Uworld 1 Flashcards
Pineal gland tumor features
limited upward gaze upper eyelad retraction pupillary abnormalities papilledema HA Vomiting Ataxia
Transposition of great vessels x-ray and cardio findings
single s2
+- vsd
narrow mediastinum
Tetrology of fallot findings
harsh pulmonic stenosis murmur(systolic)
VSD
Boot shaped heart
Big RV
Tricuspid atresia findings
single s2
VSD
minimal pull flow
Truncus arteriosus findings
single s2 systolic ejection murmur
increased pulmonary blood flow and edema
cysteine stone
radiolucent, peds/teen,hexagon crystal,+nitropruside test
CHARGE syndrome
Colboma(hole in the eye-word pupil Heart (TOF/VSD) Atresia Retardation Genitourinary abnormalities Ear-shape and function
Beckwith /wiedman Syndrome Path Exam Complications Surveillance
Deregulation of imprinted gene expression in chrome 11p15
exam: macrosomia, rapid growth, omphalacle or jumbo hernia, macroglossia, hemihyperplasia
Complications: wilms tumor, hepatoblastoma
Surveillance:AFP, Abdominal ultrasound
what markers are elevated in choriocarcinoma
CA19-9, CEA
Chromium Def sx
impaired glucose control
Copper deficiency sx
Brittle Hair Skin depigmentation Anemia ataxia peripheral neuropathy Osteoporosis
selenium deficiency sx
Thyroid dysfunction
cardiomyopathy
immune dysfunction
zinc deficiency sx
Alopecia Pustular skin rash Hypogonadism Impaired wound healing immune dysfunction
Methotrexate MOA and Adverse Events
Folate inhibition’s
- hepatotoxicty
- stomatitis
- cytopenias
Hydroxychloroquine MOA
SE
TNF & IL1 supressor
-retinopathy
Sulfasalzine MOA, SE
TNF, IL-1 supressor
-hepatotoxicty
stomatitis
Hemolytic anemia
TNF alpha inhibitors SE
infection
demyelination
congestive 💜 failure
malignancy
Diverticulitis + urine findings
LLQ pain
nausea and vomiting
+Leuk, - nitrate
Rocky Mountain Spotted fever labs
⬇️ platelets,⬇️ Na,⬆️ ast/alt
Rocky Mountain Spotted fever tx
doxy
Risk factors for placenta previa
previous c section
prior previa
multiple gestations
prior uterine surgery
infertility tx PCOS after weight loss
Letrozole-aromatase inhibitor
what increases t4 binding globulin
estrogen
electrolyte abnormality multiple myeloma
Hyper Ca
Granulose cell. tumor marks
Estradiol/inhibin
HUS triad
Hemolytic anemia
Thrombocytopenia
Acute kidney injury
what causes HELLP
Distention of liver capsule
2nd most important lifestyle change HTN
DASH diet
Paroxsymal noctural hemoglobinuria
Hemolysis fatigue increased risk for venous thrombosis no CD55 or 59 Tx=iron and folate, eculizumab
Sarcoid neuro sx
Facial nerve palsy
Central DI
Hypogonadotropic Hypogonadism
⬆️ Ca2+
