Test 3 - Created June 28 Flashcards
presentation of acute fatty liver of pregnancy
N/V, RUQ/epigastric pain, fulminant liver failure
lab findings in acute fatty liver of pregnancy
profound hypoglycemia, elev. aminotransferases, hyperbilirubinemia, low plt’s, DIC
management of acute fatty liver of pregnancy
immediate delivery!
differences between acute fatty liver of pregnancy and cholecystitis
cholecystitis will NOT have hyperbilirubinemia or profound hypoglycemia
pathophysiology of trigeminal neuralgia
compression of CN V root at pons by vascular loop, cancer growth, or MS plaque
what is sensitivity analysis
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
when to suspect type 2 HIT
been on heparin at least 5 days AND: plt count decr. by half, thrombosis, necrotic skin lesions, anaphylactoid reactions
gold standard test to detect type 2 HIT
serotonin release assay
management of type 2 HIT
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
skin conditions associated with GI malignancy
acanthosis nigricans; explosive onset of multiple, itchy seborrheic keratoses
skin condition associated with IBD
pyoderma gangrenosum
skin conditions associated with HIV
sudden severe psoriasis, recurrent shingles, diss. molluscum contagiosum, severe seborrheic dermatitis
associated conditions with multiple skin tags
insulin resistance, pregnancy, Crohn’s
skin condition associated with Celiac
dermatitis herpetiformis
skin conditions associated with Hep. C
porphyria cutanea tarda; palpable pupura secondary to cryoglobulinemia (called cutaneous leukocytoclastic vasculitis)
tx for uncomplicated cystitis in non-pregnant women
nitrofurantoin (5d), TMP-SMX (3d), fosfomycin x1
tx for complicated cystitis in women
fluoroquinolones (5-14d); amp/gent if more severe
tx for pyelonephritis
FQNs outpatient; FQN or amp/gent inpatient
tx for UTI in pregnant women
amoxicillin-clavulanate, cephalexin, fosfomycin; nitrofurantoin only during 2nd trimester
reasons to give IV meds
can’t tolerate oral meds (V!!!), hemodynamic instability, failure to improve on oral antibiotics
risk factors for UTI in children
female, uncircumcised male infant, vesicoureteral reflux, anatomic defects, dysfunctional voiding, constipation
risk factors for constipation in kids; complications from it
RFs: start of solid food and cow’s milk, toilet training, school entry
complications: anal fissures, hemorrhoids, enuresis/UTIs
