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;
603 Cards in this Set
- Front
- Back
|
porphria cutane tarda
|
deficine of uroporphyrigon decarboylas heme syntehsis mess up
painless blister increase skin fagilty on doral sufaces of the hadn face sun exposed areas hyperticosis and heprgmenatio look for hep c liver relationship high urophygin in urine |
|
|
tetracycline
|
sun exposure erythema drug used in acne exaggrate sun burn
phontosensitviy teeth staingin in children enamel hypoplasia |
|
|
oral candidas tx
|
simple nystatins swish and swallow only in immunocomporomised
can be scraped off can be seen in normal kids and vulvovagintis in women |
|
|
Candidna scarpes off eaisly true or flase
|
True true true
luekplaia stuff not come off remeber that sham |
|
|
toxi epi necor
|
same as slcaded skin but drug induced sulf pheno nsaid
|
|
|
necrotizing fascititis
|
cellulitis tht dissect into the facial planes of the skin pain out of proportion elevate creatin phophkinase
surgery best way to confirm and mainstya of therapy |
|
|
angioedam
|
c1 esteras inhibitor
after infection or trama |
|
|
erysipelase
|
bacterial infection of deeper layer of the skin dermin and epidermis
|
|
|
atopic dermatits
|
1st year of life
sysmmetric prutic lesion check chest extermely pruritc hgih igE levels |
|
|
psorasis
|
increased by litihum
not pruitic bleeds when comes off tx salcicyulic acid then topcal steriods |
|
|
femawarfarin induced skin necrosis
|
pain bulae formation and skin ncecrosis breat buttock things and abdome weeks after start therapy viamin K should be peomle adminsith
|
|
|
toxic shock syndrome where is the skin affected
|
fever over 102
bp <90 vomint involvement of mucous membranse of eye mouth and genital increase in cpk and live fucitn test give fluides pressors nafcillin |
|
|
molluscum cnatagiousm
|
pox virus
dome shap central umbilicatoin inclusion bodies spontanously disappers adults gentitlai and perinal regio children turnk extremeit or face freezing crettage |
|
|
warafin skin necorsis
|
give vitamin k look for pt on afib and all suddely has skin peeling
|
|
|
what jewlery can cuase allergicn contac dermatitnc
|
nickel
|
|
|
cellultis
|
inflamation of skin exttedn into deeper tissue beta hemo strep and staphy aures generlaized sweeling erthmatous warm tender
QUESTION THAT LOOKS LIKE EMBOLI TO LEG NO CARDIC RISK intraveous nNAFICILLIN or cefazolin |
|
|
roseaca
|
telangialeaic check nose chin
like acne but in the middle age emtotion hot drinks tx metro |
|
|
pemhig vulgaris
|
fish net
attack glue that holds it together intercelluar spance of epidermal cells younger patients pianfulr whe they rupture oral mucos mmbrane rapide be easy speartion of the eipiderime dx Igg and c3 in epi tx glucocorticoids prednisone |
|
|
What will biopy of dermatits herpetiform show
tX |
pruitic
depostion of IGA dapsone also seen in gi cancers |
|
|
what is the dz is assicatioed with vitilago
|
antithyroid antigboiesd
DM pernicious anemaia destruction of melanocyte |
|
|
what is seen in vitiloga
tx |
total absencs of melanocytes
HAND AND FACE LOOK FOR MELANOMA pt must wear suncreens |
|
|
contact dermatits
|
vesciles and bulle
type 4 hypersenstivie LIKE TB cold compress topical steroids |
|
|
seborrheic keatosis
|
exophyi waxy brown paplue and plauqes
HYPERPLASIA OF BENIGN BASALOID EPIDERMAL CELLS No malignant potential tx cyrotherapy or curettage |
|
|
impetgio tx surpficial
|
bacitraticn or mupirocin
systemic oxacilin naficillin or cefaxolin can be stap or strep stap cause bulluos can SSSS |
|
|
what carries the moelcues to the lymph noeds and expose them to T lyponcyes
|
langerhnas cells
|
|
|
what does malessizia furfur do
dx tx |
small scaly patches of varying color hyper pgiemnted by thickend sclae
inbiibts the transfer of melanian cuases tinea visecolor spigatti and metballs dx by koh tx selenium sulfide |
|
|
Takayasu Artertits
DX and TX |
Young Asian females pulse dx
angiogram Steroids and cyclophophamide |
|
|
Fibromylia ESR?
TX? |
Normal
Antidepressants and NSIAD |
|
|
Churg Strauss Tx
|
Prednisone plus cytotoxic drug mointor by ESR and Eosinophil count
|
|
|
primary polydipsia do
|
look at the specific gravity if low than 1.003
hyponatremia and maximally dilute urine siadh will cuase increase in osmolarity in urine |
|
|
Churg Strussy DX
|
astham
eosinophilia mononeropaty muscle wasting loss in hand and feet paranasal and sinus abnormalitis |
|
|
how does malingancy cuase hypercalcemia
|
cytokins IL-1 and TNF
parathyroid hormone relate peptid clacitril and ectpic pth |
|
|
Cluster HA tx
|
Men recent alcholo or vasodialti drugs
excricaitn unilater periobirtal ha ipsilateral lactirmation HORNERS NASAL CONJUNCTIVA Oxygen ACUTE ERGOTS CCB PRHOPHYLACTIC |
|
|
RBC cast
HAYLINE WHITE CELLS EOSINOPHILS BROWN TUBLUAR GRANULAR |
nephrtic or nephortic syndrome
VOULUME DEPLETION Acute Interstial Nephitisr sulfa ATN |
|
|
Primary biliar cirrhosis
|
sjogren cyndorm ra and sclerderma
fatige an pruritus elevalte alkalin phospatase and ggt total IgM ANTIMITOCHONDRIAL ANTIBOYD BIOPSY STEROID WILL NOT HELP ursodexoy cholic acid |
|
|
type IV RTA
TYPE II TYPE 1 |
aldoestione deficieny
HCO3 REABOSRPTION RICKETS H SECRETION NEPROLITHIASIS |
|
|
post exercinse cough DX TX
|
excreise induced astham
tx b2 agoinst |
|
|
s3 means what
|
left ventricualr faliure or volume overload
|
|
|
fire and increase in metabolic acidosis
|
CO get increase in acid from muscles bc of anaerboic metabloism
HIGGS SAYS YOU CHECK CARBOY LEVELS |
|
|
STage 1 htn
|
140-160
90-99 |
|
|
what do you first try in pregancy for htn
|
labetalol, hydralazine
alpha methyol |
|
|
htn urgency
|
200/120
|
|
|
In Conns what is the renin level
|
Low
|
|
|
Myeloma Tx
|
back pain hypercalceim pancytopenia
Melphlan and predisone |
|
|
coarctation of the aorta is what genetic dx
|
turner
|
|
|
what are the prophylactic agent in asthma
|
cromoloyn and
luektriene inhbitor firluakst and ziluetion which should not be used in acute setting |
|
|
ankyosing spondylitis worsens with what
|
inactivity and in the mornigns in males
DIANGOSIS WITH X RAY NOT HLAB27 UVEITIS AND HEART BLOCK |
|
|
Tx of ankosing spndylitis
|
Nsaids
|
|
|
Abdominal anuersum what do you do next
if hypotension tx |
ab ultrasound
surgery |
|
|
recent infection with rapid breathin and wight loss and polydipsia and polyuira
|
DKA
|
|
|
BCC is metastatic
Risk Factors |
No
chronic UV light arsenic exposrue or ingherit BCC neuvs syndrome |
