Test 3 - Created June 28 Flashcards

1
Q

presentation of acute fatty liver of pregnancy

A

N/V, RUQ/epigastric pain, fulminant liver failure

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2
Q

lab findings in acute fatty liver of pregnancy

A

profound hypoglycemia, elev. aminotransferases, hyperbilirubinemia, low plt’s, DIC

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3
Q

management of acute fatty liver of pregnancy

A

immediate delivery!

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4
Q

differences between acute fatty liver of pregnancy and cholecystitis

A

cholecystitis will NOT have hyperbilirubinemia or profound hypoglycemia

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5
Q

pathophysiology of trigeminal neuralgia

A

compression of CN V root at pons by vascular loop, cancer growth, or MS plaque

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6
Q

what is sensitivity analysis

A

repeating primary analysis calculations in a study by modifying certain criteria or variable ranges to determine whether or not these changes significantly affect the results initially obtained

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7
Q

when to suspect type 2 HIT

A

been on heparin at least 5 days AND: plt count decr. by half, thrombosis, necrotic skin lesions, anaphylactoid reactions

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8
Q

gold standard test to detect type 2 HIT

A

serotonin release assay

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9
Q

management of type 2 HIT

A

stop ALL heparin products, start argatroban or fondaparinux now, continue this med until plt’s wnl, then start warfarin, stop other med when INR optomized

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10
Q

skin conditions associated with GI malignancy

A

acanthosis nigricans; explosive onset of multiple, itchy seborrheic keratoses

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11
Q

skin condition associated with IBD

A

pyoderma gangrenosum

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12
Q

skin conditions associated with HIV

A

sudden severe psoriasis, recurrent shingles, diss. molluscum contagiosum, severe seborrheic dermatitis

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13
Q

associated conditions with multiple skin tags

A

insulin resistance, pregnancy, Crohn’s

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14
Q

skin condition associated with Celiac

A

dermatitis herpetiformis

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15
Q

skin conditions associated with Hep. C

A

porphyria cutanea tarda; palpable pupura secondary to cryoglobulinemia (called cutaneous leukocytoclastic vasculitis)

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16
Q

tx for uncomplicated cystitis in non-pregnant women

A

nitrofurantoin (5d), TMP-SMX (3d), fosfomycin x1

17
Q

tx for complicated cystitis in women

A

fluoroquinolones (5-14d); amp/gent if more severe

18
Q

tx for pyelonephritis

A

FQNs outpatient; FQN or amp/gent inpatient

19
Q

tx for UTI in pregnant women

A

amoxicillin-clavulanate, cephalexin, fosfomycin; nitrofurantoin only during 2nd trimester

20
Q

reasons to give IV meds

A

can’t tolerate oral meds (V!!!), hemodynamic instability, failure to improve on oral antibiotics

21
Q

risk factors for UTI in children

A

female, uncircumcised male infant, vesicoureteral reflux, anatomic defects, dysfunctional voiding, constipation

22
Q

risk factors for constipation in kids; complications from it

A

RFs: start of solid food and cow’s milk, toilet training, school entry
complications: anal fissures, hemorrhoids, enuresis/UTIs