Test 32 - Created July 28 Flashcards
advantage of long-acting insulin analogs over NPH
less risk of hypoglycemia
what does overlapping standard error of measurement error bars indicate
non-statistically significant difference
standard deviation rule
1SD = 68% 2SD = 95% 3SD = 99.7%
pain pattern for rotator cuff tendonitis
lateral shoulder pain
presentation of late neurosyphilis
impaired vibration/proprioception, sensory ataxia, instability during Romberg, decreased pain/temp, areflexia, lancinating pains, Argyll Robertson pupils (constricts w/ accommodation but not w/ light)
hyperbilirubinemia exchange transfusion level
> 25 mg/dL
tx of auricular hematoma
immediate I and D; pressure dressing; Abx that cover skin flora and Pseudomonas
complications of auricular hematoma
cauliflower ear, bacterial superinfection, re-accumulation of hematoma
what to suspect with apical diastolic murmur and possible arterial embolus
left atrial myxoma
signs of arterial occlusion in a limb
acute-onset pain, diminished pulses, pale/cool
common presentation of hypothyroidism in elderly
impaired cognition, hyponatremia, macrocytosis
what predicts prognosis in chronic lymphocytic leukemia
thrombocytopenia, anemia, multiple chain LAP, hepatosplenomegaly
presentation of tick paralysis
brief prodrome of fatigue and paresthesias, gait ataxia and ascending paralysis that develops over hours, absent DTRs; look for the tick!!!
difference btwn tick paralysis and Guillain-Barre
source; GBS occurs days/weeks after GI or respiratory infection
tx of botulism
equine serum heptavalent antitoxin
initial evaluation for tuberous sclerosis
skin exam, CNS imaging, abdominal imaging (renal), EEG if seizures suspected
leading cause of death in tuberous sclerosis patients
neuro impairment, predominantly caused by seizures
what labs are used to assess thyroid fn during tx with PTU or methimazole
total T3 and free T4; (TSH may be suppressed for months)
pregnancy reference range for TSH
1st: 0.1-2.5
2nd: 0.2-3.0
3rd: 0.3-3.0
tx of hypothyroidism in pregnancy
increase levothyroxine 30%, monitor TSH q4w, adjust dose based on trimester reference ranges
what test can help distinguish diabetes insipidus from primary (psychogenic) polydipsia
water deprivation test; urine Osm is unchanged in DI but increases in primary polydipsia
next step with agitated delirious elderly person
usually reorientation, but if pt is a threat to themselves or staff, low dose haloperidol is needed
