UGH Flashcards
what can high doeses of PCP cause?
Nystagmus
HTN
SZ
Life threatening hyperthermia
Felty syndrome
Autoimmune. s/s: inflammatory arthritis splenomegaly neutropenia necrotizing skin lesions
Usually seen in RA
When does a clavicular fx need surgery
distal 1/3
mostfx occur middle 2/3 tho
Proper name for eczema
atopic dermatitis
s/s of mag toxicity
somnolence
loss of deep tendon reflex
resp depression
todd paralysis
transient unilateral weakness after sz
spontaneously resolves
eclampsia is characterized by
htn
proteinuria
sz
rx: mag and anti-htn
Homocystinuria
AR cystathionine synthase deficiency marfanoid habitus intellectual disability hyper-coagulable
Erythroderma
exfoliative dermatitis
red/ scaling > 90 % of body
patches coalesce and peel
PKU
deficiency of phenylalanine hydroxylase
intellectual disability, fair skin, musty odar
Tay-Sachs
AR
deficiency of b-hexosaminidase
weakness, sz, cherry red spot, intellectual disability
Fabry disease s/s
angiokeratomas, peripheral neuropathy , corneal dystrophy, thrombotic events
DM drugs good for weight loss
GLP-1 agonist
ex: exenatide
Acute digoxin toxicity s/s
GI
anorexia, NV, ab pain
chronic= neuro/ visual s/s
Esophageal rupture appearance on CXR
pneumomediastinum
sub-q crepitus in chest
Cough in asthma
worse at night
PFTs w/ bronchodilator response
DM drug with concerns for heart failure and bone fractures
Pioglitazone
serum sickness
b-lactams/ sulfa drugs
fever, urticarial rash, arthralgia, LAD 1-2 weeks after exposure
edward syndrome
trisomy 18
micrognathia
rocker feat
overlapped fingers
VSDs
Enterobius vermicularis infection
pinworm
itchy bottom
rx: albendazole or pyrantel pamoate for pt and all household members
adenosine stress test and coronary blood vessels
adenosine–> ↑ blood flow
stenosed arteries have increased flow BUT lesser extent than healthy ones
shows diseased arteries
Dobutamine stress test
pts who cant have vasodilator stress test (hypotension/ COPD)
↑ contractility–> ↑ O2 demand
Most common inherited clotting disorder
factor 5 leiden
V does not respond to activated C
crescendo decrescendo murmur in young person
suspect HCM
- murmur does not radiate
Dobutamine stress test is bad in pts with?
tachyarrhythmia
dobutamine= B-1 agonist
Exercise stress test is contraindicated in
LBBB
pacemaker
pts who cant reach target HR
Antithrombin deficiency
usually acquired in DIC, cirrhosis, nephrotic syndrome
Unilateral varicocele that does not empty when laying flat
suspicious for RCC
ddx by ab ct
rx for primary biliary cholangitis
ursodeoxycholic
Fibrinolytics may be given up to ____ hours after s/s of an MI
12
PCI is 90 min
DDX of ards
resp distress
bilateral lung opacity
PaO2/ FiO2 < 300
lithium and kidney trouble
Li –> nephrogenic diabetes insipidus
Rheumatic heart disease prophylaxis
long term penicillin
prevent future infection and disease progression
graft vs host disease
graft t cells attack skin, intestine, and liver
when do you use winters formula
metabolic acidosis
