UW: week 1 Flashcards
Triad required for Dx of DKA?
- glc
When can you change to D5 1/2NS in treatment of DKA?
Once glc 200-250
When can you change to NPH in Tx of DKA?
Once recovered and taking Po
Indications for bicarb in tx of DKA? (3)
pH
MC bugs cultured in SBP? (2)
E coli + Klebsiella
EEG in absence seizure?
Generalized 3 Hx spike & wave, can be precipitated by hyperventilating during EEG
2 differences in atypical absence seizure (vs typical)
- lasts longer (typical just seconds)
2. slow spike and wave (
Key diff btwn absence seizure and complex partial seizure?
Post-ictal w/ CPS, not w/ absence
Dactylitis, nail pitting, arthritis worst in DIPs. Dx?
Psoriatic arthritis! Can occur w/o classic skin changes.
What confirms Dx of post-op acute mediastinitis?
Surgery revealing pus in the mediastinum
Tx of post-op acute mediastinitis? (4)
drainage, surgical debridement, immediate wound closure, prolonged Abx
How can you decrease risk of bowel ischemia 2/2 AAA repair?
Check sigmoid colon perfusion s/p IMA graft placement
ASx bacteruria in pregnancy- 4 possible Abx choices? When to get repeat UCx?
Nitrofurantoin, amoxicillin, amox-sulbactom, fosfomycin. Repeat UCx in 1 week and again monthly for rest of pregnancy
What feature of ASx bacteriuria in pregnancy would qualify you for daily suppressive therapy for rest of preg?
Persistent bacteriuria after 2 or more courses of therapy
Describe rash of measles
Blanching, red-brown maculopapular rash w/ cephalocaudal and centrifugal spread
6 Cpx of measles (w/ timeline of the 3 neuro ones)
- OM
- PNA
- AGE
- Encephalitis (w/in days)
- ADEM (w/in wks)
- SSPE (w/in yrs)
It’s normal to wet the bed until what age?
5 yo (but all the cool kids pee their pants)
DDx for T-wave inversion (5)
MI Myocarditis Old pericarditis Myocardial contusion Digoxin tox
Septic arthritis if
Staph, GBS, GNR
Anti-staph (vanc or nafcillin) + either gent or cefotaxime
Septic arthritis if >3 mo: name 3 MC bugs and best Abx regimen
Staph, GAS, strep pneumo
Pick 1 of: nafcillin, clindamycin, cefazolin, vanc
What’s diagnostic and therapeutic for foreign body aspiration?
Bronch
2 PE/CXR findings indicating partial obstruction in foreign body aspiration?
Hyperinflation
Air trapping on expiration
3 PE/CXR findings indicating complete obstruction in foreign body aspiration?
Atelectasis Post-obstructive PNA Localized bronchiectasis (late)
3 GI DO a/w trisomy 21?
Hirschprung
Duodenal atresia
Imperf anus
MC congenital heart defect in Edwards synd?
VSD
Classic heart defect in Williams synd?
Supravalvular aortic stenosis
Name the group of cardiac disorders a/w CATCH-22 syndromes and 3 specific examples
Conotruncal abnormalities: TA, ToF, interrupted aortic arch
Natural timeline of neonatal displaced clavicular frx?
Spontaneous healing w/in 7-10d
Workup of monosymptomatic enuresis? (2)
UA
Imaging if severe w/ recurrent UTI
Tx order for monosymptomatic enuresis?
Behavioral changes > enuresis alarm > desmopressin > TCA
6 major components of fetal hydantoin syndrome?
Midface hypoplasma, microcephaly, cleft lip/palate, digital hypoplasia, DD, hirsuitism
Bowel Bx showing neutrophilic cryptitis?
IBD
What does bowel Bx show in ischemic colitis?
Epithelial necrosis
Tx of acute limb ischemia? (3)
STAT IV hep bolus-> hep IFN-> call vasc surg
4 determinants of myocardial O2 demand?
Preload
Afterload
HR
Contractility
Most important prognostic factor in STEMI?
Time until restored coronary blood flow
Abs in primary biliary cirrhosis?
Anti-mitochondrial
PBC is characterized by immune-mediated destruction of which type of ducts?
Intrahepatic
2 components of tx of dermatitis herpetiformis?
Dapsone + gluten free
SSSS: what’s the toxin and what does it target?
S aureus-> exfoliative toxin against desmoglein 1
2 causes of hypoxemia w/ normal A-a grad, 2 causes of hypoxemia w/ incr A-a grad
Normal: reduced inspired O2 tension, alveolar hypoventilation
Incr: Diffusion limitation, shunt, V/Q mismatch
Classic triad of ASA tox?
Fever + tinnitus + tachypnea
