Test 16 - Created July 12 Flashcards
Lab evidence of colonic ischemia
leukocytosis, lactic acidosis, colonic distension or pneumatosis
splenic vein thrombosis findings
h/o pancreatitis or pancreatic cancer; isolated gastric varices -> bleed; L sided portal HTN, ascites, congestive splenomegaly
Budd-Chiari syndrome findings
thrombosis of hepatic veins or IVC near liver; RUQ pain, hepatomegaly, jaundice, ascites
hepatic veno-occlusive disease findings
terminal hepatic venules occluded; BM transplant pt; tender hepatomegaly, jaundice, ascites
portal vein thrombosis findings
h/o cirrhosis; esophageal and gastric varices; may have bleed
what to do in pt with syphilis and neuro sxs (HA, BV)
lumbar puncture to check for neurosyphilis (tertiary)
tx of syphilis if primary, secondary, or early latent (<12 mo.)
PCN-G, IM, single dose
tx of syphilis if late latent (>12 mo.), unknown duration, gummatous, cardiovascular
PCN-G, IM, weekly for 3 weeks
tx of neurosyphlis
PCN-G, IV, q4h for 10-14 days
tx of congenital syphilis
PCN-G, IV, q8-12h for 10 days
tx of syphilis if late latent (>12 mo.), unknown duration, AND PCN allergy
doxycycline for 28 days
tx of syphilis aortitis AND PCN allergy
2 wks of ceftriaxone
stages of syphilis
- primary - chancre
- secondary - diffuse rash, condylomata lata
- tertiary - neuro, aortitis
why might a Sjogren’s patient have neck mass
B cell non-Hodgkin’s lymphoma (Sjogren’s activates B cells)
complications of breast implants
capsular contracture, distortion of shape, implant deflation, rupture
