Week 4 Flashcards
Cyclosporine
Pancoast tumors
Tremors
Alzhemimer MIR findings
Early AD, MRI may be normal
Later stages-Temporal lobe atrophy which is most prominent in the hippocampi and surrounding medial temporal lobes
Acute nitrofuratonin induced pulmonary injury
Lung injury
acute hypersenstivity pneumonitis
Long term can lead to interstitial lung disease
Microbiology associations of infective endocarditis
Initial stabilization of acute ST elevation MI
Diuretics recomented for acute pulmonary edema
B blocers standard therapy in MI but should be avoided in patients with decompensated congestive heart failure or bradycardia
Wallenberg syndrome
Primary renal causes of nephrotic syndrome
Causes of hyperandrogenism in women
Primary ovarian androgens are testosterone, androstenedione and dehydroepiandrostone (DHEA)
Women with elevated testosterone with normal DHEAS leves suggest ovarian source
Elevated DHEAS levels suggest adrenal tumor
Common skin infections
Differentiation of conjunctivis
Pulmonary nodule workup
Antiplatelet/Antithrombotic therapy for ischemic stroke
Foodborn botulism
Optic neuritis
Renal vein thrombosis
Complication of all causes of nephrotic syndrome
Most commonly associated with membranous glomerulopathy
Phenytoin toxicity
Antieptilitic that inhibits V gated Na channels
Acute toxicity intially manifests with signs of cerebellar dysfunction (horisontal nystagmus, ataxia, dysmetria, slurred speech, nausea vommiting) hyperreflexia may occur
Sever toxicity results in altered mental status, coma, paradoxical seizures and death
Euthyroid sick syndrome
Fall in total and free T3 levels with normal T4 and TSH levels
Aminoglycosides major side effect
Nephrotoxic and drug levels and renal function must be monitored closley during therapy
Approach to wide-complex tachycardia
Peritonsillar abscess
Potential complication of tonsillitis
Requires IV antibiotics and urgent drainage
Deviation of the uvula and lymphadenopathy can be helpful in distinguishing a peritonsillar abscess from epiglottis
Hyperthyroid bone disease
Major drug interactions of levothyroxine
Multifocal atrial tachycardia
Natural history of diabetic nephropathy
Brain lesions and clincial presentaitons
Babesiosis
Nonbleeding varicies
Prophylactic treatemnt with non selective beta blockers is recomended to reduce the liklihood of progression to large varicies as well as the risk of variceal hemorrhage
Bacilliary angiomatosis
Multiple myeloma
Clinical features of fibromusclar dysplasia
Vascular remodeling after MI
Can lead to dilitation of the ventricle
Process lessened by ACE inhibitors
Male hypogonadism
Chikunguya fever
aphasias
Multiple system atrophy
Iorn studies in microcytic anemia
Metabolic side effects of thiazide diuretics
Hypoglycemia, increased LDL and plasma triglycerides and hyperuricima
Renal cell carcinoma
Milk alkali syndrome
Medications that can cuase hyperkalemia
Management of tricyclinc antidepressant overdose
Noninvasive positive pressure ventilation
Uric acid kidney stones
Mitral stenosis
Side effects of amiodarone
ARDS
High homocystine levels
Give B6
Lowers homocystenime by acting as a cofactor for metabolism of homcystine into cystathione
Casts
Medical therapy that improves morbidity and mortality in patients with known coronary heart disease
running injuries of foot and ankle
Myoclonus
Common clinical features of untreated acromegaly
Clinical manifesations of hereditary hemochromatosis
Site of hemorrhage neurologic findings
Budd-Chiari syndrome
Differential diagnosis of myopathy
Constrictive pericarditis
Thyroditis
Clinical features of MS
Treatment of idopathic intercranial hypertension
Acetazolamide +/- furosemide
Inhibits choroid plexus carbonic anhydrase, therby decreasing CSF production and IH
Optic nerve sheath decompression or lunboperotoneal shunting is recomended for patients refactory to medical therapy
Scleroderna renal crisis
Renal falilrue, malgnant hypertnesion, peripheral blood smear can show microangiopathic hemolytic anemia with schistocytes and thrombocytopenia
Antithyroid drugs side effects
PTU and methimazole
Fever and sore throat suggests agranulocytosis
Antithyroid drugs should be stopped and WBC count checked
Nephrotic syndromes and cancer associations
Membranous nephropathy-Carcinoma
Minimal change disease-Hodgkin lymphoma
PVC treatment
Only for symptomatic patients
Beta blockers and Ca channel blockers are first line therapy
Clinical features of dermatomyostis
Treatment of trigeminal neuralgia
Carbamazepine
Anticonvulsant that can cause nausea and vomiting as well as leukopenia
Features of tabes dorsalis
Differentail diagnosis of neck pain
OA finidngs
Pulmonic valve stenosis
Hereditary cancer syndromes
Heminiglect
Nondominant parietal lobe
Corneal abrasion
Common hereditary cancer syndromes
Granulomatosis with polyangitis
Toxic alcohols
Stress tests
Felty syndrome