UWorld_7.19 Flashcards
Tx of lichen sclerosis
high-potency vaginal steroids
Tx of atrophic vaginitis
low-dose vaginal estrogen
Causes of bilious emesis @ neonate
- meconium ileus
- hirschsprung disease
- malrotation
- duodenal atresia
Bilious emesis @ neonate + gasless abdomen on abd. xr ==> evaluation?
- upper GI series:
- if ligament of treitz on right side ==> malroation
Evaluation of dilated loops of bowel on abd. XR
- constrast enema
- @ microcolon ==> meconium ileus
- @ rectosigmoid transition zone ==> hirschsprung
Double bubble sign ==> dx?
duodenal atresia
blunt chest trauma + hemorrhagic shock + tracheal deviation ==> dx?
hemothorax
Cause of urinary retention in older person w/sciatica
pain prevents valsalva (esp. if also BPH present)
Indications for cystoscopy
- gross hematuria w/out evidence of glomerular disease or infection
- microscopic hematuria w/risk for malignancy
- recent UTIs
- obstructive sx w/suspicion for stricture/stone
- irritative sx w/out urinary infection
Risk factors for bladder cancer
- smoken
- occupation: pains, metal workers
- chronic cystitis
- cyclophosphamide exposure
- pelvic radiation
Furuncle presentation
- skin abscess
- usually 2/2 s. aureus
- painful pustule/nodule draining purulent material
Myxoma presentation
- constitutional sx: fever, weight loss, raynauds
- CV
- embolization
- lung invasion
Loss of peripheral vision + cupping of optic disc ==> dx?
open-angle glaucoma
Justification for anti-depressants in teens
risk for suicide from untx depression outweighs risk of suicide from taking meds
Mechanism of amenorrhea in female athletes
-decreased GnRH and LH ==> decreased estrogen
