UWorld_7.20 Flashcards
Management of prepatellar bursitis
- prepatellar bursitis = “housemaid’s knee” often 2/2 s.aureus
- aspiration of bursal fluid for cell count/gram stain
- negative ==> anti-inflam. + activity modification
- positive ==> drainage + abx
5-alpha reductase deficiency presentation
- cannot convert testosterone to dihydrotestosterone
- ambiguous genitalia @ birth + internal male genital tract
Beckwith-Wiedmann syndrome presentation
- deregulation of imprinting @ 11p15 ==>
- fetal macrosomia, rapid growth
- omphalocele/umbilical hernia
- macroglossia
- hemihyperplasia
- wilms tumor
- hepatoblastoma
hemihyperlasia in infant ==> ?
beckwith-wiedmann syndrome
Type I RTA
- poor H+ secretion into urine
- distal
Type II RTA
- poor bicarb resorption
- proximal
Type IV RTA
- aldosterone resistance
- hyperkalemia
Tx of restless legs
-supplement iron @ ferritin
Presentation of right ventricular infarct
- hypotension
- JVD
- clear lung fields
Type of radiation used for recurrence after radical prostatectomy
salvage
Anion gap metabolic acidosis
- methanol
- uremia
- dka
- polyethylene glycol
- isoniazid
- lactic acidosis
- ethylene glycol
- salicylate
BAT + LUQ pain radiating to shoulder ==> dx?
suspect splenic injury
Evaluation of nonbloody nipple d/c w/out lumps
- pregnancy test
- guiac test
- serum prolactin, TSH
- consider pituitary MRI
Splenectomy ==> impaired _____?
phagocytosis
MALT (mucosa-assoc. lymphoid tissue) tumor management
- tx H. pylori
- omeprazole + clarithromycin + amoxicillin
Vaccines after splenectomy
- PCV13, meningococcal, h. flu @ 14 s/p splenectomy
- PPSV23 next + 5 years later + @ 65yo
- Mening. q5yrs
Henoch-Schonlein purpura presentation
- palpable purpura
- arthritis/arthralgia
- abdominal pain/intussusceptions
- renal dz ~ IgA nephropathy
+ TB skin test in healthy patient
> 15mm
+ TB skin test in non-healthy/special populations
- > 5mm @: HIV+, immunosuppressed, known TB
- >10mm @: “high-risk” e.g. immigrants, healthcare workers, IVDU
Aortic regurgitation murmur
- early diastolic
- high pitched, blowing @ left sternal border
- louder on expiration
Most common clotting disorder
Factor V Leiden
Uveitis presentation
- blurred vision with moderate pain
- conjunctival injection
- constricted pupils just
Von-Gierkes disease presentation
- G6-phosphatase deficiency
- 3-4 mo. w/hypoglycemia, lactic acidosis, hyperuricemia, hyperlipidemia
- doll-like face
- thin extremities
- short
- protuberant abdomen
“brick dust” in neonate diapers = ?
- uric acid crystals
- not concerning if growing/feeding well
