Step3 5 Flashcards
Clinical manifestations of Gastrinoma
Peptic ulcers
Clinical manifestations of Insulinoma
Hypoglycemia
Clinical manifestations of VIPoma
Secretory diarrhea, hypokalemia, hypochloremia
Clinical Manifestations of Glucagonoma
Hyperglycemia
Weight loss
Necrolytic migratory erythema: erythematous scaly rash with central clearing. Also, itchy and painful
Other symptoms: diarrhea, abdominal cramps, flushing
Screening lab test for Medullary thyroid cancer
Calcitonin
Iron studies in Iron deficiency anemia vs. Alpha and Beta Thalassemia
Iron deficiency:
Low ferritin and low iron
Increased TIBC
Thalassemias:
Normal or elevated
MCV in iron def. anemia vs. Alpha and Beta Thalassemia
Low in all
RDW in iron def. anemia vs. Alpha and Beta Thalassemia
Elevated in Iron deficiency
Normal in thalasemias
Common races that suffer from thalassemia
Indian, Mediterranean, Middle eastern, south east Asia, African
Treatment for pityriasis rosea
Topical cream: 80% effective
Ketokonazol
Terninafine
Clotrimazol
Selenium
Severe or resistant
Oral ketokonazol. clotrimazol, fluconazol
Tick paralysis clinical presentations
Rapidly progressive gait ataxia with ascending paralysis
4-7 days after tick attachment
Fever is uncommon
Treatment for cataplexy with MOA of the drug (3)
Venlafaxine (SNRI)
may add a TCA
Sodium oxybate (salt from hydroxybutyrate) can also help these symptoms but it is rarely used due to abuse potential
Presentation and diagnosis of intussusception
Colic pain
Currant jelly stools
Vomiting
Diagnose with air contrast enema
Risk factor for pyloric stenosis
First borne
Bottle-fed
Erythromycin or Azitromycin
Imaging test for Parkinson’s disease
Striatal dopamine transporter scan (DaTSCAN)
Low Ioflupane intake is diagnostic of the disease.