Test 14 - Created July 8 Flashcards
guns and suicidal patient
guns need to be removed from the homes of all suicidal patients as it is a very lethal suicide method
treatment of toxic thyroid nodule (hot nodule on RAIU scan)
methimazole now to obtain chemical euthyroidism; surgery or iodine ablation later
treatment of cold or indeterminate nodule
FNA biopsy
when to do FNA biopsy on thyroid nodule
- normal/elevated TSH
- low TSH and cold on RAIU
- cancer RFs or suspicious U/S findings
Leser-Trelat sign
eruption of multiple seborrheic keratoses, usually in setting of GI cancer
lupus antibodies
anti-dsDNA sens > anti-Smith sens; anti-dsDNA correlates with dz activity and lupus nephritis
tx for arthralgias, serositis (pleural effusion), and cutaneous sxs in SLE
hydroxychloroquine, steroids (short-term)
tx for solid-organ manifestations of SLE
steroids with cyclophosphamide or methotrexate
labs that indicate pre-renal cause of acute renal failure
BUN/Cr > 20
pt with h/o of liver disease and acute renal failure: how do you rule in/out hepatorenal syndrome
Dx of Exclusion
- U/S to check for urinary obstruction
- sample peritoneal fluid to check for SBP
- give fluid bolus to make sure renal failure isn’t due to volume depletion
treatment for hepatorenal syndrome
midodrine or NE, octreotide, and albumin
head trauma with high risk features in child <2 yo
AMS, LOC, severe mechanism of injury, fall >3ft, non-frontal scalp hematoma, palpable skull fracture
head trauma with high risk features in child 2-18 yo
AMS, LOC, severe mechanism of injury, V, severe HA, basilar skull fracture signs
Chagas disease effects on heart
dilated CMP, complete heart block, V. tach, LV apical aneurysm
tx of Syndenham chorea
PCN until adulthood; may add steroids if severe
