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47 Cards in this Set

  • Front
  • Back
Bacterial
Nuchal Rigidity
Decrease Glucose in CSF
Cloudy CSF
HA
Bacterial Meningitis
Cancer of plasma cells that over run bone marrow
Recurrent infx
Bleeding tendencies
Treatment: Chemo
Multiple Myeloma
Severe bone infx
Most commonly caused by staph
Don't treat with heat
Takes long term tx which may include bone grafts
Osteomyelitis
Results from a bacterial infection of the bladder
S/S chills, tenderness when kidney area palpated
Tx: antibiotics, 2-3 L fluids
Pyelonephritis
Increased Uric acid production or excretion by kidneys
Increased intake of purines
Recurrent arthritis type attack
Tx: avoid liver, wine, beer, goose, sardines, venison
Gout
Inflammatory bowel disease
Genetic
Chronic
Avoid eating roughage
Crohn's disease
Degeneration of liver cells
ETOH abuse main cause
Increased Ammonia/Clotting factors
Tx: Vit B, no ETOH, minimize ASA, NSAIDS
Liver Cirrhosis
Pt produces enough insulin to prevent DKA but has severe hyperglycemia
Tx: Insulin drip, O2
HHNS Hyperglycemic nonketonic syndrome
Chromosomal abnormality #21
Occurs more frequently in older preg women
Increased risk of resp infection
Increased D.D.
Down's syndrome
Basal ganglia disease
Triad of s/s: Bradykinesia, rigidity, tremor
Lack of Dopamine
Parkinson's
Presence of lining of uterus outside of uterus
Very painful
May require surgery to remove implants
Endometriosis
Inflammation of connective tissue
+RF factor
Effects small joints
Increased ESR and c-reactive protein
Genetic
TX:methotrexate DMARD
Rheumatoid Arthritis
Inflammation of the liver w/viral cause
Spread through fecal(poop)/oral route
Increase calories/protein/carbs
Low fat diet
Hepatitis A
Antibodies attack acetylcholine receptors
S/S fluctuating weakness of skeletal muscles, eyelids, chewing, swallowing, speaking
Dx: finding of Ach antibodies
Tensilon test
Myasthenia Gravis
Nonprogressive encepholopathy
Movement disorder
Causes: Rh/ABO incompatibility, rubella, anoxia at birth
Cerebral Palsy
Removal of blood plasma to clean up antibodies
Plasmapharesis
Chronic multisystem inlammatory disease
Butterfly rash
Autoimmune
Genetic
Many organ involvement
Sunburn easily
50% w/renal problems
Lupus
Wkness anemia, ulcers
Inadequate Vit C
Affected sailors
Scurvey
Incompetent LES pyloric sphincter
Pyrosis
Avoid smoking/milk products
Worse w/chocolate, ETOH
Increase protein/reduce fat
Nissan Surgery
GERD
Autoimmune
follows untreated strep infx
inflammatory condition in kidney
Glomerylonephritis
Absence of ganglion cells in rectum
Delayed passage/absence meconium
Possible colostomy
Hirschprung's disease
Follows viral infection
PNS
Weakness of lower extremities
Can cause respiratory distress
CSF Inc protein in 7-10 days
Plasma exchange
Guillian Barre
Esophagus terminates before it reaches the stomach
Risk- Aspiration, hx of polyhydramnios
Esophageal Atresia
Paralytic, and potentially fatal
N/V/D
Avoid improper canned foods
Botulism
Gestational trophoblastic disease
Abnormal development of trophoblasts
Larger than expected uterus
Inc hcg levels
Tx- evacuation
Long term cancer risk
DO NOT get pregnant for >1 year
Hydratiform Mole
Genetic
Cysts on kidneys
Scarring results in end stage renal disease
Dialysis or transplant
Polycystic Kidney Disease
Missing enzyme that converts galactose to glucose
Tx- eliminate milk and lactase containing products
Can cause DD, cataracts, liver damage
Galactosemia
Viral RNA changes to viral DNA due to reverse transcriptions
Lowers T cell counts
Opportunistic infection common
Treated with AZT
AIDS
Genetic, GI mucosal changes
N/V/D, growth failure
Gluten free diet (wheat, barley, rye)
Corticosteroids to decrease swelling of stomach mucosa
Celiac Disease
Acute encephalopathy
Inc ammonia levels due to liver problems
Aspirin use in Children
Reye's Syndrome
Widespread nonarticular musculoskeletal pain
Tender points - 11 out of 18
Dec sugar, ETOH, caffeine
Muscle relaxers
Chronic
Fibromyalgia
Needs decreased protein diet
Newborns tested during the 1st week
Cannot break down phenylaline
Lifelong management
DD
PKU
Decreased ACH and GABA
Increased Dopamine
Chorea
4000-5000 calories/day
Autosomal Dominant
Chromosome 4
Average age 30-50
Huntington's Disease
Deer rick
Mimics MS, meningitis
Erythema migran lesion
Long term : Arthritis, Facial paralysis
Lyme's Disease
Opening underside of penis
No circumcision prior to surgery
Hypospadias
Bone disorder - inadequate Vit D
Spongy bones
Egg, fish,veggies
Skeletal, FX
Osteomalacia or Rickets
Demyelination of nerve fibers
Remissions/exacerbations
Blurred vision/fatigue, weakness, tinnitus
More prevalent in midwest/certain climates
Multiple Sclerosis
Loss of motor neurons brainstem/spinal cord
Men 2:1
Cognitively intact
Dysarthria, dysphagia
Respiratory complications
ALS
Inflammation of the gallbladder
Pain in RUQ
Decrease fat/calories
Increase liquids/light meals
Cholecystitis
Inflammatory disease that affects axial skeleton
Dense fibrous scars
Low back pain
Limited ROM
Ankylosing Spondylitis
Decrease Ach and norephinephrine, seretonin
Loss of white matter (cortex)
Progressive irreversible cognitive decline
Most common dementia
Alzheimers
Increased PSA
Not due to BPH
1 in 5 men develop
Slow growing - no early symptoms
Prostate Cancer
Inflammation /Ulceration of colon and rectum
Rectal mucosa edematous
Abscesses develop
Bloody D, 10-12/day
Decrease roughage in diet, IV fluids, electrolytes
Ulcerative Colitis
Portion of stomach herniates into esophagus
No ETOH or smoking
GERD
Inc carbs, Dec fat
Inc fluids with meals
Small frequent meals
Hiatal hernia
Clostridium tetani - Anaerobic bacilli
Spores in soil, garden, mold
Animal bites, Dental infection
Booster every 10 years
Repeat if injured every 5 years
Tetanus
Inc in amniotic fluid
Causes: Esophageal Atresia
Gestational Diabetes
Danger preterm labor, Check NB
Polyhydramnios
Often follows viral infection
CN 7
Takes months to go away
Eye drops
Can reoccur
Bells Palsy