U world only Flashcards
Malaria Prophylaxis
atovaquone proguanil
doxycycline
mefloquine
malaria prophylaxis in pregnacy
mefloquine
Methanol - symptoms besides metabolic acidosis
vision loss
optic disc hyperemia
CML translocation
9,22
bcr-ab1
CML decreased…. (what) activate
lap
meds causing hearing loss
furosemide, aspirin, aminoglycoside
ARDS - mechanism
decreased lung compliance
molluscum contagiousum
flesh colored dome shaped papules
pox virus
chronic corticosteroid use + bone pain mechanism
osteonecrosis/avascular necrosis of bone
HIV esophagitis without thrush
CMV
elastic pressure inversely prop to
compliance
echinococus granulosus
liver cysts
sheep, dogs
Ca oxalate crystals
ethylene glycol ingestions
treat with fomepizole
fomepizole
treatment for ethylene glycol intox
hard submandiubular or cervical lymph nodes ddx
head/neck cancer
vaccination for asplenic pts - timing
2 weeks before or 2 weeks after
asplenic pts vaccines
PCV 13,23 (repeat 23 5 years later and when 65)
h flu
meningococcal every 5
RAAS activity
increasing angiotensin II levels
vasoconstriction of efferent > afferent glomerulr arterioles causing decrease RBF
increased NA reabsorption in collection tubule so decreased delivery to distal tubule
plasma free metanephrines
pheochromocytome
nitrate reduce
preload, LVEDV
adrenal insuff - infectious causes
HIV, TB
primary adrenal insuff
low cortisol, increased acth
secondary adrenal insuff
low cortisol, low acth
GGT in alcoholic hepatitis
increased
choricoarcinoma can spread to
lungs
ventilation =
TV x RR
myopathy with increased CK, normal ESR ddx
hypothyroidism
pounding heart sensation when laying on L sie
AR
LV brought closer to chest wall
hashimoto - increased risk of
thyroid lymphoma
ehrlichiosis
tick borne acute febrile illness with AMS
ehrlichiosis treatment
doxy
spinal stenosis worse with
extension
macular degeneration
issues with fine visual accuity
straight lines appear wavy on grid test
drusen deposits in macule
IE in someone with recent UTI
enteroccoccus
hemolysis and haptoglobin
free hgb binds haptoglobin
excess free hgb due to hemolysis it will bind haptoglobin and decrease it
complication of nephrotic syndrome
renal vein thrombosis
renal vein thrombosis symptoms
flank, abd pain, hematuria
renal vein thrombosis mechanism
loss of antithrombin III in urine
osteomyelitis from nail puncture - organism
pseudomonas
osteomalacia labs
decrease ca, ph (vit d low)
increased PTH, alk phos
drug induced esophagitis causes
tetracycline, aspirin/nsaids, KCL, alderonate
dequerviran tenosynitis
common in new mothers
pain on lateral side of wrist
chest tube placement in parapneumonic effusion
low ph, less than 7.2
glucose less than 60
ischemic colitis - most common location
splenic flexure
watershed area
ischemic colitis - labs
leukocytosis
nitrites in urine caused y
enterobacteriacea
macrocytic anemia in sickle cell dz
folic acid def
lung adenocarcinoma
non smokers
peripheral
solitary nodule
dark brown discoloration of colon with lymph follicles showing through
laxative abuse
flail chest
crush injury, more than 3 rib fractures
unstable chest wall segment, paradoixcal motion with breathing
earliest renal sign associated with DM
glomerular hyperfiltration
acyclovir AE
crystal stone renal failure
polyp most likely to be malignant
villous adenoma
bacillary angiomatosis
angioma like growths on both skin and viscera
prone to hemorrhage
angiodysplasia symptoms
anemia
painless rectal/gi bleeding
AS murmur: systolic at RSB
Graves disease - what treatment can initially worsen eye symptoms
radioactive iodine
destroyed thyroid cells release excess thyroid hormone which exacerbates eye symptoms
UC colonosocpy screening
1-2yr
multinucleated cells on tzanck smear
herpes
nonpurulent vesicles on fingers
herpetic whitlow
Paget’s Disease of breast
- eczematous lesions on breast
- path: large cells with halo
- usually adenocarcinoma
mechanism of expthalamos
stimulation of orbital fibroblasts by anti-TSH receptor autoantibotides
orbital tissue expansion
scabies treatment
permethrin cream
osler weber rendu
teleangiectasis
epistaxis
AVMs
patellofemoral syndrome
young women
pain with squatting
patellofemoral compression test
patellar tendonitis
athletes, episodic
pain and tenderness at inferior patella
osgood schlatter disease
adolescent/growth spurt
episodic
tender and tibial tubercle
low thyroglubin =
exogenous thyroid homrone
prinzmetal angia risk factor
smoking
prinzmetal angina treatmetn
ccb or nitrate
what drug prevents ventricular remodeling
acei
chalazion
nodular rubbery lesion
if it keeps returning, change of sebacious carcinoma
do histopath exam to rule out malignancy
dacrocystitis
infection of lacrimal gland
s aureus or streptococc al
solitary brain metastasis – treatment
resection
chronic scar that turns into non healing ulcer, think
SCC
periarticular ostepenia
RA
central retinal artery occlusion symptoms
painless loss of vision 2/2 embolus
central retinal artery occlusion treatment
occular massage and high flow o2
neuro symptoms in copd resp failure due to
co2 retention
exertional heat stroke
hot weather
temp greater than 104
collapse
ams/ards/dic
exertional heat stroke risk increased with
anticholinergics, antihistamines
water bottle shaped heart with clear lungs
pericardial effusion
non palpable maximal impuse
pericardial effusion
polycytehmia vera low levels of
epo
drug that increases chance of hypothermia
haloperidal, fluphenazol
beta cell tumor labs
increased c peptide levels
proinsulin greater than 5
hidradenitis supprativa
also called acne inversa
axillary/inguinal regions
painful tender mass
caustic poisoning
salviation, mouth burns, severe pain
refractory hypokalemia possible treatment/cause
hypomagnesium
symptoms of MI + pulm edema
give furosemide
urine ph >7
proteus
exudative pleural effusion causes
infection: TB, PNA
malignancy
CTD
PE
gum hypertrophy
cyclosporine
hodgkin’s lymphoma treated with chemo and radiation 20 years ago
chance of solid tumor malignancy
hyposthenuria
nocturia/impairement of kidneys ability to concentrate urine
associated with SSD/SST