UW 14 Flashcards
Managementi for Anorexia
- CBT
2 Nutritional Rehab - Olanzapine if unresponsive
Infxn w prosthetic > 3 months
Staph Epidermidis
Propion
Enterococci
Prosthetic joint Infxn within 3 mos of primary arthroplasty
Stap Aureus
Gram - Rods
Anaerobes
Management of infected prosthesis
Removal
Imaging for pancreatic cancer
Head
Tail/Body
Head - US
Body/Tail - CT
Administration of anti-D Ig
- 28 weeks - Standard dose
2. Within 72 hrs of delivery - Kleihauer-Betke test determines higher dose
Diagnostic test for Zenker’s
Contrast Esophogram
Criteria for Kawasaki
Fever > 5 days + 4/5
- Conjunctiviits
- Oral mucosal changes
- Rash
- Extremity changes
- Cervical LA
Labs in Kawasaki
High CRP, ESR
Leukocytosis w neutrophilia
Reactive thrombocytosis
Sterile pyuria on UA
Intussusception ass’d with
HSP
Meckel’s
Diverticulosis v Diverticula
Diverticulosis - noninflamed diverticular; painless bleeding
Diverticulitis - Abd pan, infectious sx’s, bleeding uncommon
MCC of lower GI hemorrhage in elderly pt
Diverticulosis
MCC sepsis in sickle cell
Strep Pneumo
Analgesic Nephropathy
Chronic analgesic use
Usually asymptomatic
Chronic tubulointerstitial nephritis
Dx for analgesic nephropathy
High Cr UA - hematuria, sterile pyuria Mild proteinuria CT - small kidneys w BL renal papillary calcifications White blood cell casts
Osteomalacia labs
Low/N serum calcium Low serum phosphate High serum PTH Low plasma 25-OH Vit D High AP
Xray of osteomalacia
Decreased bone density
Thinning of cortex
Codfish vertebral bodies
Pseudofractures
EKG in hypokalemia
Broad flat T waves
U waves
ST depression
PVCs
Most sensitive test for disseminated Histoplasmosis
Histoplasma Antigen immunoassay of serum or urine
Presentation of Histo in HIV pt
RES system - pancytopenia, HSM, adenopathy
Pneumonia - Diffuse reticulonodular or cavitary
Mucocutaneous lesions
TX of Histo
Mild: Oral Itraconazole
Severe: IV Ampho B for 2 weeks, then Itraconazole for 1 year
Flucytosine TX for?
Cryptococcus
Candida
Statins MOA
Inhibit HMG-CoA reductase
- RLE in intracellular biosynthesis of cholesterol
- Converts cholesterol to mevalonate
- Increase # of cell membrane LDL receptors
- decrease coenzyme Q10 synthesis
Mycoplasma pneumoniae Skin lesion
Erythema Multiforme
WHat is erythema multiforme
dusky, red target shaped lesions
Difference b/t Central and Peripheral precocious puberty
Central - Early activation of HPO axis - GnRH activation
FSH and LH HIGH
Peripheral - gonadal or adrenal release of excess sex hormones
FSH and LH are LOW
VAccinations for North Africa
Hep A
Hep B
Typhoid
Polio booster
Who gets yellow fever vaccine
Sub-Saharan Africa
South America
Smudge cells?
CLL
CLL - diagnostic test
Flow cytometry -prove clonality of abnormal lymphocytes seen on PS
JAK2 mutation seen in
Myeloproferative disorders
Polycythemia vera
Brain death criteria
- Evaluate corticol and brain stem fncs
2. Prove irreversibility of brain activity loss
What functions in brain death
Spinal Cord - DTRs may be present
Hep B TX
Entecavir
Tenofovir
Tx for cellulitis w systemic signs
IV Nafcillin
Cefazolin
Duodenal Hematoma Presentation
Post blunt abdominal trauma
Children
Blood b/t submucosal and muscular layers cause obstruction
Epigastric pain and vomiting
Management of Duodenal Hematoma
Nasograstric suction with parenteral nutrition
Surgery if needed
NB w cyanosis aggravated by feeding, relieved by crying? What is seen in management?
Choanal Atresia
- Failure to pass a catheter thru nose to oropharynx
Pt planning pregnancy on levothyroxine - what to do?
Increased during pregnancy according to levels
What is the most common MOA of ventricular arrhythmia in immediate post infarct period
Reentry
MCC sudden cardiac arrest in immediate post infarction period with acute MI
Reentrant ventricular arrhythmias
