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12 Cards in this Set
- Front
- Back
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What is the next step management?
- pt with end-stage renal failure - serum creatinine > 15mg/dl |
1. standard conservative treatment
- limit protein intake <60g/day - restriction of fluid intake - reduction of K levels by insulin-glucose ot sodium polystyrene sulfonate (Kayexalate) enema treatment 2. AV fistula creation: need 2 wks 3. temporary dialysis 4. renal biopsy to diagnose underlying renal disease |
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What is the next step management?
- pt with end-stage renal failure - serum creatinine > 15mg/dl - uremic hyperkalemic - in congestive heart failure |
1. standard conservative treatment
2. emergency dialysis |
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What is the next step management?
- 2 yrs after orthotopic heart transplant - signs of congestive heart failure |
Pt now developed accelerated graft arteriosclerosis
- percutaneous transluminal coronary angioplasty or - coronary artery bypass grafting or - retransplantation |
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What is the leading cause of death after 1st year of cardiac transplantation?
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1. infection
2. graft atherosclerosis |
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What are some treatment for acute rejection of renal transplant?
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- high dose steroids or
- high dose steroids + antithymocyte globulin or - high dose steroid + OKT3 |
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6 wks after heart transplant, pt developed fever, malaise, myalgias.
What other symptoms might he/she experience? |
This is probably CMV infection:
- pneumonitis - ulceration and hemorrhage in the stomach, duodenum, colon - hepatitis - esophagitis - retinitis - pancreatitis |
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When should chemotherapy start after transplantation?
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10-14 after to allow adequate wound healing
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What IV chemo drugs cause severe ulceration and sloughing?
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extravasation of agents(those that bind nucleic acid) during IV administration
- doxorubicin - daunorubicin - dactinomycin - mitomycin C - mithramycin |
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Excisional or incisional biopsy for soft tissue mass?
- small masses for which excision would not jeopardize subsequent treatment should a sarcoma be found |
excisional biopsy
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Excisional or incisional biopsy for soft tissue mass?
- 6cm mass, rapid growth, symptomatic |
incisional biopsy
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What is the most common site in the GI tract for non Hodgkin's lymphoma?
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1. stomach
2. small intestine 3. colon |
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What is the next step management?
- non-Hodgkin's lymphoma comfined to the submucosa |
- surgery alone or
- combined chemo and radiation therapy |
