UWorld toxic epidermal necrolysis Flashcards
cushing syndrome
htn
hyperglycemia
wt gain
What thyroid pathology has psammoma bodies
papillary thyroid cancer
*most common thyroid pathology
MEN 1 features
pituitary adenoma
primary hyperparathyroidism
pancreatic/GI neuroendocrine tumors
Rx for dermatitis herpetiformis
dapsone
d/c gluten
When do you intubate a COPD exaserbation
AMS
acidemia < 7.1
hemodynamic instability
angiodysplasia
dilated veins/ AVMs
common cause of painless GI bleed
reversible causes of ua incontinence in old people
delirium infection- uti atrophic urethritis pharm- drugs psych excessive ua- t2dm restricted mobility stool impaction
Rx for human bite
amoxicillin-clavulanate
Prolonged infusion of sodium nitroprusside can lead to __________ toxicity
cyanide
esp in pts w/ CKD
CD4 count under 200 prophylaxis
Tmp-Smx
what does good glucose control actually help?
microvascular disease
CD4 count under 50 prophylaxis
azithromycin- mac
itraconazole- histo
tmp-smx- PCP, toxo
What is a general good A1C goal
7-8%
seborrheic dermatitis
yellow scale on red base
scalp/ face
itchy
topical antifungals help
stable pt in a-fib gets?
beta blocker
diltiazem
digoxin
hemodynamically unstable pt in afib gets?
cardioversion
best indicators for rx of DKA
serum anion gap
beta-hydroxybutyrate
complications of positive pressure ventilation
alveolar damage
pneumothorax
hypotension
Acute intermittent porphyria
severe abdominal pain
patchy sensorimotor neuropathy
autonomic dysfunction
Lead poisoning
stocking glove neuropathy
microcytic anemia
GI upset
arsenic toxicity
painful sensorimotor neuropathy
skin lesions
pancytopenia
↑ LFTs
Best cosmetic way to remove basal cell carcinoma
mohes
remove thin layers examining each for tumor margin
What do you avoid giving in RV MI
nitrates
diuretics
*you DO NOT want to ↓↓ preload
Rx for boulos pemphigoid
topical clobetasol
colonoscopy in laxative abuse
melanosis coli (dark brown discoloration)
First line Rx for BPH
alpha 1 blocker
faster onset than 5-alpha reductase inhibitors
porphyria cutanea tarda
most common porphyria
deficiency of uroporphyinogen decarboxylase
asc. w/ hep c
s/s photosensitivity and fragile skin
How long after an MI does papillary muscle rupture occur?
2-7 days
What may have happened after an MI if the ST elevation persists 3 months later?
Ventricular aneurysm
Lung disease in ank spon
restrictive from ↓ chest wall motion
Morton neuroma
common in runners
nerve degeneration–> paresthesia/ pain
rx: foot support/ pad
What looks just like mono (mostly)?
CMV mono
fever, malaise, atypical lymphs
NO pharyngitis or splenomegaly
D-xylose test
malabsorption test- but no enzymes needed
if normal= excreted in ua
if malabsorption= low amount in UA, indicates small bowel mucosal disease
most common cause of acquired angioedema
ACE inhibitor side effect
Paroxysmal nocturnal hemoglobinuria
hemolytic anemia
cytopenia
hyper coagulable
*missing CD55 and CD59
Nocardia Rx
tmp-smx
jarisch herxheimer rxn
acute febrile illness <12 hours after syphilis rx
what comorbidity should you test all “pseudogout” people for
hemochromatosis
Isoniazid s/e that mimics a virus
hepatic injury
looks like viral hepatitis on biopsy
VIPoma
pancreatic tumor
s/s water diarrhea, muscle cramps (hypokalemia)
Uric acid stone prevention
↑ fluids
oral potassium citrate
