Week 5 Flashcards

1
Q

Miller fisher syndrome

A

Variant of Guillan Barre Opthalmoplegia, ataxia, and areflexia Strength is often preserved Highly associated with anti-GQ1b antibody

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2
Q

Glucagonoma

A
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3
Q

arteriovenous fistula

A

Symptomatic AVF decreases systemic vascular resistance, increases cardiac preload and increases cardiac output

Clincial signs inculde widened pulse pressure, strong peripheral arterial pulsation, systolic flow murmur, tachycardia and usually flushed extremities

ECG usually shows left ventricular hypertrophy

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4
Q

Right ventricular MI

A

Nitrates should be avoided as venous dilation causes an abrupt decrese in RV preload and can lead to profound hypotension

Similary diuretics and opiates should be avoided or administered with caution

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5
Q

Clinical features of peripartum cardiomyopathy

A
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6
Q
A
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7
Q

Prophalaxis criteria for lyme disease

A
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8
Q

Refactory migrane treatment

A

Non responding to simple analgesics eg nsaids and acetaminophen or assoicated with nausea/vomitting

IV proclorpezine (blockes D2 and seratonin receptors)

or triptptans

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9
Q

Disase modifying antirrhemuatic drugs and side effects

A
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10
Q

Central retinal artery occlusion

A

Emergently treated with occular massage and high flow oxygen treatment

painless loss of monocular bision is the usual presenting symptom

, endocarditis, long bone fracture, hypercoaguable state risk factors include

Fundoscopy reveals diffuse ischemic retinal whitening and cherry red spots

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11
Q

Migrane therapies

A
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12
Q

Common types of kidney stones

A
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13
Q

Lambert eaton, myasthenia gravis, dermatomyostitis

A
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14
Q

Complex regional pain syndrome

A
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15
Q

Frostbite

A
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16
Q

Indications for specialized RBC treatments

A
17
Q

Criteria for extubation

A
18
Q

Ventricular aneurysm

A

Post MI complication (5 days to 3 moths post MI)

thin and scarred or fibrotic myocardium in remodeled areas affected by an ST segment elevation or a transmural MI

Can cause HF

Usually ST segment elevations resolve within a few weeks of an MI

VAs present with ECG findings of persistnet ST segment eleation after a recent MI and deep Q waves in the same leads

Diagnosis confirmed by echocardiography

19
Q

Acities fluid characteristics

A
20
Q

primary billiary cholongitis

A
21
Q

Approach to dysphagia in patinet with HIV

A
22
Q

Carotid artery disection

A
23
Q
A
24
Q

Pagets disease of bone

A
25
Q

Cyclophasphamide

A

Alkylating agent frequently used as an immunosuppressant in SLE , vasculitis and certain cancers

For SLE reserved for paitnets with significant renal or central nervous system problems

Many side effects

Acute hemorrhagic cystitis, bladder carcinoma, sterility and myelosupression

26
Q

Dihydropyridine

A

ca channel blockers

Can cause peripheral edema