uWorld 50 Flashcards
what would be one measure to most likely cause a steep decline in the incidence of hepatocellular carcinoma worldwide
universal vaccination of children against HBV
in Korea, Tiawan, Mozambique, and china there are hight rates of HCC usually do to chronic HBV acquired through vertical transmission at childbirth
what is found in the medullary cords and sinuses
cords: B cells, plasma cells, and macrophages
sinuses: reticular cells and macrophages
both with mild intellectual ability has a long and narrow face, prominent mandible, and large testes.
HYPERLAXITY in his finger and thumb joints
FRAGILE X Snydrome
also have large ears
NEUROPSYCHIATRIC FEATURES: anxiety, ADHD
Ehlers danlos is most commonly due to what
Type V collagen defect- CLASSICAL TYPE (joint and skin symptoms)
Hypermobility type is most common type- joint hyper flexibility
(the vascular type is type III collagen- berry aneurysms and shit)
what is the inheritance patter of marfan
AD
autopsy findings of PLATELET-RICH THROMBI attached to the MITRAL VALVE LEAFLETS is characteristic of what
NONBACTERIAL THROMBOTIC ENDOCARDITIS (NBTE) aka MARANTIC ENDOCARDITIS
most commonly associated with ADVANCED MALIGNANCY, as well as chronic inflammatory disorders like antiphosphlipid syndrome, SLE, and DIC in patients with sepsis
often seen with MUCINOUS ADENOCARCINOMA
WHITE THROMBUS: strands of fibrin, immune complexes, and mononuclear cells
vegetation can dislodge and are MORE LIKELY TO EMBOLIZE (than infective endocarditis) causing infarction
what is binge eating disorder
recurrent episodes of binge eating w/ NO COMPENSATORY BEHAVIORS
lack of control during eating
what are signs of bulimia nervosa in people who vomitit regularly
hypotension tachycardia dry skin MENSTRUAL IRREGULATIEIS erosion of dental enamel PAROTID HYPERTRPHY electrolyte imbalances (hypokalemia, hypochloremia, metabolic alkalosis)
what is body dimorphic dorder
intense preoccupation with previewed defect in physical appearance leading to significant functional impairment
NOT DIAGNOSED if the preoccupation is WEIGHT GAIN and the people MEETS the CRITERIA for an EATING DISORDER
whats stress incontinence
loss of urethral support and intraabdominal pressure exceeds urethral sphincter pressure
leaking with coughing sneezing, laughing, lifting
COMMON in PREGNANCY
what is urge incontinence
detrusor overactivity
sudden, overwhelming, or frequent need to empty bladder
what is overflow incontinence
impaired detrusor contractility, bladder outlet obstruction
constant involuntary dribbling of urine and incomplete emptying
what muscles function with the urethral valve to maintain continence
LEVATOR ANI
COCCYGEOUS
(during pregnancy hormones decrease urethral tone and relax these pelvic floor muscles)
what can improve symptoms of stress urinary incontinence
KEGEL EXERCISES0- strengsten pelvic floor muscles (elevator and and coccyges)
what wild thing can be seen with KLUMPKE’s PALSY (sudden upward jerking of arm causing injury to lower trunk- total claw hand)
HORNER’ SYNDROME- from involvement of T1 nerve room proximal to the sympathetic trunk