U World 1 Flashcards
nonallergic rhinitis
looks like allergies but no known etiology
intranasal therapy = rx
What causes volume depletion in adrenal insuf?
no aldosterone –> hyperkalemia
↓ volume –> ↑ ADh –> hyponatremia
ABO transfusion rxn
rapid fever, flank pain, hemolysis, AKI, and DIC
Cytokine blood transfusion rxn
transient febrile non-hemolytic rxn
1-6 hours after transfusion
Anaphylaxis minutes after blood transfusion
IgA deficiency
colonoscopy in UC
screening 8 years after ddx
then every 1-2 years
Cryoprecipitate
clotting factors
fibrinogen
vWf
*used in DIC
Thrombotic thrombocytopenic purpura rx
plasma exchange
thrombotic thrombocytopenic purpura clasic penad
- Thrombocytopenia
- Microangiopathic hemolytic anemia
- AKI
- Neuro changes
- Fever
murmur in aortic disection
aortic regurg
absolute contriindication to ECT
none! even pace markers, old people, pregos, they all can have ect
primary hyperaldosteronism test
aldosterone: renin ratio
If the ratio is >20 and the aldosterone level is >15 ng/dL, then primary hyperaldosteronism is likely and referral for confirmatory testing should be considered.
pediatric community acquired pneumonia rx
high-dose amoxicillin
when should babies eat solid food?
4-6 mo
testosterone tests
test total testosterone
free testosterone test =$$$
thyroid testing sensitivity
TSH is more sensitive (vs free T4)
gingivostomatitis
combination of gingivitis and stomatitis
often seen in first HSV flair
acyclovir suspension–> earlier resolution of fever, oral lesions, and difficulties with eating and drinking.
MGUS vs multiple myeloma
multiple myeloma has end organ damage in the form of: hypercalcemia, renal failure, anemia, skeletal lesions
OCPs decrease the risk of ________cancer
ovarian and endometrial
Rx for polymyalgia rheumatica
s/s: pain and stiffness in shoulder and pelvis
rx: steroids
refeeding syndrome
fatal shifts in fluids/ electrolytes
hallmark: hypophosphatemia
after 3 months of hoarseness, you need?
laryngoscopy
The Valsalva maneuver will typically cause the intensity of a systolic murmur to increase in patients with which heart condition?
HCM
high risk colonoscopygroup
Patients who have one first degree relative diagnosed with colorectal cancer or adenomatous polyps before age 60, or at least two second degree relatives with colorectal cancer, are in the highest risk group.
high risk colonoscopy screening interval
start at 40, or 10 years before the earliest age at which an affected relative was diagnosed (whichever comes first)
and
rescreened every 5 years.
drugs known to cause pleural disease include
amiodarone bleomycin bromocriptine cyclophosphamide methotrexate minoxidil mitomycin
Hydralazine MOA
directly vasodilates peripheral vessels
These agents should be avoided in Wolff-Parkinson-White syndrome during tachycardia
Adenosine
digoxin
calcium channel antagonists
(paradoxically ↑↑ HR in WPW)
Procainamide= Rx in these situations or amiodarone
cephalosporins in pregos?
Cephalosporins such as ceftriaxone are usually considered safe to use during pregnancy.
infliximab is?
TNF inhibitor
associated with an ↑ risk of infections, including tuberculosis
Patients should be screened for tuberculosis and hepatitis B and C before starting these drugs.
Rx for tachycardia in WPW
Procainamide= Rx in these situations or amiodarone
