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.
Parkinson disease treatment
C SALAD
COMT inhibitors: entacapone, tocalpone
Seligeline
Amatadine
Levodopa/carvidopa
Anticholinergics: benztropine
Dopamine agonist: bromocriptine, pramipexole, cabergoline
Associated condition with Acanthosis nigricans (2)
Insulin resistance
GI Malignancy
Skin condition associated with
Insulin resistance
GI Malignancy
Acanthosis nigricans
Condition associated with:
Multiple skin tags
Insulin resistance
Pregnancy
Chron’s (perianal)
Disease associated with pyoderma gangrenosum
Inflammatory bowel disease
Antihypertensive medications that can be used until the day of surgery
ARA II
ACEI
Diuretics
Stop on the day of surgery unless patient is taking it due to heart failure
Medication that increased risk for thrombotic events during surgery
Strogen modulators
Tamoxifen, Raloxifen
Stop 4 weeks before surgery
Skin condition associated with:
Insulin resistance
Pregnancy
Chron’s (perianal)
Multiple skin tags
Condition associated with:
Porphyria cutanea tarda
Cutaneous leukocytoclastic vasculitis secundary to cryoglobulinemia
Hepatitis C
Skin condition associated with:
Hep C
Porphyria cutanea tarda
Cutaneous leukocytoclastic vasculitis secundary to cryoglobulinemia
Condition associated with:
Dermatitis herpetiform
Celiac disease
Skin condition associated with:
Celiac disease
Dermatitis herpetiform
Condition associated with:
Severe seborrheic dermatitis
HIV
Parkinson
Skin condition associated with:
HIV
Parkinson
Severe seborrheic dermatitis
Skin condition associated with HIV
Sudden onset severe psoriasis
Recurrent herpes zoster
Disseminated molluscum contagiosum
Severe seborrheic dermatitis
Skin condition associated with
GI malignancy
Explosive onset multiple itchy seborrheic keratosis
Acanthosis nigricans
