UW 12 Flashcards
AE’s of Lithium
GI distress Nephrotoxic Hypothyroidism Leukocytosis Tremors Acne Psoriasis flares Hair loss Edema
MCC death Dialysis
Cardiovascular
Nerve that does knee extension and hip flexion
Femoral Nerve
Provides sensation to anterior thigh and medial leg
Femoral Nerve
Adduction of leg and sensation of medial thigh
Obturator Nerve
Tx of infertility for premature ovarian failure
IVF w donor oocyte only option
No viable oocytes
Cardiac amyloidosis
Unexplained CHF
Echo = increased LV thickness, normal LV cavity
Low voltage EKG
Amyloidosis Pathophys
Extracellular deposit of insoluable polymeric protein fibrils in tissues and organs
Amyloidosis secondary due to?
Inflammatory arthritis Chronic Infxn IBD Malignancy Vasculitis
Amyloidosis Presentation
Asymptom proteinuria Nephrotic syndrome Hepatomegaly Peripheral Neuropathy Visible organ enlargement Bleeding diathesis Waxy thickening, skin bruising
Dx for Amyloidosis
Tissue Bx
What is a torus palatinus
Growth on hard palate Fleshy, immobile mass Benign Midline suture Genetic and environmental Ulcerates w trauma Heals slowly
Tx for torus palatinus
Surgery
What does aromatase do
Converts androgens into estrogens
Presentation of aromatase deficiency
Masculinization of mother resolves w delivery Virilization Normal internal genitalia Ambigious external genitalia Clitoromegaly
Presentation of aromatase deficiency later in life
Delayed puberty
osteopororosis
Undetectable estrogen
Polycystic ovaries
Labs with aromatase deficiency
High FSH/LH
Low estrogen
McCune Albright triad
Cafe au lait spots
Polyostotic fibrous dysplasia
Autonomous endocrine hyperfnc
- Precocious puberty
Kallman syndrome Presentation and Labs
46 XX Hypogonadotropic hypogonadism Anosmia Delayed puberty Normal internal reproductive organs Low or absent LH and FSH
Tx for premature ovarian failure infertility
IVF with donor oocytes
Premature ovarian failure
< 40 yoa Amenorrhea Hypoestrogenism Increased FSH and LH Low Estrogen
Management for threatened abortion
Reassurance and outpatient f/u after assess fetus w US
Tx for asymptomatic PVCs
Observation