V Flashcards
used for diabetics with acute exacerbation of gastroparesis
eryhtromycin
signs of acute hemolytic reaction from blood ABO incompatibility
fever, flank pain, hemoglobinuria, renal failure, DIC
within 1 hr transfusion
+ direct coombs test and pink plasma
what has + direct coombs test
acute hemolytic blood transfusion reaction
delayed hemolytic reaction
clinical presentaiton varicocele
soft scrotal mass that decreases in supine and increases with standing or valsalva
can cause subfertility and testicular atrophy
Tx varicocele
gonadal vein ligation
scrota support and NSAIDs
acute episodes of hypersensitivity pneumonitis
cough, breathlessness, fever, maliase
chronic exposure of hypersensitivity pneumonitis
weight loss, clubbing, honeycombing of the lung
common organism to infect after get contact dermatitis
staph epidermidis
what causes increased A-a gradient in lungs
diffusion limitation
shunt
V/Q mismatch
what lung issues correct with suplemental O2
reduced inspired O2 tension
hypoventilation
diffusion limitation
most common site infective endocarditis
mitral valve
common cause of B12 deficiency
loss of IF from gastric resection or autoimmune gastritis
what can make it difficult to correct K levels
hypomagesemia
triad of reactive arthritis
nongonococcal urethritis, asymmetric oligoarthritis, conjunctivits
Tx reactive arthritis
NSAIDs
what primary tumors commonly mets to liver
GI tract, lung, breast
Lynch syndrome
hereditary non polyposis colorectal CA
icnreased risk endometrial CArcinoma
which metabolic abnormality can cause decrease in PTH secretion and decrease responsiveness to PTH
hypo Mg
most effective Tx for trigeminal neuralgia
carbamazepine
Bengin parozysmal positional vertigo
triggered by change sin head position
confirmed by Dix Hallpike maneuver
best acute management frsotbite
rapid rewarming with warm water
symptoms of graves opthalmopathy
gritty or sandy sensation, redness, photophobia, pain, excess tearing
risk factors for graves opthalmopathy
female sex, advancing age and smoking
kussmauls sign
increase in JVD with inspiration
most common cause of thyrotoxicosis with reduced thyroid uptake
subacute lymphocytic (painless) thyroiditis
subacute granulomatous thyroiditis
levothyroxine overdose
iodine-induced thyrotoxicosis
intense pain in thyroid region
subacute granulomatous (de quervains)
gross proteinuria with no hematuria
minimal change
intermittent asthma
daytime Sx
mild persistent asthma
Sx >2 days/week
nighttime awakenings 3-4x/month
moderate persistent asthma
> 2 days/week
nighttime awakenings weekly
severe persistent asthma
Sx thorughout the day
frequent nighttime awkenings
limited activity
What drugs induce peripheral neuropathy
chemo
vincristine, taxanes
Sx chemo induced peripheral neuropathy
symmetric distal sensory neuropathy in stocking glove pattern
nodular glomeruloscleross
diabetic nephropathy
Sx of CML
fatigue, malaise, low grade fever, anorexia, abdominal pain and weight loss
increased immature myelocytes on peripheral blood smear
CML
fusion in CML
9;22 BCR ABL1
lab finding in CML
low alkaline phosphatase
patient has dizziness, inability to walk, pain in right side of face L pupil larger than R dec corneal reflex partial ptosis of R eye horizontal and rotational nystagmus gag reflex diminished loss of pain and temp on right face L trunk and limbs location of lesion?
lateral medulla
wallenberg syndrome
sensory Sx of wallenberg syndrome
loss pain and temp of ipsi face and contra trunk and limbs
autonomic dysfunction in wallenberg syndrome
ipsi horners
hiccups
sleap apnea
which aa cause wallenberg syndrome
intracranial vertebral a occlusion
what vasculature is compromised in subdural hematoma
tearing of bridging veins
lens shaped epidural bleed
middle meningeal
what vaccines are contraindicated in HIV CD4
MMR, varicella, zoter, live attenuated influenza
all live vaccines
what vaccines are absolutely Contraindicated in HIV regardless of CD4 count
bcg, anthrax, oral thyphoid, oral polio, yellow fever
high insulin levels and c peptide with severe hypoglycemia
beta cell tumor
skin rash in glucagonoma
necrotic migratory erythema
TSH and T4 levels in secondary hyperthyroidism
both are high
so MRI of pituitary
low TSH and high T4 with low radioactive uptake
measure serum thyroglobulin
if high- thyroiditis or iodide exposure
if low- exogenous hormone
