UW 3 Flashcards
SIADH in Lung cancer
Hyponatremia
Small cell
Low plasma osmolality
High urine osmolality and urince concentration
TX for SIADH w lung cancer
Fluid restriction to < 800mL/day
Presentation of Renal Cell carcinoma
Triad: Flank pain Hematuria Palpable abd renal mass Others: scrotal varicocele (L) that fails to empty when recumbant Ectopic EPO = Polycythemia
Most sensitive DX test for Renal Cell Carcinoma
CT Abdomen
Causes of elevated BUN/Creatinine
Bacterial breakdown of Hgb in GIT (Peptic duodenal ulcer)
Systemic steroids
Prerenal azotemia
S4 + exertional dyspnea
Diastolic HF
Stiff LV
Restrictive CM
LVH = prolonged HTN
Cyanosis in first 24 hours
Transposition of GV’s
Acyanotic heart disease
ASD VSD PDA Coarctation of the aorta Dextrocardia
Tet of Fallot Presentation
Single S2
Systolic murmur - PS
Cyanosis
Transposition of GV’s Presentation
Cyanosis in first few hrs of life
Infants of DM mothers
Males
Single loud S2 + NO murmur
Afebrile + blood tinged sputum
Acute Bronchitis
TX: Supportive care and observation
HIT Type I Presentation
Non-immune platelet degradation
Occurs w/in 48 hrs
Mild and transient effect on platelets
HIT Type II Presentation
Immune-mediated - abs to heparin-platelet factor 4 complexes
Platelet activation, thrombocytopenia, thrombosis
Necrotic lesions at injection site
Occurs 5-10 days after heparin OR within 1 day if heparin exposure in last 1 month
Management for HIT
type I - continue heparin and observe
type II - stop heparin, use alternate anticoagulant
Antibodies ass’d w acute and chronic hepatitis
Anti-smooth muscle abs
Anti LKM abs
Presentation of sympathetic ophthalmia
Damage to one eye after penetrating injury to other eye
Hidden Antigens uncovered
Signs of RV Infarct
Clear lung fields
HypoTN
JVD
With inferior MI
Management for Inferior wall MI of RV infarct
Fluid resuscitation
Avoid nitrates
Dobutamine if IVF doesn’t increase CO
OCD is ass’d with what
Tourette