|
|
nephrotic in kids
|
c3 is normal
|
|
|
what is spared in varicella
|
palms and soles
crops of lesions in various stages papule to vescile to pustuel crsut Pt contagious |
|
|
RA TX
|
1st nsaid then hydoroxcholorquein sulfaslazind and metotreaste
|
|
|
which lung cancer cuases gyemnocamstic
|
larger LEAST COMMON PRONGOSIS POOR
DONT CONFUSE ADENOCARCIONAM PERIPHERAL LOCATION BRONCHOALVEOLAR CARCIONMA assoicated with nonsmoking |
|
|
age of
bronchilitis cropu epiglotitis |
018 months
1-2 year 2-5 years B < C < E |
|
|
epiglotitis is by what organishm
|
hemophilisn influenze
|
|
|
what will be seen on epiglotis in xray
and tx |
swollen epiglotis thumb sing
tx intubation or tarch and iv antibiotics no epi |
|
|
croup is cause by what
|
parainfluenz and influenze
tx humidified oxygen in mild epi and cortocosteois for moderate |
|
|
which is done first vp scan
or pulmonary angiogram |
vp scan
|
|
|
obstruvie jaundice plus weight loss
|
Pancreatic cancer CT CT CT
|
|
|
streotmycin advress affect
|
ototoxicty
|
|
|
rifampin
|
increase liver enzymes p450
so decrease the efficacy of other drugs red/oragne fluids hepatotoxity |
|
|
silicocsis
|
mining quarrying or contstiction drilling cutting grinding blasting or cruisng the earth curst
glass pottery sili Eggshell calcifications increase of TB |
|
|
medical tx of unstable angina
|
ASA
B blockers LMWH to prevent thrombus (give for 2+ days) nitrates glycoprotein IIb/IIIa inhibitors Study Time: 32:35 |
|
|
where are EKG changes seen in lateral infarct
inferoir posterior |
I and aVL v5 v6 cicumflex
2 3 vf rca branch v1 v2 any v is going to be left |
|
|
cor pulumanoal
|
loaud pulomnic componet of s2, promtinte a wave and left parstenal heave
|
|
|
abestiosis
|
not as acute pumonary birosis minig milling and pitp fitting and boiler amking
|
|
|
byssinosis
|
workers exposed to coton flax and hemp cltoh line and rope occus toward the end of the first day of work week
|
|
|
salicate on respirat
|
activate respiratory center
respiratoty alkaosis |
|
|
co posinging signs
|
lethargic joint aches nusea dna headaces
Headaches Headaches Flu like symtpoms Check ABG and CO level HIGGS |
|
|
PE what increase and decrease
|
alevolar dead space area of lung that is vestiale but not perfused increase
airwear restitance increase due to bronchoconstircit of unused portionf of lung alevolar ventilation increase due to increase in respiratory rate |
|
|
6 w
|
wind water wound wonder drung walkign and what happend
|
|
|
when do you do a throcytomy in truam
|
bleeding at a rate of >200 lm/h
|
|
|
GVHD
|
donor t cells skin liver and intestin
|
|
|
sarcodiso has what kind of lung pattern
|
restict pattern and decrease diffusion cpapcity
|
|
|
silicosis in xray
|
small nodualr opacitin in upper lung eggshil calcification
|
|
|
asbestiosis xray
|
linera opacit at lung bases and interstiatl fibrosis peulra plaques
|
|
|
complications of lung cancer
|
SPHERE of complications -
SVC syndrome Pancoast's tumor Horner's syndrome Endocrine (paraneoplastic) Recurrent laryngeal Sxs (hoarseness) Effusions - pleural, pericardial also - airway obstruction lung abscess chronic interstit fibrosis |
|
|
broschiactasis is associated with what dx
|
cystic fibrosis
|
|
|
bronchiectaiss look like what in xray
|
increase bronchovscualr makring paralle lines outling bronchi areas of honey combing
periboncla thinkc upper lobe Foul smelling suptum CO CT SCAN CAN DIE OF HEMOPTSOSIS |
|
|
strep pneominae tx
|
ceftriazoxne
|
|
|
lung cancer peripheral located
|
MCC TYPE OF CANCER
adenocarcionma includes bronchoalveolar carcinoam LEAST ASSOCIATION WITH SMOKING |
|
|
broncoalveolar carcinoma is assoicated with
|
multiple nodules interstial infiltration and prolific sputum production can be confused with recurrect pneumonia
|
|
|
neonate that cyanosis with attempted feeding
|
tracheoesophgeal fistula
inability to pass a nosgstri tube injcetion of air vai a nasogastri tube under xray |
|
|
PE show what acid ab
|
respiatory alkaoiss
hypoxia and hypocarbia |
|
|
cyclophosphamide
|
tx of wegeners
hemorrhaic cycstitsis siadh |
|
|
isoniazid
|
vit b6 (pyridoixne) deficiency peripheral neuritis
lupus liver toxicity IMPORTANT IV drug abuse increase heptotixity male |
|
|
phenytonin
|
folate deficity teratogen hirsutinsm
|
|
|
chlorporpamide
|
SIAHD
|
|
|
niessriai
chlamydia |
cephalsporing or ciprofloxanin
doxycyline or axithromicyin |
|
|
sclaret fever
|
sandpaper rash starrberry tought
group a beta helol streooptou tx penicllin |
|
|
rosela
|
Herpesvierus 6
FEVER THEN RASH >104 and seizures rosy macoupaplar rash on turnk goes to hands 3 days of high fever then goes away start on the truck to face and extremitis occiptiarlymphadeopathy No tx supportive |
|
|
rmsf rash
|
starts on wrist and ankles goes centrally
vasculitis |
|
|
otitis externa in diabetists
|
pnueomonas
|
|
|
BV vs Tric
|
BV is not an STD
has odoer whiff test grayish white fishy trich STD starwberry petechian yellow green frothy both tx with metro |
|
|
sickle cell immedialyt think what
|
no spleen increase streptococus pneumonia
neisseriam meningitids haemophilu influenze try not to fall for the samenlla trap |
|
|
howel joolly bodies
|
necluear rmenat in old rbc incrase in asplenic patient
|
|
|
1st line to community acquire penuomina if you don't know what it is
|
macrolide ertyromucin and clortihomyinc
|
|
|
if strpeep pnemoni is restiatn
|
use ceftrizzone
|
|
|
aztreoman
|
g- hostpital acquired pnemoneia
|
|
|
aspiration pnemonia
|
bascteroid fragili paptostroptocic and fusobactorin use
clindamycin or amoxicill |
|
|
varicella in kids
|
rash with multipe stages of vesicles and first headache and fever
|
|
|
hand mooth foot
|
cox a
vesicles perphearl distribution on hand feet butotocks and buccal mucosa |
|
|
herpes encephalitis
how do you test for it |
hallucinations
bizarre behavior heterosexuality fever and aseptic cerbrospinal fluid Get a herpes PCR test start iv aylovir first if you have clinical suspesion |
|
|
dapsone
|
2nd line for PROPHALAXIS ONLY of pnoumcyct to patients allergc ato sulf druns
|
|
|
ostemylitis
|
nafcillin and gentamicin
|
|
|
torches what to check frist prenatal vist
|
toxo
rubeella cytomegaloviurs herpes syphillus rubella and syphilis be checked first |
|
|
Peutz jegerh
|
periolar freclles and multipe cancerous gi polyps
no colon cancer no incrase risk of colon cancer |
|
|
is pco2 low/nml/high in copd?
