UW 3 Flashcards
Cardiovascular manifestations of TCAs intoxication
Tachycardia, hypotension
Prolonged QRS, PR, QT
Arrythmias: ventricular tachy/fib
Evaluation for dysentery
Stool sample / culture
Blood work
CT: if suspicious for ischemic colitis
Endoscopy: if dx IBD
Treatment for dysentery
Fluid resuscitation
For acute/severe with travel hxx: ciprofloxacin or azytromicyn
DO NOT USE ATB IN ECEH DUE TO RISK OF HEMOLYTIC UREMIC SYNDROME
ESR and CRP in polymyalgia rheumatica, statin myopathies, inflammatory myopathies
No elevated in statin myopathy
Disease associated with polymyalgia rheumatica
Giant cell artheritis
Disease associated with Giant cell artheritis
polymyalgia rheumatica
Risk factors for Metformin-associated lactic acidosis
Renal dysfunction
Liver dysfunction
Heart Failure
Hypotension (maybe due to diarrhea caused by metformin)
Normal leg alignment with age
Genu varum: up to 2yoa
Normal 2-4
Genu valgum 4-6
Normal again
HIV prophylaxis for Toxoplasma
TMP-SMX if CD4 < 100
HIV prophylaxis for Pneumocystis
TMP-SMC if CD4 is <200
When to treat asymptomatic bacteriuria
Pregnant women
Before urologic procedure
Medical indications of pregnancy termination (6)
Ejection fraction: >40%
NYHA: III-IV
Pulmonary hypertension
Hx of peripartum cardiomyopathy in a previous pregnancy
Unstable aortic dilatation >40mm
Severe cardiac obstructive lesions
Eisenmenger Sd.
Pulmonary hypertension due to uncorrected VSD
It reverses the blood flow and causes R-L shunt
Cyanosis and eventual heart failure
Antibiotics used for treatment of UTI and asymptomatic bacteriuria
Nitrofurantoin 5-7
Cephalexin 3-7 days
Amoxicillin 3-7
Fosfomycin single dose
TMP-SMX 1st and 3rd trimester only
Fluoroquinolones contraindicated all pregnancy
Indication for Upper endoscopy in patients with dyspepsia
> 60 yoa
or alarm symptoms
Progressive dysphagia, Anemia Odynophagia Palpable mass or adenopathy Persistent vomiting Fx of GI malignancy
