week of 5/4 Flashcards
Congenital CMV clinical features
Growth restriction microcephaly periventricular calcifications hepatosplenomegaly thrombocytopenia
phototherapy bilirubin levels 4 day old
> 20
exchange transfusion level for hyper bile 4 day old
> 25
head bleeding that crosses suture line after forceps delivery what vessel
subgaleal
Test for chronic granulomatous disease
Dihydrorhodamine 123 test
nitro blue tetrazolium test
(both test neutrophil function)
chronic granulomatous disease sx
recurrent skin and lung accesses .
XLR
chronic granulomatous disease pathophys
no phagocytic oxidative burst = neutros don’t work
Serum sickness like reaction sx
fever, rashm polyarthralgia 1-2 weeks after exposure
serum sickness like reaction causes
Immune complex formation
antibiotics
Acute hep b
what hormone surge causes referring syndrome
insulin
tx for radial head sublimation (nurse maids elbow)
hyper pronation of forearm/supination of forearm and flexion and elbow
meds that cause idiopathic intracranial hypertension.
retinoids, tetracyclines, growth hormones.
obese women of child bearing age also get it
hereditary specherocytocis test
Eosin 5 maleimide binding
or acidified glycerol test
osmotic fragility- less sensitive but more commonly used
most common heart thing trisomy 18
VSD
Waterhouse Friderichsen sundry
fulminant meningococcemia, purpura, vaso motor collapse , adrenal gland failure
potter’s sequence kidney problem
posterior urethral valves
ALL sx
brusing, bleeding gums
contender lymphadenopathy
hepatosplenomegaly
Friedrich ataxia sx
neuro dysfunction
cardiomyopathy
diabetes
scoliosis of other spine stuff
Meds to avoid with G6PD
Dapsone Isobutyl nitrite nitrofurantoin primaquine rasburicase
primary amenorrhea, uterus present, next test
FSH
Di Gerorge Pneumonic
C ardiac defects (truncal, tet of fallot) Abnormal facies(ears Thymic aplasia Craniofacial abnormalities Hypocalcemia/hypoparathyroid 22(chromosome)
what causes CHRONIC joint pain in hemophillia
Hemosiderin deposition and fibrosis
acute glacoma test if no gonioscopy available
tonometry
pemphigus vulgaris immunofluorescence
netlike IgG
what is a protein gap and what condition has it
total protein-albumin >4, multiple myeloma
multiple myeloma sx
Hypercalcemia Renal failure protein gap normocytic anemia clonal plasma cell proliferation
When to add sterioids to Pneumocystis tx
paO2 <70
A-a > 35
of pulse ox less than 92%
How do immunosuppressants cause AKI
Arteriolar vasoconstriction
what electrolyte most likely low refeeding
phosphorus
look for hypo k also
expanding neck hematoma tx
drain, cricothyrotomy if that doesn’t work.
what is psoas sign
abdominal pain with hip extension
what electrolyte abnormality can bactrim cause
hyperkalemia, blocks sodium channels in collecting tubules
what meds does uworld say causes SIADH
Carbamazepine
SSRI
NSAIDS
what class is amikacin
aminoglycoside
serious complication of aminoglycocides
Acute renal failure
EPO side effect
Hypertension, watch out for crisis