po2? |
low pco2
nml/low p02 (pink puffer) |
|
|
tx for cmv encephalitis
|
ganciclovir or fosacarnet
dx by pcr |
|
|
popcorn" calcification on imaging
|
hamartoma
|
|
|
where do iv drug abusers get osteo myleits
|
verbral bodies
stap auerus most common pathogen may not have a increase in Fever and and wbc may be normal or elevated MRI most sensitve study |
|
|
infection above 500
|
TB herpes simplex herpes zoster
candidias tx nystatin hariy lekplakeis cant scrap off kaposi sarcoma hhhv-7 macolpapular |
|
|
Behcet syndromw
|
young men in 2o with paiful orad and genital ulcer uveites arthris and other skin lesioan erythima nodousm tx steriods
|
|
|
which renal dz is associated specifically with HIV and Herion absures
|
FSGS
|
|
|
lynch syndormw
|
igh degree of colo cnacer
no polyps therr family mbmebers increase in endometrial cancer 30% start age of 25 and colon every 1-2 years |
|
|
tx for infants with meningitis
|
vanco + cefotaxime + ampicillin
|
|
|
which modality can dx and control rapid LGI bleeding
|
arteriography
|
|
|
complication of untreated chronic sinusitis
|
preseptal or periorbital cellulitis
orbital cellulitis epidural, subdural, or cerebral abscess meningitis dural sinus venous thrombosis Study Time: 19:50 |
|
|
H pylori can go to what cancer
|
lymphoma
|
|
|
test of choice for hep c
|
pcr hcv rna
|
|
|
gastirc sympotms with bilateral enlarged ovaires
|
krubkenber tumors
|
|
|
what is total copper level in wilson
|
decrease becuase wilson is decrease
|
|
|
how do you recognize measles (rubeola) infx in a child?
|
paramyovirus
- lack of immunization - Koplik's spots (tiny blue white spots on buccal mucosa) seen 3 days after high fever, cough runny nose, and conjuctivitis with or without photophobia - on the next day, a maculopapular rash begins on head and neck, spreading down to cover trunk OTITIS MEDIA is a compliation |
|
|
what is tx and ppx for chickenpox?
|
tx: supportive care c acetominophen, fluids, don't infect others; acyclovir in severe cases
routine vaccination for all kids in U.S. |
|
|
what blood type is the universal plasma doner
|
AB
|
|
|
reatment of transudative effusions
|
diuretics
Na restriction therapeutic thoracentesisc |
|
|
what drug can be used to decrease frequency of migraines
|
CCBs
|
|
|
what region of the brain is affected in hsv encephalitis
|
temporal lobes
nferior and frontal lobes --> seizures |
|
|
common causes of transudative pleural effusions
|
chf
cirrhosis nephrosis |
|
|
hypotension, low cortisol, and electory abnormalitsis
|
Adrenal insuffecity cause by truama a tumer infection
TB adreanl calcification look for lung mass bilater fungal low Na High K Metabolic acidosis low know as addison dx dx ACTH stimulion test |
|
|
What does estogen do to the bone
|
Inhibts osteoclast development and increase blastic activity thus in menopause their is an increase in osteoclast
|
|
|
Cimetidint does what to the liver
|
inhibits cytochrome enzymes in the live P450 which is locatiend in the SER also erthomycin adn ketoconazxole
opposite of rifampin |
|
|
in hyperadolestorne why do you get tenetay
|
metabolic alkosis and alkosis cuase hypocalaemia
|
|
|
How does alkalsos cuase hypocalcemai
|
alkalosis increase the neative charges on binding protes which increase thei bidn of the ivalen ionized calcum to albumin
|
|
|
what is decrease in type 4 RTA
|
both aldosterone and renin
|
|
|
Most common primary cancer of brain
|
gilobastoma multiforme
|
|
|
Tx if CML
|
Imatinib mesylate
|
|
|
most sensitvite indicdicator of iron deficiney
|
ferritin
|
|
|
alports is decifincey in what
|
x lined dominat
cataracts proeniuria type 4 collagen in boys nerve and eye problems gm slipting on election |
|
|
weber which side is affected
|
laterizes to the normal ear contralateral ear is affected
|
|
|
presbycusis
|
mcc deafness in adults progressive symmetric high frequeincy hearing loss
|
|
|
meniere dx
|
hearing lose tinitus rinning in the ears and vertigo
|
|
|
Cll
|
over 50 years
WBC OVER LIKE 14 INCREASE IN LYMP CLINCH SMUDE CELLS tx fludarabine |
|
|
how does prolactin cause amenorrhea
|
decreease supresse the release of GNRH
1st line cabergoline bromocriptin pergolide |
|
|
What does HbeAg indicate
|
infectivity
|
|
|
what does oral contraceptives do to TBG
|
increase tbg is decreaed by neprotic syndrome
|
|
|
essential tremor
|
worsen in times of emotianl stress autosomal dominaint trait
tx with propranolo or primidone or alprazola clozapine mirtazinapine |
|
|
what should cancer patients by prophylactic tx with to prevent gout
|
allopuinol blocks xantihin oxidase and prevent the conversion or xantihe to uric acid stops the build up of purines
all and probencid are used for chornic and prophlax never for acute |
|
|
auer rods
|
aml
|
|
|
Bronchictasis
|
bronchi and termianl bronchioles
combination of obsturion of airwarys and chroni infection weakinng of the bronchia wall dilation and trapping of purulent material |
|
|
Ventricular tachcarid tx
|
lidocaine
|
|
|
normal co2 in asmatic mean
|
emeregency normally in ashtma you get hyperventialon which will give you low co2 normal indicats co2 retiont
|
|
|
cerebrellar hemorrage
|
ataxia occippital ha gaze palyse No hemparaisis
|
|
|
post op pt with dyspnea tachypnea and bilater fluffy infilairtes
|
ards
Acute onset Ration <200 diffuse infilatration Swan Gawn wend <18mmhg |
|
|
postop 1-2 days pt dyspnea and tachypean fever
|
atelectasis
|
|
|
angle closure glaucoma
|
acute onset of sever eye pain blurred vision nausea and vomiting following papillary dilation
times of stress, drung intake rey eey steam cornea and diatle pupuil tx acetazolamide |
|
|
zinc
|
smell abnomalitis
impaired would healing alopecia mental changes diarrghea impotenc hypogondism and maculpapular rash around mout and eyes look for malabsorption sysmptoms |
