Remember Flashcards
Post MI complication: MCC death
arrhythmia (Vfib)
New systolic murmur 1d-3mo s/p acute MI (regurg murmur).
Papillary muscle rupture
Acute severe hypotension hrs to 2wks s/p acute MI.
Ventricular free wall rupture.
“Step up” in O2 concentration from RA –> RV hrs to 1wk s/p MI.
Ventricular septal rupture.
Persistent ST elevation + systolic MR murmur 5d to 3mo s/p MI.
L ventricular aneurysm.
Progresses to LVH, HF, etc.
“Cannon-a waves” at jugular s/p MI.
AV dissociation - Vfib or 3rd degree herat block.
5-10wks s/p MI that comes with pleuritic chest pain and low grade temp
autoimmune pericarditis.
Tx NSAIDS and ASA.
carbamazepine v. clozapine
use and SE’s
Clozapine is used for refractory schizophrenia. SE = leukopenia (neutropenia).
Carbamazepine is used for seizures and BIPOLAR. SE = thrombocytopenia.
Name the lesion:
secondary syphilis, flat, velvety. Broad base and flat surface that are plaque-like.
condyloma Lata
Name the lesion: Caused by HPV. single or mutiple papular lesions on genitalia. ML asx, but may bleed or pruritic.
condyloma Acuminatum
Name the lesion: Caused by poxvirus. umbillicated. do not bleed.
molluscum
Name the lesion: prepubertal girls or postmeno females. Pruritic, white, think, wrinkled skin over labia.
lichen sclerosus.
Pseudogout v. gout
Pseudogout attacks trauma/overuse, surgery, medical illness –> affects knees and ankles and large UE joints.
See ifnlammatory effusion in synovial fluid analysis and calcification of articular cartilage - CHONDROCALCINOSIS
uterine rupture v. placental abruption v. placenta previa.
Previa has NO PAIN.
Abruption and rupture HAVE PAIN.
Rupture has loss of fetal station = pathognomonic.
chronic low back pain that IMPROVES with ACTIVITY. esp in young patients
inflammatory spondylarthritis - ankylosing spondylitis, psoriatic, reactive, IBD arthritis.
Illness anxiety disorder
consistently negative evals, but still fearing having the serious illness.
Somatic symptom disorder
excessive anxiety about 1 or more unexplained symptoms.
cat bites = what bug and what treatment
pasturella or oral anaerobes
amox-clav
Sinus mucor tx
surgical debridment and amphoB
Pure motor hemiparesis in setting of HTN**
lacunar stroke
Dx and tx:
oral cavity and tissue infxn. Anaerobic gram positive rods with rudimentary branching.
actinomyces
tx with penicillin
Dx and tx: Intrusive thoughts
Dx: OCD
Tx: fluoxetine/SSRI or CBT
seizure with adduction and IR of right arm - what happened?
posterior shoulder dislocation
Dx and tx:
gram positive rod (beaded or branching), partially acid-fast and aerobic. see pna, CNS/brain absces, or derm manifestation in people who work with soil or old/immunocompr.
Dx: nocardia
Tx: tmp-smx
