Week 1 Flashcards
MELD score components and what its used for
Bili, INR, Cr, Na
Gives 90 day mortality risk liver disease
Treatment principle of acute hep B
Outpatient followup with serial labs…most cases spontaneously resolve
Rates of hep B progressing to chronic hepatitis (Adult, child, perinatal)
Adult <5%
Child 20-50%
Perinatal 90%
Best therapy for negative symptoms of schizophrenia
Social skills training
2nd generation antipsychotics are no longer recommended for negative symptoms
How do anginal symptoms differ in elderly (>80yo)?
Often present with SOB rather than chest pain
“SOB with exercise that resolves with rest” as opposed to CP with exercise that resolves with rest
Most important risk factor in AAA expansion/rupture
Smoking
Treatment of choice for localized dystonic reactions (blepharospasm)
botox
Chest pain in a SLE patient. Think…
CAD/MI
SLE leads to accelerated atherosclerosis, thus making it a HUGE risk factor for MI at early ages. (also think of pericarditis too)
3 benign calcification patterns in lung nodules
Popcorn
Concentric
Central
(all these things are mostly symmetric, which is good)
2 requirements for hospice care
Prognosis <6mo
Decided to forgoe all life prolonging tx
2 complications of scaphoid fractures if not adequately treated
Non union
Necrosis
At what gestational age should external cephalic version be offered?
> 37 weeks because most will spontaneously correct before then
3 main contraindications to ECV
Placental pathology
Multigestation
IUGR
(active herpes)
3 EGD findings associated with pernicious anemia
Atrophic rugae in FUNDUS
Glandular atrophy
Intestinal metaplasia
Triad of TTP
Hemolytic anemia (jaundice)
AMS
Petechial rash
Asthma patient develops recurrent episodes of cough, brown/bloody sputum…think:
Allergic Bronchopulmonary Aspergillosis
Treatment for ABPA
STEROIDS FIRST!!!
Then itraconoazole/Voricon (ampho if systemic)
PFTs for obstructive lung disease
FEV1 reduced
FEV1/FVC reduced
PFTs for restrictive lung disease
FEV1 decreased
FVC decreaed
FEV1/FVC normal or increaed
First step in managing shoulder dystocia
Mcroberts –> Hyperflexion of moms hips
Then add suprapubic pressure
How many kcal/kg/day is recommended for average adult getting NG feeds?
30kcal/kg/day
What infectious disase is lichun planus associated with?
Hepatitis C
Osmotic stool gap calculation
290 - 2x(StoolNa + StoolK)
Stool osmolar gap interpretation
Low <50, secretory diarrhea
High >125 osmotic diarrhea (lactose, celiac)