|
|
Rheumatiod arthiits increased risk of developins what
|
specti arthits paticualr with stap aureaus
|
|
|
IgA deficiency
|
recurren respiratory and gI infections IgA levels are always low do nto give immuoglobuls may cayse anaphylaxi pt has anayphylaix after immunglobue exposre think of iga
|
|
|
why does IgA get gi infections
which infection do they get |
absences of secrtory IgA which cause giradiasis
|
|
|
igG deficiency
|
recureen sinoopulamr and gi infecion no anaphlacti transusion reaction
|
|
|
empyema
|
fever cough shortness of breath and frequenly peurtic chest pain free flowin and loculate pleural effusion and lung consolidation
|
|
|
ttp
|
thrombcytopenai
young women hemolyti anema rbc fragmenst helmet and burrs fluctaitn neurological sings main difference between HUS renal failure fever plasmapherisis nsaid tx |
|
|
hus
|
ecoli
renal failure hemlytic anemia same as ttp but less neruo signs children |
|
|
ITP
|
hb and wbc will be normal
|
|
|
throbolytic
|
recudes infarct size left ventricualr dysfuction
tpa streptokinase reteplase |
|
|
how does tpa work
|
convert plasminogen to plasmin lyses thrombus
|
|
|
when is pulmonar wedge pressure high
|
cardigenis pumoar edema not ards
ards swan gaz<18 |
|
|
hashimoto throiditsis has what antibodies
|
anti-tpo
|
|
|
diphenhydramin antihistamine overdose
|
confusion drowins dry mont dilate peuple blurred vision reduced bowel sound and urinary retetion
anticolngiersn effects tx physostigmine |
|
|
physostigmine
|
cholinerstease inhibitor used in anticholinger inhibitor overdoes like atropine
|
|
|
slicylate intoxicaton
|
tinn
|
|
|
tachycardia diaphoresis dilate puils hypertension and hyperthermia
|
sserotoin syndrome
|
|
|
tension pneymothroax
|
sudden onset
shortness of breath hypotensio tachycardia trachea deviation to the same side unilateral absenc of breat sounds question with peep |
|
|
pickiwian syndrowm
|
obsetiy impedes the expansion of chest and ab wall during breathing
respiratory acidosis hypercapnia and hypoxia decrease lung complicnase increase pulmonary blood vuolad result engorgement of pulmonary capillaries |
|
|
postpartum no menstrual periods
lethargy weight gain and fatigue |
think sheehans
|
|
|
RA after NSAIDS what do you use
|
use methotrexate
hydroxcholoqine sulfasalizn lefunomaid Use early in the disease |
|
|
viral arthirts
|
2nd of parvovirus with adults who work in day car cenceter Mcp pip and wirt joint
|
|
|
fibromygia
|
need 11 of 18 triggers sites
|
|
|
when do you do tyhemytomy on a person with Mg
|
from puberty to 60 years of age can be curatitve
|
|
|
randomaiztion
|
make the distributon of all ptential confounder ever evely distribut the between group and that randomization was scucessful
|
|
|
common faint vasovagal syncope
|
lightheadness weaknees and blurred visison rapid recovery of consciouness
Upright tilt table test indicated to confirm the diangonsis |
|
|
trihexyphendiyl and benztropine
|
blocks ach so increase sympthaiecs
blurreed visoin constipain and vomiting agiataiton pain retro orbital from glucoma |
|
|
does cystitis have Cast
|
No ]
pyleopniephirtis has WBC cast |
|
|
propraonolal ovarage
|
bradycardiahypotension somnolensc and impotence
|
|
|
vertrbral compression fracture
|
elderly w history of osteporosis
|
|
|
Pt with nucha rigigdy septi large petchia and purpic lesion suddyl becomes hypotensive then dies
bilateral hemorrage of adrenal |
adrenal hemorrage
nesseria meningitidis MCC 6-60 waterhouse friderchsen syndromea |
|
|
painless loss of vision from emboli
|
amaurosis faugzx waring sing for an impedin stroke most occur from the carotd bifuration
do an ultrsound |
|
|
syphilllis allergic to penecillin
|
doxycillin if pregant and allergic use small does of peniceillin
|
|
|
drug induced nephrtis
|
cephalosporin penicilien sulfonamides
nsaid rifampin phenytoin and alopurinol can have rash arthraliga |
|
|
mycolplasma pneumonia may cause waht
|
anti Img intravascular hemolytic anemia
association to cold aggulitnis bilaterel inflitrates |
|
|
tiny papules in the genital region without ulceration and inguianl lymphadentites
|
Lymphogrunalom venerum
chymaida trachomati tx doxycyline |
|
|
eaton lambert syndrom
|
autoantiboides volatage gate claciu chaneels in presyanpatic
defective relase of acetycholine leading to proximal muslce wekaness look for a mass in the lung |
|
|
dx eaton lamber syndrom
|
muscle respone to motr nerve stimulat should increase with repetive stiumaltion
tx plasmapheresis and immonsupressive drug |
|
|
what does legionella mess up
|
nonproductive cough not responsed to antiboitoic
unitlateral lower lobe CONFUSION AND HEADACH juxtaglomerular apparatus causing hyopreinin hypoaldosterone with hypona hyperkalemia and acidosis |
|
|
ehrlichiosis
|
history of tick bit system syptoms lekopeina and throbcytopeian elevated amnotransferase
tx doxycline |
|
|
Tx DX for legionall pneumophila
|
Fluoquiolongs or azithromyicn
Urine antine rapid diagons and culture |
|
|
huntington is what of inhertance pattern
|
autosoma dominat 1st mood distrubance dementria anc chorifrom movements
|
|
|
what is first line in copd
|
anticholegics and b agoist
iprtropum bromide and salmeterol |
|
|
Campyolcater assoicated with what three dz
|
gram neg s shaped rod
found in poultry buillian barre hemolytic uremic syndrome hla-b27 Reitier URTERTIS CUASEED BY CHLAMYDIA do pcr uerase test |
|
|
progression of t wave in MI
|
hyperactu t waves 6-24hours
st elvation 1-6 weeks inversion of t waves qwaves |
|
|
what is herpes zoster
|
recurrence of VZV
|
|
|
Patient who are critically ill on anitbioti therapy
|
MRSA vancomycin or linezolid
|
|
|
Bacteroides: empiric abx?
