UWorld_7.14 Flashcards
Hep B associated nephropathy
membranous
HIV associated nephropathy
FSGS
ACUS pap evaluation
-@ 21-24 ==> repeat pap in 1 yr.
- @ >25 ==> HPV testing
(+) ==> colpo
(-) ==> repeat pap + HPV @ 3yrs
Presentation of osler-weber-rendu syndrome
- hereditary telangiectasia
- pulmonary AVMs ==> hemoptysis and RtoL shunt
- recurrent nosebleeds and oral lesions
Normal liver span =
Rubella presentation
- low-grade fever
- cervical/occipital LAD
- maculopapular rash spreads from cranial-caudal and SPARES palms/soles
- conjuctivitis
- forschheimer spots
- @ adults: arthralgias
Common cause of irregular menstrual cycles in teens
-HPA axis immaturity ==> inadequate gonadotropin secretion
Management of penile fx
- retrograde urtherogram to look for urethral injury
2. surgical exploration
Causes of hypokalemia
- increased intracellular entry of potassium 2/2 insulin, b-agonists, hematopoiesis
- gi losses
- renal potassium wasting 2/2 hyperaldosteronism, diuretics
EBV DNA @ CSF in HIV + pt. ==> dx?
primary CNS lyphoma
Presentation of primary CNS lymphoma
- HIV + pt.
- AMS
- solitary, weakly ring-enhancing periventricular mass on MRI
- EBV DNA @ CSF
Tatrat-resistant acid phosphate + stain ==> dx?
hairy cell leukemia = B-cell chronic leukemia
Conjugated hyperbilirubinemia + predom. elevated alk phos ==> evaluation?
- abdominal imaging
- antimitochondrial antibody
Conjugated hyperbilirubinemia + normal LFTs + predom. elevated alk phos ==> ddx?
- cholestasis of pregnancy
- malignancy
- cholangiocarcinoma
- primary biliary cirrhosis
- primary sclerosing cholangitis
- choledocholithiasis
Conjugated hyperbilirubinemia + normal LFTs + normal alk phos ==> ddx?
- dubin-johnson syndrome
- rotor’s syndrome
Conjugated hyperbilirubinemia + predominantly elevated LFTs ==> ddx?
- viral hepatitis
- autoimmune hepatitis
- toxin/drug-related hepatitis
- hemochromatosis
- ischemic hepatitis
- alcoholic hepatitis
cystic hepatic lesion + eggshell calcification ==> dx?
- hydatid cyst
- 2/2 infection with echinococcus granulosus
- dogs = definitive host
Management of stroke in sickle cell
exchange transfusion
BMI in Anorexia
Trastuzumab: MOA, SE
- aka “Herceptin”
- MOA: HER2 receptor blocker
- SE: cardiotoxicity
Lesch-Nyan syndrome presentation/cause
- hypoxanthin-guanine phosphoribosyl transferase deficiency
- self-mutilation, neuro dysfxn, gouty arthritis, tophus formation
Boy with gout ==> dx?
Lesch-Nyan syndrome
Kawasaki dz. presentation
-acute vasculitis @ small/med arteries
-
Scarlet fever presentation
- exudative pharyngitis
- **no ocular sx (usually)
- sandpaper rash
- straw. tongue, rash, cervical LAD
pityriasis rosea presentation
- pink/brown scaly plaque w/central clearing + colarette of scale
- followed by maculopapular rash @ “xmas tree” pattern along skin lines
Actinic keratoses presentation
- @ chronically sun-exposed areas
- erythematous papules 2/central scale
- sandpaper
- can be squamous precursor
Sx of digoxin toxicity
- GI: anorexia, N/V, abdominal pain
- Neuro: fatigue, confusion, weakness, COLOR vision alterations**
