uworld7 Flashcards
what should you think of when: leukocytosis, fever, left upper quadrant pain
splenic abscess
treatment for splenic abscess
splenectomy
what diseases of hyperthyroidism if radioactive iodine test is diffuse vs localized?
diffuse: Graves
local: toxic adenoma, multinodular goiter
pathophys of toxic adenoma
autonomous production of thyroid hormones from the hyperplastic follicular cells
pathophys of graves
thyroid stimulating antibody induced activation of TSH on thyroid follicular cells
which murmur causes exertional syncope
aortic stenosis
treatment of uric acid stones
hydration
alkalinization- oral potassium citrate
low purine diet
most common cause of MR in developed countries
MVP
initial management for spinal cord compression
glucocorticoids
MRI
how does pharmacological stress test work with adenosine or dipyrimidole?
cause coronary vasodilation–> magnifying the difference between obstructed vs nonobstructed coronary arteries shown in radioactive isotope scan
patient has SOB, dry cough, fine crackles in absence of smoking. think…
idiopathic pulmonary fibrosis
how do beta agonists affect K?
cause K shift into cells –> hypokalemia
causes of hypokalemia
GI losses- diarrhea, vomiting
renal potassium wasting- diuretics, hyperaldosteronism
K shift into cells- beta agonists, insulin,
treatment of subacute thyroiditis
beta blockers, NSAIDS for symptomatic relief
self limiting post-viral
timing of onset of symptoms- uri vs flu
uri- gradual
flu- abrupt
treat HIV patients with PPD’s greater than how much
5 mm
who gets treatment for TB with a PPD > 10mm?
high risk for TB- immigrants, medical personnel, IV drug users,
what size on PPD do healthy people get treated for TB
15 mm
treatment for latent TB
lsoniazid
pyridoxine- prevent ISN-induced neuropathy
treatment for pericarditis (dressler)
NSAIDS
when someone has medullary thyroid cancer, what should immediately think?
MEN syndrome- 2A and 2B
MEN 1
hyperparathyroidism
pituitary tumors
pancreatic tumors- esp gastrinoma
MEN 2A
medullary thyroid cancer
pheochromocytoma
parathyroid hyperplasia
MEN 2B
medullary thyroid cancer
pheochromocytoma
mucosal neuromas/marfanoid habitus