|
metro
clindamycin enteric bacteria that can cause aspiration pnemonia |
|
|
acute liver liver is from what
|
acetamionphen toxcity with useacetlycysteins
|
|
|
cardiac cath can lead to what
|
emboli in alldifferent part of the body
|
|
|
how does hypothyoridosn get carpal tunner
|
widespread depostion of acid mucopolyaccharides in various tissue including tskin hear and nerve mrtrix substains compres the mediaa nerve result in CTS
|
|
|
side effect of mexotrexate
|
look for hb <10 and high mcv 100
inhibiton of dihydrafolate reductase stomatists nausea abdominal pain an fever heaptotixicty and myelsuppression make sure to use folic acid Can be used in ecptoic pregancy if hcg , 6000 same 3.5 mass not work is pt taking folate |
|
|
skin rash in lymes
|
erthema migrans
tx amocillin and doxyciline |
|
|
copd has what pneomina associated with it
POSTVIRAL NEONANTE ALCHOLOCIAIV DRUG IMMUNOCOMPROMISED |
h influenzae
STAPHYLOCICCUS GBS S PNEUMONIA STAPHY |
|
|
entamoeba histolytica
|
ameba with triophozoties flask shaped ucleer bloody diarrhea
Metro |
|
|
2nd syphillus
|
condyloma lata whie very infectious bilater smmetrical macopapular rash
trunk and palm and soles lyphadenopathy intramuscluar benzathine penicillin allergic dox |
|
|
cyclophamside
|
acute hemorrhagic cystis, bladder carciona stertily and myelosuppression
|
|
|
aspiration pneumonia
|
anaerobes also responsible for endometeritis in ob after dielivery
|
|
|
travel diarrhea
|
think ecoli
|
|
|
Giardia
|
flagellate portoaona with cyst
|
|
|
dox
|
calymmatbacteri granulomatis
haemophiliu ducreyi syphillus allergic to penicllin LYMES RMSF q fever |
|
|
petiachal rash joint pain
|
disseminated gonorrhea
tx ceftriaxone |
|
|
cochlear dysfuntion
|
cisplatin carboplatin amionglycosides
|
|
|
blastomcyosis
|
lung skin skin skin and bone missippi area
|
|
|
What can preganct pt get from cat and cat feces
|
Toxoplasmosis
part of the torches infact is the T Get chriotreintis and enchepahlitis |
|
|
erythomycin
|
1st line in communty pneomia if dont know what it is
|
|
|
AIDS has diarrhea and paritaly acid fast oocyst
|
cryptosporidum parum tx nitazxoanide
|
|
|
ethabutaol and hydroxycholquien
|
optic neurtius
Tx of tb and RA |
|
|
Salmonella
|
animal resirviors fecal oral route
hepatosplenomeagly sinus brdycardia and netropenia |
|
|
bacillary angiomatos
|
baortenlla g- rod hiv pt
vascular proliferation and neutrohilic inflammatory repsone to the bacteria bacilli on silver stain tx erythromycna and dxycycline |
|
|
sarcodidsis and eye
|
aneterior unviestis
same has spondlylostits |
|
|
giant cell arteritis
|
Tempolar arthitis
headhace jaw claudication muslce fatiuge and visual distrbance decrease teoporal artery pulse esr more tahn 50 can hit the aort go to an anertysm Tx high does steroids |
|
|
cxr findings of histo
physical findings |
hilar lympadenopathy calicfid nodules
palatal ulcers, hepatosplenomegaly, pancytopenia tx amphotericin by long term suppression with itrconazloe for dissimeate ketoconazole |
|
|
what is the first line in Pleyonephritsi
|
fluorquinolone remeber it has WBC cast
|
|
|
membranous glomerulonephritis
|
hep b and c syphilis gold and penicllamin sle and rhemaoti arthirtis
|
|
|
hyperparathyroid and mono artitirs
|
think pseudogout cause by calcium pyrophosphat dihydrate rhombodi hsped positvie birefring crystaols
CHONDROCHODTIIS |
|
|
retiers
|
look for urtheral discarge moth ulcers and asymemetir olgoathtiris
tx NSAIDS |
|
|
hydoroclhorine used for RA tx has what side effect
|
rentionpathy
|
|
|
UC can have what postive antigen
|
Panca and also have artithirs so becarful is they give you a question with bloody dairrhea
|
|
|
As can have what type of pulmoary dx
|
fusiong of the costovertaolb joint decrease ches wall motion give you a restivciton pattern
|
|
|
absent ankel reflex in adults
|
normal
|
|
|
When will you see psudogout
|
recent surgey or medical illnes called costocalcinosis
|
|
|
what is used as Toxo proph in HIV + pts
|
bactrium which is tmp/smx
|
|
|
what is Baciulls cereus
what does it stimulate |
G+ rod prduecs preformed toxin that stimulates adenylate cyclae
|
|
|
Dermaolytisis has association with what
|
Cancer
|
|
|
onset of artitis with high alkphos normal ca
|
Pagets
|
|
|
Coccidios what will you see on the skin
|
Erthmea Nadosum Tender painfule nodules on the tiba of shins
seen in sarcodidsis and UC as well |
|
|
most common cause of Ertymea Nodusum
|
strepttocuous infection
|
|
|
Artitirs that goes away in 2 months and tx with Nsaid
|
watch for fever can be ANA postive viral arthitis
|
|
|
Pnemyocytisis Carrni
cxr DX and Tx |
bilateral infiltraes ground glass
Broncholavage Silver stain Tx tmpsmx and pentamine dapsone if alleric to tmpsmx or clinda |
|
|
Whipples
|
PAS macrophages
|
|
|
Sdorgijen syndorwm
|
Lip biopsy
|
|
|
coccidioses presnet in who
|
pregnat filinpinal Hiv patient
|
|
|
lubar spinal stenosis
|
Low back and leg pain
cuase by degentraive disk dz Nerogenic claduciation pain on staniding because of extension of the spine and relifie when lying down abi is going to be normal dx by mri tx conservative or surgery |
|
|
Pasateruell multocida
|
depp punture woulnd charcteriest of cat bits responds to
amoxicillin/cluvlaonte acid |
|
|
PMR
|
joint problems not muscle problem
pain in shoulder and pelvis pelvis pain not in polymyosistis last ing great than an hour esr > 40 and fever tx with low lose predisnone very high predinsone assoicated with tepoarl arteritsi |
|
|
how does SLE artitis present
|
MCP and PIP but will not have xray finidngs on exam look for oral ulcers and kidney problesm
tx with nsaid hydroxcholorquien and corticosteroids Leukopenia so no increase in infections |
|
|
Hip pain in person taking steriods
|
avsuclar necorisis of head get MRI of Head
|
|
|
effusion of knee pt wi history of gout arthits
|
do aspiration bc it could still be anything specit or psuedogout
|
|
|
