Test 7 - Created July 1 Flashcards
what is MELAS and inheritance pattern
stroke-like episodes, seizures, muscle weakness, hearing loss, and lactic acidosis; maternally inherited
difference btwn x-linked dominant and mitochondrial inheritance
mitochondrial: affected fathers don’t pass it on to their daughters
when to do bacterial endocarditis prophylaxis
- gingival manipulation or respiratory tract incision (amoxi)
- GU or GI tract procedure w/ active infection (amp)
- surgery on infected skin or muscle (vanc)
- surgical placement of prosthetic cardiac material (vanc)
when to give Px for stress ulcers in ICU patients
coagulopathy, GI bleed in last yr, vent > 48h, head trauma, spinal cord injury, major burn; combo of sepsis, ICU stay > 1 wk, occult GI bleed >6d, or glucocorticoids
mgt of first relapse of C. diff
oral vanc in prolonged course OR fidaxomicin (if vanc used w/ initial episode)
when metronidazole used in C. diff mgt
fulminant disease; use in combo of po vanc
common cause of 2* HTN in adults < 30 yo
renal parenchymal disease (GN, vesicoureteral reflux)
nephritic versus nephrotic presentations of GN
nephritic: hematuria with mild proteinuria
nephrotic: proteinuria, puffy face, LE swelling
If RR of an outcome in group A to group B is x, then RR in group B to group A is?
1/x
what is Ramsay Hunt syndrome
herpes zoster oticus - ear pain, ext. auditory vesicles, ipsi facial paralysis
1st line meds in diabetic neuropathy
duloxetine, pregabalin, TCAs
1st line meds for postpartum depression
sertraline or paroxetine
values used in MELD scoring (Model for End-Stage Liver Disease)
serum bili, INR, serum creatinine, serum sodium
spinal stenosis versus nerve root irritation
ss: bending backwards hurts
nri: pain with bending forward, straining, leg raise
after age, what’s the #1 factor in determining prognosis of COPD patients?
FEV1
