UW 21 Flashcards
Management of Myasthenic crisis
Corticosteroids
IVIG
PLasma exchange
Stop anticholinesterase medication to reduce secretions
Treatment of myathenia gravias
anticholinesterase
Pyridostigmine
Prednisone, azathioprine, cyclosporin, mycophenolate
Treatment for Inflammatory bowel disease
5-ASA (aminosalisylic)
Mesalamine, sulfasalazine, balzalazide
D xylose test
Used in patients with diarrhea due to malabsorption
D-xylose is given orally, if brush border is intact, it should be absorbed (it does not need pancreatic enzymes) and excreted in the urine. (Normal or due to pancreatic insufficiency)
If no absorption.. Problem is at mucosa (not enzymatic)
False positive situations (no absorption)
………. Delayed gastric emptying
………. Decreased glomerular filtration
………. Bacteria overgrowth (give antibiotics and try again.. if still positive test.. think celiac)
Management of shoulder dystocia
BECALM
Breath Elevate legs, thighs close to body Call for help Apply suprapubic pressure enLarge vagina Manuvers
Causes of restrictive cardiomyophathy
LEASH
Loeffler d. Endocardial fibroelastosis Amyloidosis Sarcoidosis Hemochromatosis
Amyloidosis presentation
Cardio: restrictive cardiomyaopathy Renal: proteinuria or nephrotic sd GI: hepatomegaly Neuro: mixed peripheral neuropathy Macroglosia Easy brusing, waxy skin, bleeding Respiratory: pulmonary nodules. Tracheobronchial infiltrations, pleural efusions Hemato: anemia, thrombocytopenia
Diagnosis: abdominal fat aspiration biopsy
Sings of restrictive cardiomyopathy
Looks like Hypertrophic without hystory of hypertension
Side effects associated with quinolones
Aquilles tendon rupture
Retinal detachment
Aortic aneurysm rupture
Ganglion cyst
Non tendet cyst common on the wrist
Usually an underlying M/E disorder
Transluminate
Spontaneously regression. No treatment needed unless painful
Muddy brown cast vs. RBC cast
Muddy brown: acute tubular necrosis
RBC: glomerulonephritis
Management of Chicken pox exposure and infection on a neonate
Infection: Acyclovir
Exposure:
Stay away from infected person
If mother developed rash -5 days or +2 respective to delivery: Immunoglobulin
Diagnosis and treatment for hemophilias
Diagnosis:
Elevated PTT, normal PT and platelet count
Absence or decreased factor VIII (A) or IX (B)
Treatment:
Factor replacement
Desmopresin for mild A
Labs in Rocky Mountain spotted fever
Low Na
Low Platelets
Elevated LFTs
Lymphopenia may be seen
Side effect of progestin only contraception
Irregular, prolonged bleeding
Pregnancy like symptoms
Preferred benzo for alcohol withdrawal
Lorazepam (no active metabolites, safe in patients with decreased liver function)
Hypothermia clasification and management
Mild: 32-35
Lots of shivering, confusion, lethargy
External warming, just blankets
Moderate: 28-32
Less shivering, begining of cardivascular colapse \, bradicardia, hypoventilation)
Active external warming (warm blankets..)
Severe: <28
Coma, true cardiovascular collapse
Active internal rewarming (peritoneal fluids)
For all:
Warmed IV fluids
Intubation if necessary
Cats infections dxx
Bartonella: cat scratch disease. Node at site of lesion + lymphadenopathy. Treat with azithromycin
Pasturella: cellulitis. Amoxicilin
What is Chlordiazepoxide
Benzo
Mg toxicity presentation and treatment
Mild: nausea, headache, hyporeflexia
Moderate: hypocalcemia, areflexia, somnolence
Severe: respiratory depresion
Stop Mg infusion
IV calcium gluconate bolus
Increased risk in renal failure
Unprovoke seizure image of choice
Emergency setting: Non contrast CT
Elective: MRI (preferred)
Indications of emergent toracotomy with a hemothorax
> 1500cc of blood
200cc/hr
continous need of blood transfusion to maintain BP
Folic acid deficiency causes
Medications: phenytoin, methrotrexate, tmp-smx
Low dietary intake, alcoholism
Chronic hemolysis
Malabsorption
Causes of Iron deficiency anemia in infants
<1 year
Nutrition. Delayed introduction of solids
> 1year
Excesive milk consumption
Low dietary intake
Early manifestation of vasooclusive crisis
Edema of hands and feet