fever rash lyphmaopath and artitirs have adminstration of drung
|
serum sickness
|
|
|
pain that is worse with excersine normal esr pain in upper butux medial aspect of knees
|
fibormylaa Tx with antidepressants and NSAIDS
|
|
|
dermplolysis and polmypomisys
|
dx by muscle biopsy and tx
steroids steroids steridos |
|
|
tennis and football playyer pain in side of arm
|
impingent subarcolin bursits
|
|
|
Sporothir scheckki tx
|
potassium iodidie
prinprik on a rose pedeal |
|
|
epidural abcess
|
fever and pain like an spinal cord commestion
|
|
|
dissemate ganocnon
|
polyartitis in more than one place
vescilupular lesion funel or pimuple |
|
|
anti scl70
|
sceloderma
|
|
|
hypokalemia alkosis and normotension
|
vomiting diruetis bartter syndrome vomiting is the only one that will have low urine clorine look for scars on hands with
|
|
|
SIADH 110-120
120-130 <110 |
loop plus normal saline
water restriciton hypertonic saline |
|
|
Chymidla Pnemonia TX
|
Stong predlication from CAD
Erythomcin and tetracycline |
|
|
follicular thyroid cancer
papilliary medullary |
invades the encapusle
pasmmo bodiees mcc secretion of calcitonin men 2a/b |
|
|
treatment of diabetic neropathy
|
tricyclics amtyirtine and gabapentin
|
|
|
dkA DX and TX
|
glucose >250 metabolic acidios low BICARB
give .9 salie normal saline pule REGULAR insulin Correct K and PO4 |
|
|
Metformin what do you have to watch out for
|
lactic acidosis so make sure to look at the BUN/cr good for obese patients
|
|
|
PTU side affect
|
agroulcytosis
|
|
|
what nsaid do you NOT use in acute attack of gout
|
Asprin
|
|
|
low ca high Po4 and high PTH
|
secondayr hyperpartathyroid
most common in Renal ESRD get a High Po4 which will do the following high po4 will inhbit the ability of the parathyorid to sense low ca and high Po4 will bind with ca psudedoparathyriods is in kids |
|
|
diabitic nerouparthy
|
distal symemti polynerpathy
Tx with amtripyilli and gabapetin |
|
|
UTI in prengant is treat how
|
nitruantion or chephalinxin
floroquinolone can affect the cartalaige of babies |
|
|
dehyradtion + neologica symptonsm
|
HOKN look at the blood glucouse
|
|
|
mcc septic artiish in non sexual active
|
sthapy aureus
|
|
|
anklysoi spondiitsis tx
|
excerise and nsaid
|
|
|
lymes in pregnant pt AND KIDS
|
amoxicllin REAL qUESTION KNOW IT
|
|
|
tx of sle
|
nsaid hydroxycholoquien corticosteriods
|
|
|
Hep B and cryogolbulinemai crazy amonunt of signs plus anca postivie
|
polarterits nodoas
|
|
|
immobilatizon does what to ca
|
increase due to incrase oestoclastic reabospriton so give bisphosates
|
|
|
Hypothrydio and HTN a
Hyper |
increaser vascular resitstance
hyerdynamic state |
|
|
DKA how to mointor the pt
|
look for anion gap to monitor the outcome
|
|
|
low Lh and FSH in male
|
think of a prolactionma prolitamin inhibits normal secrection of GRnH
|
|
|
how does decarese in po4 affect pt in dka
|
decrase po4 decrase atp respiartory paralysis
|
|
|
sick euthoryiod syndormw
|
low t3 with normal t4 and normal tSH
|
|
|
toxicd nodule in thyroid
|
Not cancer rember risk of bone loss increae otoclati activity and af
|
|
|
HASIMOTO thyriod
|
increase in throid lypoma
|
|
|
Diabetic nephropathy
|
Use blood pressue control whey you use ace inhibitor
|
|
|
Best initnal test of diabetes
|
8 hour fast 126
sign ofn poly urina then random glucso .200 prenangay all get a glucose tolerant test |
|
|
Men how do you test family memeber
|
pcr for ret gene
autosomal dominat |
|
|
postoccipital retroauricular and cerival lymph!!!
rash that starts on the face maulopapular then spread to trunk extermeis Last 3 days |
rubella
No major fever like in sixth dz or rosea |
|
|
slow growing pearl and indural lesion eyelid
|
basal ell carcionma
|
|
|
Bullos pempigod
|
2x as common as pv old people dermo epiderman junciton much think less likely to rupture
system steriods prdnicson standa prutit dztense blisters ora lesion are very rare Ig G anc c3 depostin in the dermal epiderma juction |
|
|
tinea versicolr
|
pale velvery pink or whitehs hpypigemtne maculr than do not tan appear scaly but scale on scraping
tx selenium sulfide lotion and ketoconazole shampoo is recommende |
|
|
which men has marfaonid hatibus
|
men 2b
|
|
|
what three pancreati tumrour are in type 1
|
insulonoma vipomas and ZE syndrome
|
|
|
test of choice for Patget
|
radionuclide bone scan
tx most dont need any tx nerve loss in 37% of patients |
|
|
spinal stenosis
|
degenrative joint dz
worst at rest standing imporves wiht flexion at th hips mild tx nsaid and ab strenghing advanced pidura steriod injections |
|
|
Pemphigus
|
+ nikolsy sign widespread painful erosinong of the skin and mucous membrans antibodes are directe agaion desmoglein loss of celuar attach no intact blister
|
|
|
Bullos
|
spartion at the epidermal membrane
older pt stable blister nikolshy sing is - |
|
|
iron poinsing in kids
|
nausea vomiting diarrhea and ab pain circulartory coolapse shok and metbokci acidosis can get pylori stenosi
dx serum iron >500 tx syrup of ipea antidte deferoxaimne |
|
|
trochma
|
leading cuase of blindiness
lymphoid follicels in corena tx erytmocin |
|
|
Chroinc granomalutos dz
|
cells can phagostiz and opization is okay does not have NADHP oxidase recurtent infections
catalase + infections |
|
|
kawaskai
|
truncal rash hgih fever cojucntival injection cervical lympha strawberry tongue late skin desquamation of palms and soles arthirst
Fever greater than 5 days bilater conjuentival injection tx Ivig and high does aspirin mucouscuntations lyphmes syndromw |
|
|
diamon blacfan syndyome
|
Pale in the frist few days profound anemia by 2-6 months
mcv macrocytis anemai bone marrow reduced red cell precursos erhootin leve elevated c |
|
|
most common cause of conjuctivitis in first 24 fhours
|
chemial
|
|
|
conjuctivitsi that cuases pneumonai in newborm
|
chlamydia tx with erythrmucin
|
|
|
when can hep B be giving to pt
|
2kg
|
|
|
recurrect infeinc of encapulated bacteria
