uworld 7/30 Flashcards
ABX for Cath procedure if pen anaphylaxis
clindimycin or vanc
how long before vet c def turns into the scurvy
3 months before sx
Ottawa ankle rules for malleolar pain
tender at posterior margin of medial malleolus
tender at posterior margin of lateral malleolus
unable to bear weight for 4 steps
Ottawa ankle rules for mid foot pain
tender at navicular
tender at base of 5th metatarsal
unable to bear weight 4 steps
signs of bladder cancer older adults
hematuria
hydronephrosis
voiding sx
von willebrand PT and platelet
normal
von willebrand pt
sometimes prolonged sometimes normal
von willebrand bleeding time
always increased
risk factor for breech presentation
leiomyomas
viral load threshold for c section oney HIV mom
1000
tx for hydronephrosis in pregnancy if cr normal
just watch it, will solve when baby leaves
predictor of complications with TCA overdose
QRS
problem in neonat coarctation of aorta and tx
increased lv after load from thickening of tunica media of aortic arch
tx prostaglandin E1 if severe and surgical repair
x-linked agammaglobulinemia pathophys
impaired B cell maturation and immunoglobulin production
x-linked agammaglobulinemia clinical manifestation
recurrent sinopulm and go infections after 6 months
small or absent lymphoid tissue-tonsils and adenoids
x-linked agammaglobulinemia lab findings
flow cytometry ⬇️ CD19+ B cells
normal T cells
⬇️ immunoglobulins and down arrow ⬇️ antibody response to vaccines
agranulocytosis is
the complete absence of neutrophils
who gets c section and is not offered external cephalic version
breech, prior c section, placenta previa
hemophilia a inheritance
x-linked recessive
depression def sleep changes
decreased rem latency and slow wave step. also increased REM and REM sleep density
acute stress disorder timeframe
lasts >3 days , < 1 month after event event
hep c can have what derm findings
porphyria cutanea tarda
or lichen planus
Ehrlichiosis region
south/central US
Ehrlichiosis clinical presentation
flu like illness
confusion
rarely spots
Ehrlichiosis labs
leukopenia with thrombocytopenia
elevated liver enzymes and ldc
Ehrlichiosis dx
morule in monocytes
pcr
Ehrlichiosis tx
doxy
nitrates in the urine means
enterobacteriacae
how does RAAS system make organ failure worse
sympathetic response to low CO vasodilation constricts and Na retention to maintain organ perfusion, this is bad bc it further decreases CO
K+ goal hyperosmolar hyperglycemia
5.3
statin myopathy moa
INTRAcellular HMG-COA reductase enzyme inhibition stopped it from becoming mevalonic acid, maybe some coenzyme Q10 stuff
auto immune arthritis picture + DIP enrollment + nail pitting dx
psoriatic arthritis will mention dry skin with rash or psoriasis
what causes breathing abnormalities ankylosis spondylitis
chest wall motion restriction
how to avoid gout attacks
weight loss stop OH avoid diuretics avoid eating organs low fat diet decrease sea food and red meat
what meds can cause drug induced acne
steroids, androgens
immunomodulators
anticonvulsants
isoniazid
what improves mortality with STEMI
restoration of coronary blood flow
Taenia sodium tx
albendazole
seizure management
steroids
complication of PBC
malabsorption of fat sol bit–> osteomalacia or osteoporosis
hepatocellular carcinoma
factor 5 linen deficency moa
activated protein c resistance
conn syndrome levels
low rennin high aldosterone
high bicarb
what is procavlgia fugal
rectal pain unrelated to dedication