Test Flashcards
TB effusions breakdown?
EXUDATIVE
- High protein levels (>4)
- Lymphocytic leukocytosis
- Low glucose levels (500)
- low pH
Empyema has high amount of what type of cells in effusion fluid?
neutrophils
reactive nonstress test (pregnancy)
- baseline fetal HR 110-160
- Mod variability (6-25/min)
- > =2 acceleration in 20 min each peaking >-15/min above baseline and lasting >=15 sec
HSV encephalitis findings in CSF?
- lymphocytic predominance
- WBC elevated, but not severely
- inc protein
- elevated RBC count (high)
- nL glucose
Acute bacterial meningitis CSF pattern?
- HIGH WBCs (1000s)
- Neutrophil predominence
- low glucose
- elevated protein
Chronic bacterial meningitis (ie TB) CSF findings?
- inc WBCs (100s)
- Lymphocytic predominence
- Very low glucose
- inc protein
neurogenic claudication is?
low extremity pain w/ extension of spine (walking, prolonged standing, etc)
neurogenic claudication (pseudoclaudication) - think?
spinal stenosis
pain on walking and prolonged standing w/ relief w/ leaning forward or walking up hill, think?
spinal stenosis
ACTH is what type of molecule
polypeptide
Calcitrol is what type of molecule?
Sterol vitamin
Cortisol is what type of molecule
steroid hormone
name some arachidonic acid derivatives?
- leukotrienes
- prostaglandins
AA derived hormone examples?
- serotonin
- NE
- Epi
amniotomy is aka?
artificial rupture of membranes
> =2 on CHADVASC w/ afib treat how?
oral anticoagulants
1 on CHADVASC w/ afib treat how?
none, aspirin, or oral anticoagulants – discretionary
prophylaxis against MAC for CD4
Azithromycin
headache worse when leaning forward - think?
SVC syndrome
facial and upper extremity swelling, JVD, no peripheral edema, headache worse when leaning foward - think?
SVC syndrome
most common cause of SVC syndrome?
malignancy (lung or lymphoma)
Primary treatment for malignancy related SVC syndrome?
radiation therapy
concern for aspiration pna do what?
- diet modification
- elevated head of bed
- jejunal feeding can dec aspiration risk, but others (NG tube, PEG actually INC risk of aspiration)
greater than 250 neutrophils in ascitic fluid is?
Spontaneous bacterial peritonitis