what defeicieny |
c3 deifincey
|
|
|
orgnaophosphates do what
|
acetycholinear inhibitors Increase ACH ACH ACH
dx decrease red blood cel cholineaate in lab tx aBCAtropine to muscarini sympotm and ralidoxime for the nicotinic symptoms |
|
|
Rhabdomyosarcoms
|
tumors of stratied muscle anywhere in the body
bunch of grapes from the vagina sacro buttyrides |
|
|
mCC cause of BLOOD in the stool of newborn
|
swallowe maternal blood
use apt test to distingish the two |
|
|
wilms tumor
|
hemihpertorpy aniridian HTN
dx urinlayis gross heamtur the ultrasond the cts an biopys tx is sugical |
|
|
neroblastoma
|
hypertension for catecomaine or compression
thormaci tumors respiratory distress horners syndrome periorbital hemorrgae in ab but can be anywhere metatsta to the bone can have opsoclonus myoclons dancing eyes and dancin feet may have periorbial hemorrgage raccon eyes exophtamos ptosis and pailledeam bone marrow suppression DX CT and biopsy nmyc association |
|
|
chondrodysplasti dwarf
|
type 2 collagen big head small body
|
|
|
toxoplasmosi in prengant
|
chorretintit and microcephaly INTRACRANIAL CALCIFICATION iUGR MICROCEPHALY SIZURES BLINDNESS HEPATOSPLENMEGALY
DX IGM TX WITH SPIRAMYCIN PYRIMETHAIN AND SULFONAMID TX NEWBORN PRUIMTEHAMIN LEUCOVORIN |
|
|
ethylene glycol posiong
|
use fompizole compteive antagong of alchol dyhdroegen inhibing metabolem of ethlyle glycol
|
|
|
phenytoin
valproci acid cociain isotretion |
nail hyoplasi grow retar bow lip
spin bifida facl ab and delay small head groth cerbral infra brain miroti thymic hypolasi car defects |
|
|
PKU
|
ment retar vomitin projectil confues with pyloc stenosis fiar hiared fair skinned andhave blue eyes eczematous rash and musty odor
AUTOSOMAL RECESSIVE tx resi t phyenyalaine |
|
|
complicatin of Varicella
|
Scarring by
secondary infectino with grou a sterp and sa uresu |
|
|
central to perhpial
|
varicella and roseola
|
|
|
oral ulcers
|
bechet chrons and lupus
|
|
|
de quervain tenosynovitis
|
tendosint of abductior pollicis longus and extensor polici brevies pass beneat the retinacial pulley seen in post partum femaol due to repatie lifit of infact
|
|
|
niesserina goonrrhea arthirs
|
asymeetir polyuarthirits before purulen monarthithis
|
|
|
sle arthtirs
|
90 % of patients lower inciden of erosin an synovial abromalit and permante joint deformity
|
|
|
recuimparied leukocyte adhesion
|
recurrnt bacterail infection adn necroti peroidotn infection d
delayed separtion of th unbmicla cord leukocyte number is increasd chemotaxi and cytotixic are impari normal gama globuin conentra is normal |
|
|
cyanosis aggraveead by feeding and relieved by crying
|
chaonal arties inabilt to pass a cather thour th nostir
|
|
|
iron defienciy in neonates cuased by what
|
cows milk
|
|
|
edwards syndome
|
eletion age trisomy 18 rocker botton fett overlappin finiger absen palmar crease VSDs
|
|
|
patent ductus arterious associate with congeial
|
rubella
remember allthe the lyphs are enlarged face then body disappres in three days |
|
|
leukplakia
|
increase in squamons cell
hairy cell is in AIDand ebv cuasuse it |
|
|
cyanosis aggraveead by feeding and relieved by crying
|
chaonal arties inabilt to pass a cather thour th nostir
|
|
|
iron defienciy in kids
|
cows milk not used behore one year of age
high renal soulte |
|
|
ARds
|
PCWP <18
|
|
|
patent ductus arterious associate with congeial
|
rubella AND PULMONARY STENOSIS
3 DAY MEASLES FIRST TIRMEST CATARCT IUGR MICROCEPHALY HEPATOSPLENMEGALY DEAFNESS BLUEBERRY MIFFIN LESION DX IGM |
|
|
chroin gran dx
|
defect of phagocyti cells due to dysfuicnt tof the NADPH oxidas ezyme compelx reucrren and uncontrole incfecton
catales psotive orginsms use NBT test |
|
|
SCID
|
absent lymph nodes and tonsiel lypopeins and abset thymyic shadow on chest xrays
|
|
|
brutons
|
x linked agammaglobuline defect in tyrosin kinase in b cells
no problems until 6 MONTHS of age recureen pyogen infetion decreaes in all the markers |
|
|
pretuss
|
all close contact should reciev erthtormicy for 14 days clos ontact ,7 years delyare immunization receive vaccine
treatment decress infectitivyt |
|
|
gullina barre
|
polyneruopath demyelination in motor and sometimes sensory nerves
csf protein is elevatesd |
|
|
vwd
|
tx fresh frozen plasma or cryoprecipita an ddavp
|
|
|
itp tx
|
ivig corsteriods and splectomy
i think ivig is used in gulian barre as well and kawaski |
|
|
HUS
|
ecoli o157h7 undercooked meat and unpasteruized mik 1week after gasteriotri or upper respiratoy RENAL 1 week oligura pale wear and lethari
HEMO high wbc low platelts helmelt and burr cells |
|
|
mcc compliation of measles
|
otitis media
|
|
|
cow milk
|
low iron and copper cuaseing anemia
high protein cuaseing renal damage use over one year of age |
|
|
contradictio to brest feeding
|
HIV sypillius TB glacacstima and varicella
|
|
|
WHY would a neonate start bleeding
|
deficincy in vit K
|
|
|
JRA
|
high spiking fevers
salamon colored rash hepatospleonmegaly lypmsadeopaty pleuritis adn ericarditsi ESR and C reactive protien is high |
|
|
Methemoglobiema
|
babyies who have small amoutn of redcutase bitrat in drink water or formula dx by methmoglobin leverl prevent the reiction of methemogloin to gemlobin
use methly blue |
|
|
neonatal lupus
|
rash thrombocyopeina and congential heart block
|
|
|
major criieria of rheumatic fever
|
aCCES
artitis carditsi chorea erymea subcutatones noduels |
|
|
werding hoffman
|
spianl musclue atyplohy
contrinuatio of programemed cell death sparing of the extraocular musle adn spincter is characteri |
|
|
capillary hemanigon
|
macular lesion grow quickly in first year dont touch them
|
|
|
6 months
|
sits unsupporte rakes at pellt
|
|
|
12 month
|
walk with one and one or more words plays ball
|
|
|
astham pt with allergic rhinitis
tx |
use mast cell stabilers
|
|
|
sturge weber
|
