Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
12 Cards in this Set
- Front
- Back
|
Causes of Acute Urinary Retention
|
Obstruction at Penis. Urethral obstruction. Prostate. Neurologica Diseases. Medications.
|
|
|
Type I RTA
|
Renal Tubule Acidosis is an impaired function of distal H+ secretion. Hypokalemic hyperchloremic metabolic acidosis. Causes by NSAIDs, autoimmune.
|
|
|
Type II RTA
|
Is impaired proximal tubule reabsorption of HCO3-. Causes Hypokalemic hyperchloremic acidosis.
|
|
|
Type IV RTA
|
Antagonism or deficency of aldosterone secretion.
|
|
|
Management of Urinary Retention
|
Place a 16 or 18 french foley catheter to drain urine. Do not force. If prostate is not passable than try coude catheter.
|
|
|
Clinical Presentation of PID
|
Lowe abdominal tenderness, adnexal tenderness, and cervical motion tenderness. Presence of vaginal discharge, elevated serum leuckocyte counte, and presence of gonorrhea or chlymydia.
|
|
|
DDx of PID
|
Ectopic pregnancy. Ovarian torsion. Appendicitis.
|
|
|
Outpatient Treatment of PID
|
Levofloxicin 500mg po qd for 14 days or ofloxacin 400mg po bid for 14 days.
Ceftriaxone 250mg IM once. |
|
|
Inpatient Treatment of PID
|
Cefotetan 2 IV q12h or cefoxitin 2g IV q6h and doxcycline 100mg PO.
|
|
|
DDx for Idiopathic Bells Palsy
|
Lyme disease. tumors of temporal bone. Ramsey hunt syndrome. Acousit neuromas. Stroke. GBS. Polio. Sarcoid. HIV.
|
|
|
Ramsey Hunt Syndrome
|
Herpes zoster of the geniculate ganglion.
|
|
|
Management of Bells Palsy
|
Eye patch for sleeping and artificial tears to prevent corneal abrasion. 1mg/kg/day oral prednisone for 7 to 10 days to decrease CNVII swelling. Also acyclovir 400 to 800mg by mouth 5 times a day for 10 days.
|
