UWorld_7.11 Flashcards
Stillbirth delivery options @ 2nd trimester
- D&C (up to 24 weeks)
- induction of labor
- spontaneous vaginal delivery
Stillbirth delivery options @ 3rd trimester
- IOL
- spontaneous vaginal delivery
- repeat C-section if requested
Croup cause/presentation
- parainfluenza
- inspiratory stridor
- “barky”, seal-like cough
- hoarse voice
Workup of meconium ileus
Water-soluble contrast enema
PDA-dependent congenital heart disease
- coarctation of aorta
- D-transposition of great arteries
- hypoplastic left heart
- total anomalous pulmonary venous connection
- tricuspid atresia
Neonate w/70-90% spO2 + central cyanosis dx/management?
- cyanotic heart disease
- PGE for maintaining PDA until surgery
Dermatofibroma presentation
- nontender, firm, hyperpigmented nodule
- central dimple when pinched
- 2/2 fibroblast proliferation
- usually occur @ LE
Pyogenic granuloma presentation
- benign vascular skin tumor
- p/w small red papule shiny mass
- bleeds easily
- usually @ oral mucosa/lips
Diyhydropyridine ca-cahnnel blockers
-amlodipine
Amlodipine se
Peripheral edema
Cause/treatment of liver abscess 2/2 amebiasis
- entamoeba histolytica
- pt.s who travel to endemic area
- tx = metronidazole
Systemic sclerosis presentation
- extensive skin thickening
- raynauds
- joint pain/fatigue/stiffness
- organ involvement: lungs, heart, kidneys
Bite cells ==> ?
Hemolysis
Heinz bodies ==> dx?
G6PD deficiency
Isoniazid SE
Idiosyncratic hepatitis similar to viral hepatitis
Most common location for ulnar n. entrapment
@ elbow @ medial epicondylar groove
Abdominal pain + weight loss + oral ulcers dx?
- Crohn’s vs. Celiac dz.
- Crohn’s oral ulcers w/granulomatous inflammation
Basic ppx for malaria
-chloroquine
Areas w/chloroquine-resistant p. falciparum
- sub-saharan Africa
- South/Southeast Asia
PPX in areas w/chloroquine-resistant malaria
- atovaquone-proguanil
- doxycycline
- mefloquine**
Vincristine SE
Chemothearapy induced peripheral neuropathy @ stocking-glove pattern
Diffuse joint pains + fatigue, diarrhea @ daycare worker/teacher dx?
Parvovirus B19
Unilateral orbitofrontal HA + dilated pupil w/out light response dx?
Acute angle-closure glaucoma
Acute angle-closure glaucoma presentation
- Unilateral orbitofrontal HA
- dilated pupil w/out light response
- resposne to pupilarry dilation from meds or dim light
- assoc. w/ N/V, conj. Injection, eye pain
