U-World Flashcards
urine test to distinguish unconj vs conjugated bili
ua uroblinogen= not soluble, unconjugated
ua bilirubin= soluble, conjugated
Primary hyperaldosteronism is characterized by?
↑ Na
HTN
metabolic alkalosis
↓ Renin
Basic labs for newly ddx essential htn
UA
CMP
Lipids
baseline ekg
When to work up HTN more?
malignant htn
htn needing > 3 drugs
sudden ↑
age under 30
Oropharyngeal dysphagia
coughing, choking, aspiration
nasal regurgitation
Milk Alkali syndrome
characterized by high blood calcium caused by taking in too much calcium and absorbable alkali
untreated, milk-alkali syndrome may lead to kidney failure or death.
Why are old people more orthostatic
decreased baroreceptor sensitivity
histoplasmosis
cave sketchy
hilar adenopathy
shin nodules
cocciodies
south west us sketchy
blastomycosis
river valley canon ball sketchy
pneumonia
most common extrarenal manifestation of ADPKD
1- hepatic cysts
also common- mitral prolapse, colon diverticula, inguinal hernia
what medicine facilitates renal stone passage?
Tamsulosin
even in girls*
G6PD assay false negative
the G6PD assay is often “normal” because by the time you run the test, all abnormal RBCs have died and only good ones remain, thus the test is a false “normal”,
Ulcer that feels better after eating
duodenal ulcers
most common cause are h pylori and NSAIDs
Coag tests in anti phospholipid
in vitro
↑ PTT
the antibody messes with the assay, no clotting factor deficiency
characterized by corneal vesicles and dendritic ulcers
herpes simplex keratitis
name of when VZV involves the eye
Herpes zoster opthalmicus
When do you do an esophagoscopy in HIV candida esophagitis
when pts do not improve with empiric therapy
Whats a good way to test for histoplasmosis
histoplasmosis urine antigen
!st line treatment for RA
methotrexate
folate helps reduce its side effects
Complications of RCA MI
RV failure
Papillary muscle rupture
Complications of LAD MI
interventricular septum rupture
free wall rupture- 5 day to two weeks
What is the most common cause of death in acute liver failure
Cerebral edema –> coma and brain stem herniation
Macrocytic anemias likely have _____ in high concentrations
homocysteine
Why should you aggressively hydrate patients getting IV acyclovir
5-10% of pts will develop crystalline nephropathy –> AKI
Most common malignancy of the lower lip
Squamous
bounding pulses is a buzz word for?
aortic regurg
Most hypothyroid pts also have this lab abnormality
HLD
↑ tri-glys
Name two aldosterone antagonists
eplerenone
spironolactone
methotrexate side effects
macro anemia nausea oral ulcers hepatotoxicity interstitial lung disease hair loss fever
What provides survival benefit in CHF
ACE
ARB
BB
spironolactone
Digoxin side effects
NVD
vision changes
arrhythmias
drug levels need to be monitored
When does mycobacterium avium happen in HIV
with CD4 under 50
use azithromycin prophylaxis
