WE3 mock SB (-6) Flashcards
WE3 blocks (50-57) Missing blocks 52-57
how do you dx obesity hypoventilation synd?
- BMI > 30
- daytime hypercapnea (paCO2 > 45)
- no alt cause of decr RR
pt notes dyspnea on exertion but has clear lungs and min LE edema. what is likely NOT causing the DOE?
L heart failure
what is the timeline for delusional disorder vs paranoid personality disorder?
delusional disorder >=1 mos
PPD = pervasive and longterm
what does HELLP stand for?
HELLP Hemolysis Elevated LFTs Low Plts
what causes the abd pain in HELLP?
liver capsule (glisson) distension 2/2 liver edema
what are the clinical features of HELLP synd?
- n/v, RUQ pain
- pre-eclampsia
how does acute fatty liver of pregnancy present?
- n/v, RUQ pain
- incr LFTs
- extrahepatic complications = incr WBC, decr BG, AKI)
what are the dx criteria for kawasaki dz?
fever >= 5 d >= 4 of the following conjunctivitis mucositis (strawberry tongue) rash (thrunk --> extremities) edema (extremities) cervical lymphadenopathy
how does the kawasaki rash differ from the measles and rubella rashes?
kawasaki: spreads trunk –> extremity
measles: spreads head –> trunk –> extremity
rubella: spreads head –> trunk –> extremity
how do you distinguish measles from rubella on clinical presentation?
measles = F + 4Cs + fine, pink, maculopap rash from face–> trunk
rubella = low F + lymphadenopathy + fine, pink, maculopap rash from face –> trunk
what are the 4Cs of measles?
- cough
- coryza
- conjunctivitis
- Koplic spots
how do you distinguish scarlet fever from kawasaki dz?
scarlet fever the rash will be concentrated over skin folds & there will be no conjunctival injection or extremity swelling
what is the most important pathogenic factor of metabolic syndrome?
insulin resistance
pt presents w/ metabolic synd + insulin resistance. what are they at risk for?
- HTN
- DM
- dyslipidemia
what are the dx criteria of metabolic synd?
- abd obesity
- fasting BG >100-110
- BP > 130/80
- TG > 150
- HDL (< 40 M or < 50 F)
* *must meet >=3/5 criteria
what are the indications for urgent ex lap?
- hemodynamic instability
- peritonitis/acute abd
- evisceration (exposed bowel)
- blood from NG tube or on rectal exam
what is the pathogenesis of PSGN?
immune complex deposition in the mesangium & BM s/p GAS impetigo or pharyngitis
what is the timeline for IgA nephropathy vs PSGN?
IgA nephropathy = during or w/in days of URI
PSGN = wks after GAS infx
what is alport synd?
inherited (MC = xlinked) T4 collagen defect –> glomerular dz
how does alport synd present?
- microscopic/gross hematuria
- sensorineural hearing loss
- occular defects
how does intracranial HTN present?
- HA (worse at night)
- n/v
- AMS
is ICP the same as intracranial HTN?
no
how do you decr ICP?
- manitol
- incr RR (induce hypocapnea)
- acetazolamide
- trendelenberg positioning
what is the cushing reflex?
HTN + low HR + AMS