week of 5/10 Flashcards
Patient’s Cirrhosis screening tests.
RUQ every 6 months to check for cancer and thrombus
which metarsal stress fracture needs casting or internal fixation
5th, rest just need rest and pain control
which quadrant has pain most commonly in. diverticulitis
LLQ
What animal gives you echinococcus
🐶 ususally dog got it from 🐑
echinococcus cyst charactristics and tx
large liver cyst with a daughter cyst inside,
tx: albendazole, percuatenous drainage if >5cm, surgery if rupture
hereditary spherocytocis clinical presentation
hemolytic anemia
jaundice
splenomegaly
heriditary spherocytocis tx
folic acid
blood transfusion
type 4 hypersensitivity reactions are ____ mediated
T cell
type 2 hypersensitivity reactions are ____ mediated
IgG, IgM
type 3 hypersensitivity reactions are ____ mediated
antibody-antigen complex deposition
examples of type 2 hypersensitivity
autoimmune hemolytic anemia
goodpasture’s
examples of type 3 hypersensitivity reactions
serum sickness
poststrep glomerulonephritis
lupus nephritis
criteria for complicated empyema (only need 1 i think)
pH < 7.2
Glucose < 60
WBC> 50,000
what age group most often gets staph scalded skin syndrome
infants and young children
why do patients with crowns get nephrolithiasis
increased absorption of oxalate. This is because of fat malabsorption
massive blood transfusion electrolyte abnormality
hypocalcemia, citrate in transfused blood binds ionized calcium. if patient has impaired liver function this is more likely to happen
Recommendations to decrease VAP
head of bed 30-45 degrees
Continuous or intermittent suction of subglottic secretions
mimimize transport
limit PPI and other antacid use.
Reye syndrome pathology
microvascular fatty infiltration
Rickets clinical manifestations
craniotabes(pingpong ball skull) widening of wrists delayed frontal closure frontal bossing hypertrophy of costochonral joints female and tibial bowing once weight bearing
Glucose-6-phosphatase deficiency (type 1 glycogen storage disease, von Gierke disease) pathphys
impaired glycogen to glucose conversions
Glucose-6-phosphatase deficiency (type 1 glycogen storage disease, von Gierke disease) features
hypoglycemia lactic acidosis hyperurecemia hyperlipidemia doll-like face thin extremities short stature big abdomen from hepatomegaly
massive bleeding 5 days after liver biopsy.
hemophilia
test for esophageal perch
water soluble contrast esophagography
Aortoiliac occlusion(Leriche syndrome) triad
Bilateral hip pain
thigh and butt claudication
impotence
often absent femoral pules also
most common cause of macrocytic anemia in sickle cell patient
folate deficiency
niacin triad
diarrhea
dermatitis(photosensitivity)
dementia
DEATH sometimes
what kind of acidosis does iron toxicity cause
metabolic, anion gap
capillary test pos for leD NEXT step
venous draw (cap has false positive)
lead levels for chelation therapy
> 45
lead levels 45-69 what med tx
dimercaptosuccinic acid(succimer
lead levels over 70 or acute encephalopathy meds
EDTA or dimercaprol
HSP path
IgA vasculitis
HSP sx
palpable purpura on lower extremities, arthralgia, abdominal pain, renal disease/hematuria
skin conditions associated with hep c
porphyria cutanea tarda
cutaneous leukocytoclatic vasculitits (palpable purpura) secondary to cryoglobulinemia
skin condition associated with HIV
sudden severe psoriasis
recurrent herpes zoster
disseminated molluscum contagiosum
severe seborrheic dermatitis
skin condition associated with HIV and PArkinsons
sever seborrheic dematitis
skin condition associated with GI malignancy
seborrheic keratosis. sever, out of nowhere
IBD skin association
pyoderma gangrenosum
features of glucagonoma
Weight loss
necrolytic migratory erythema
Diabetes
GI sx
antibody in PBC
antimitochodiral
first line med restless leg syndrome
dopamine agoinsit like pramipexole,
sencond line is gabapentin
tuberous sclerosis cancers
cardiac rhabdomyomas
subependymal nodules
myotonic dystrophy inheritance
AD
Pityriasis rosea sx
viral prodrome, then big red spot, then s,all red spots.
what causes failure to thrive in CF
pancreatic insufficiency,
recurrent infections also
What type of stridor does laryngomalecia have
inspiratory
what posiition improves laryngomalacia
prone
time to onset and MOA of drug induced immune mediatred hemolytic anemia
acute, hapten mediated hemolysis
baby that was born normal now has apathy, weakness ssm hypotonia, large tongue, abdominal bloating, and umbilical hernia, dx?
hypothyroidism
