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15 Cards in this Set
- Front
- Back
Coarctation of the Aorta
Association S/S sequelae |
Turner association & usually occurs distal to the left subclavian artery.
UE HTN, Bottom 1/2 rib notching(where the NV bundle is),Pulsus paradoxus May die from berry aneurysm rupture later in life if COA not repaired. |
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Complications of DM early vs late
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Early
1)blurry vision(lense swell) 2)orthostatic hypotention(get dehydrated) 3)polyuria, polydipsia, polyphagia, nocturia LATE get neuropathy 1) Diplopia:CN 2) Gastroparesis:N-V after eating 3)Peripheral neuropathy 4)Ortho hypotention: diminished vagal response. |
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B-locker CI
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Severe asthma
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Describe hypokalemia SS
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Get muscle weakness
-illeus -poor respirations -decreased or absent dtr's |
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xeroderma pigmentosa
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AR disorder of defective DNA repair(can't splice out pyrimidine dimers) so get alot of skin cancers.
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Cirrhosis
SS Microscopy Sequelae |
Firm, non-enlarged nodular liver in alcoholic or long term hepatitis paient who has signs of portal hypertention (ascites,shifting dullness).
Liver has fibrotic bands on microscopy. Increased risk of HCC |
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Hodgkin Lymphoma
SS Dx Association |
15-24 w/ cervical adenopathy, night sweats and weight loss.
Biopsy the LN to find reed stromberg cells(binucleate owls eye) Associated w/ EBV |
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Congenital hip dysplasia
SS Dx Association Tx |
Do barlow(bonin) & ortlani and will hear a click.
Dx w/ U/S Seen more in female and breach Will cause arthritis later in life. Earlier the tx the better the outcome and just splint it. No surgery. |
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Upper motor neuron lesion
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babinski and hyper-reflexia
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S4
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LVH or non-compliant ventricle
-Amyloidosis(speckled pattern Echo) -Hypertrophic cardiomyopathy(with aortic stenosis like murmur & family Hx) |
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Staghorn calculi culprits
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Ammonia secreting organisms:
Proteus S.Saprophyticus |
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UTI in kid workup
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Must do voiding cystourethrogram and U/S to rule out Vesiculo-ureteral reflux or posterior urethral valve.
If kid gets repeated infections give antibiotic prophylaxis and eventually surgery to prevent chronic pyelo(blunted calyces and parenchymal scarring) |
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Acute renal failure causes
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Pre-renal(Bun/Cr>20)
-dehydration(give fluids) -sepsis(Abx) -Heart failure(dig & dieuretic) Post renal -BPH(hesitate, dribble,b/l hydro on U/S, put in catheder to relieve and do TURP) Renal -myoglobin/contrast -Goodpasture/Wegener -ATN/PSGN/SLEGN -Methicillin/NSAID(papillary necrosis) |
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Conjugated hyperbilrubinemia
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-Neonatal cholestasis or biliary atresia
-hemolysis -Hepatitis |
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Unconjugated hyperbilrubinemia in kids
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LOW UDP Glucuronyl Transferase
Gilbert(<3) Crigler Najar(5-25) |