week of 5/25 Flashcards
Disseminated gonococcal infection triad
tenosynovitits
dermatitis
migratory polyarthralgia
WBC count in tap from gonococcal infection
like 30,000 less than 50,000 like most bacteria
what does nieman pcik have that tay-sachs doesn’t
hepatoslenomegaly
areflexia, tay sachs has hyperreflexia
deficiency niemann pick
sphingomyelinase
taysach’s deficiency
B-hexosaminidase
alkalosis effect on calcium
increases the amount bound to albumin. H+ dissassociate from albumin so it binds to Calcium
where is pain in pes anserinus syndrome
medial at joint line
where is pain in patellofemoral syndrome
anterior at joint line
prophylaxis for tumor lysis syndrome
IV fluids most important
-allopurinol, rasburicase
what hormones do opioids suppress
GnRH and LH
HTN and hypokalemia first test
plasma renin activity and plasma aldosterone concentration
type of white blood cell elevated in primary adrenal insufficiency
Eiosinphils
nerve thing dialysis and cause
carpal tunnel
-dialysis related amyloidosis, increased venous pressure during dialysis worsens symptoms
Most common risk factors for developing bacterial sinusitis
cold or allergies before
major risks Kawasaki disease
coronary aneurysm and thrombosis
what causes warfarin induced skin necrosis
protein c and s deficiency from the loading dose = clot
ace/arb Moa
Reduces glomerular hydrostatic pressure
tx for drug induced interstitial nephritis
stop med
how does hyperventilation lower ICP
vasoconstriction
perilymphatic fistula symptoms
endolymph leakage
progressive sensorineural hearing loss
episodes of vertigo with nystagmus worse with valsalva
Fredrich ataxia clinical presentation and inheritence
AR cerebellar ataxia dysarthria loss of vibration and position sense absent dtr hypertrophic cardiomyopathy scoliosis diabetes
blepharitis presentation
burning or itching of lids, discharge, and foreign body sensation
calcific uremic arteriopathy clinical manifestations. and cause
painful nodules and ulcers
soft tissue calcification on imaging
arterial calcification
caused by hyperphosphatemia
calcific uremic arteriopathy
risk factors
End stage renal disease hypercalcemia hyperphosphatemia hyperparathyroid obesity diabetes oral anticoagulation
d xylose absorption celiac
low
what is dacrocystitis
infection of lacrimal sac
what causes problems in tamponade
decreased lv preload
what abx to avoid in patients with aortic aneureysm stuff
fluroquinolones- collagen stuff
TRALI tx
respiratory support and supportive care
membranous nephropathy risk factor
hep b
thiazide effect
K+
Ca2+
glucose
K+ ⬇️
Ca2+ ⬆️
glucose ⬆️
hypothyroid prolactin levels and fsh lh levels
prolactin ⬆️
fsh/lh ⬇️
clinical features of sellar mass
pituitary adenoma, craniopharygioma, meningioma, pitiivytoma
Diplopia/bilateral hemianopsia
HA
Hormonal deficiencies
when to use tranexamic acid
uterine atony
Risk factors for NRDS
Diabetes and prematurity
vaccines for prego
flu
Tdap
vaccines contra indicated in pregnancy
MMRV
Live flu
HPV
tx for labial afhesion
topical estrogen
risk factors for cervical insufficiency
collagen defects
uterine abnormalities
cervical conization
obstetric injury
what hormones increase insulin resistance in third trimester of pregnancy
- Human Placental lactogen
- placenta makes somatomammotropin
Billiary Atresia
Direct bili
GGT
retic count
Direct bili ⬆️
GGT⬆️
retic count normal
painless blurred vision, glare, halos
catarcts
abx for uti in baby
3rd gen ceph like cefixime
ALL-
RBC
Platelets
Leukos
RBC ⬇️
Platelets⬇️
Leukos ⬆️ mostly blasts
Emperic tx for epiglottis
Vanc and ceftriaxone
Tuberous Sclerosis cancers
Subepyndymal tumor
cardiac rhabdomyomas
angiomyolipomas (renal)
pertussis post exposure prophylaxis guidlines
macrolides for everyone.
hydralazine is strongly associated with what side effect
drug induced lupus
ferritin in alcoholic hepatitis
⬆️
prolactin effects on estrogen
⬇️
McCune-ALbright clincal stuff
Irregular Cafe au lait spots
precocious puberty
axillary and pubic hair
fibrous dysplasia of bone
Kartagner syndrom clinical features
recurrent sinopulmonary infections
bronchiectasis
situs inversus
homecystenuria picture
AR retarded thrombosis downward lens dislocation megaloblastiv anemia fair complexion marfanoid habitus
risk factors for PPROM
Prior PPROM
GU infections, even asymptotic
antepartum bleeding
Acute fattly liver of prego tx
deliver that baby right now
patellofemoral pain syndrome clincial findings
pain with isometric contraction of the quadriceps
rbs
wbc
platlets in APL
all down
what are APL patients at risk for
catastrophic hemorrhage due to consumptive coagulopathy
numbness or pain over 3rd and 4th toes,
clicking sensation when palpating space between 3rd and 4th toe while squeezing metatarsal joints
morton neuroma
mixed connective tissue disease marker
anti-U1 ribonucleoprotein
biphasic stridor better with neck extension
vascular ring
