis
S. Pneu , s oyó genes, a. Aureus
IV antibiotic and drain purulent via tympanostomy or mastoidectomy
Recent cardiac cath, placed on hep and now sudden hypotension , tachycardia , back pain, flat neck veins . Arterial puncture side is tender but no swollen
NBSIM
CTAP with contrast - retroperitoneal hematoma (complication of catherization)
Young women with Ned sexual partner has developed tenesmus (straining with minimal stool production) and mucopurulent rectal discharge
Diagnosis
Dx
Tx
N. Gonorrhea infection (gonococcal proctitis
NAAT of rectal
Ceft plus doxy ( cover chlam
Young guy just got back form Honduras now has fever malaise sore throat either lymphadenopathy, splenomegaly , erythematous tonsils with exudates. Anemia , thrombocytopenia, leukocytosis , jaundice , total bili elevated and reticulocytosis , mildly elevated transaminases
Diagnosis
Mono - WOW !!
- fever malaise sore throat either lymphadenopathy, splenomegaly , erythematous tonsils with exudates. And it cause transient hepatitis
- complication - cold autoimmune hemolytic anemia and thrombocytopenia. AHA (intravascular hemolysis ) so elevated bili, jaundice , reticulocytosis
