Test 43 - Created Aug 8 Flashcards
presentation of epididymitis and what to do
scrotal pain, swelling, tenderness; do U/A, culture, and NAAT for Gono/Chla, abx
nonclassic congenital adrenal hyperplasia
early pubic/axillary hair growth, severe acne, increase growth velocity and bone age; girls - hirsutism and oligomenorrhea; boys - no testes enlargement
dx and tx of nonclassic congenital adrenal hyperplasia
problem - decr. 21-hydroxylase
dx - elev. 17-hydroxyprogesterone
tx - hydrocortisone
what to do next if pt likely has subarachnoid hemorrhage but initial CT was negative
do lumbar puncture to look for xanthochromia
what to do if pt was extubated but now they have stridor
They have laryngeal edema. Need to reintubate if there’s signs of impending respiratory failure.
what to monitor initially when treating B12 deficiency
potassium levels
presentation of hepatic hydrothorax and tx of it
R sided transudative pleural effusion with decompensated cirrhosis and ascite
tx = restrict Na, loop, spironolactone; TIPS if refractory
things to avoid in HIV Mom during pregnancy
AROM, fetal scalp electrode, operative vaginal delivery
tx of mom with HIV
- intrapartum VL <1000: ART + vaginal delivery
- intrapartum VL >1000: ART + zidovudine + Csxn
- postpartum: cont. ART
tx of infant based on Mom’s viral load
<1000: zidovudine
>1000: multidrug ART
breastfeeding contraindications
active TB, HIV, herpes on breast, varicella, chemo/radiation, active substance use d.o., baby with galactosemia
tx of primary dysmenorrhea
1st: NSAID
2nd: OCP (may be 1st if pt also sexually active)
meds that can precipitate gout
diuretics, baby ASA, immunosuppressants
tx of gout flare in pt with h/o renal transplant
intra-articular steroids
NSAID - don’t mix with kidneys
systemic steroids - SEs
colchicine - risk of toxicity if pt taking cyclosporine
term for condition when immunocompromised pt has painless, red macules that progress to pustules/bullae and then gangrenous ulcer
ecthyma gangrenosum