facial nevus por twin stian tirgmeinal area of the fac3e inctracrain calcification hemiparies contralerl to hte facial lesion
seizure refactory to medicaton risk of glucoma |
|
|
hoxyuera
|
increase HbF for constant painful crirsis
|
|
|
sickle cell pt should have what prophalaixs
|
penicilin and folic acid suplement
|
|
|
kawaskai dx
|
ivig plus asprin
|
|
|
tuners
|
coaraction and bicupsid valve
|
|
|
enurisis
|
reassurean
desmopressin imipramine abnormal after 5 years of age |
|
|
thiamine
|
Beriberi nause peripehral neurtiis CHF ptosis
|
|
|
babnski goes away when
|
18 months all the rest by 4-6 months
|
|
|
cubes at 15 18 and 24
|
3 4 and 7 cubes
|
|
|
enuresis
|
bladder control usually attained by age 5 years
|
|
|
Small bowel compression
|
high pitch bowel sounds can initall be treated conservatil with close ebon iv fluid asn ng tube perios sing take to operatin room
|
|
|
TICs
|
do not give stimulatns doapmain agoins can worsen tic tx with haloperdio pimozide or clonidine
|
|
|
aortic dissection do what first
|
first do HTN control
|
|
|
BCC
|
pearly telangiectal nodular lesion with rolled border centra crusitng and ulcertaion sun exposure fair skin chroni dermatitis and exerdderma pigmentous
|
|
|
SCC
|
scaly erythematious lesion that may ulcerate
|
|
|
Desopressin
|
releare of von willebreand factor and factor 8 desmopre
|
|
|
whole blood is defeicint in
|
5 8 11 so it is not good in hemophilia
|
|
|
acarbose
|
inhibits interstinal absorbtion so get flutance
|
|
|
rosigliatzaon
|
increase senstivity so get weight gain`
|
|
|
influenza
|
give to pt over 50
copd and ashtma kids over 6 and |
|
|
how long does a ppd take
|
24-48 hours
|
|
|
hodkins dz
|
night sweats cycle fever
|
|
|
live
|
mmr varicella yellow feve bcg oral ypoid
do not give to immunocomprosied |
|
|
meningiteis in neonate
|
group b stretp ecoli and l monochtogeses
|
|
|
meinigits in > 3 months
|
s pneumonai n meinith and h influenza
look for n mini in college or day care army |
|
|
h influeze and n emingits what do you give close contacts
|
rifampin
|
|
|
herpes simplex
|
Temporal lobe
|
|
|
kid steps on nail in a sneaker
|
psuemdomonas aeruginsa
|
|
|
Pertussis
|
bordettla perutiss inspiratory gasp ,5 years of age rhinonorhea conjucitaavl injceiton facial petchiae
High WBC and LYMPH is high culture of b pertusis is gold standard supportive care tx with erythromycin shorten the period of communicabilty |
|
|
atropine
physiostipmine and organgophates |
ach inbitior sym sign
achastase inhibitor increase ach cholinsetir sing SLUDE |
|
|
Migranes
|
women more than men
serotonin imbalance early 20 throbiing headache ,24 hours photophobia unilateral precede by a visula aura tx nsaids for abortive triptans propaol for prophiasis |
|
|
Prinzmetal
|
transmurla ischemia with st segment eleevation occure at rest
|
|
|
chronic bronchits and emphyseam HOW TO TELL THE DIFFERENCE
|
DCO IN cb normal and emphseam decreased
|
|
|
rebola
roseolea |
rash and fever at the same time
fever then rash break out |
|
|
coombs postivie
|
rh incompatiblity
abo incompatiblity unconguated is nerotoxic |
|
|
condyloma acuminata
|
HPV 6 and 11 genital warts
|
|
|
endometiral ca rish
|
upoosed to estrogen such as polycycsitc ovarian dz an obestiy heprtension and diabetes
|
|
|
protective of ovarian cancer
|
decrease ovulations ocp chroinc anovulatin brest feeding
pregnancy |
|
|
posmenopuausl belled
|
vagina or endometrial atrophy or endometrial carcionam
atropy tx with estropgen |
|
|
posciotal bleeding
|
cerival cancer
|
|
|
vulvar cancer presentation
|
prutitis most be biopsied!!!
|
|
|
postmenobal water clear discrage
|
fallpoin tube cancer
|
|
|
cervical cancer
|
annula sexually acitve women when start having sex
or age of 18 |
|
|
cerical cancer how much is adenocaricom
|
15% that are not hpv related thats why you need to be
|
|
|
coombs postivie
|
rh incompatiblity
abo incompatiblity unconguated is nerotoxic |
|
|
condyloma acuminata
|
RED SWELLING PEDUNCULATED
HPV 6 and 11 genital warts couilfolower and tx with PODOPHYLLIN IMIQUIMOD DESTRUCITON |
|
|
endometiral ca rish
|
upoosed to estrogen such as polycycsitc ovarian dz an obestiy heprtension and diabetes
vaginal bleeding postmenal endo cancer until proven atropy is the most common |
|
|
protective of ovarian cancer
|
decrease ovulations ocp chroinc anovulatin brest feeding
pregnancy |
|
|
posmenopuausl belled
|
vagina or endometrial atrophy or endometrial carcionam
atropy tx with estropgen |
|
|
posciotal bleeding
|
cerival cancer
|
|
|
vulvar cancer presentation
|
prutitis most be biopsied!!!
|
|
|
postmenobal water clear discrage
|
fallpoin tube cancer
|
|
|
cervical cancer
|
annula sexually acitve women when start having sex
or age of 18 |
|
|
cerical cancer how much is adenocaricom
|
15% that are not hpv related thats why you need to be
|
|
|
wiskott aldrich syndrome
|
x linked that affects males
thyrombocyotpenia =Peteical rash!!! infections in early infacy otits media an pnemoina eczema may have all the megalys IgA and igE up Igm low bone marrow transplant |
|
|
burkitts lymphoma
|
palpabe abdomina mass epstin barr viurs numerous bening macrophages with abundane clear cytopalam starry sky appearance 8/14 tanslocaiton myc gene
|
|
|
how to diagnosis hydati mole
|
46xxx
ultrasound snow screen tx suction curatage not DIC follow bhcg with weakly basis see if it is going down 20 |
|
|
IM
|
splenic rupture not spleinc infraction
hemolytic anemia coombs postive |
|
|
granuloas tech cell
sertoicl leydig cell tumors |
estrogen precocious pubery which means bleeding
testosterone |
|
|
dark lesion of vulva
|
melanoma
squamons is the most common Red lesion pagest dz |
|
|
endo sinus tumor
chricoarcionma |
AFP
bhcg comes from hydadtie moles |
|
|
cerviacl cancer mortatliyt
|
Uremia bc invasion of uteres are right there
|
|
|
peduculated soft papule that progess into a cauliflower mass
|
GENITAL WARTS
tx PODOPHYLIIN and trichloracetic acid condyloma acuminatum HIGH YEILD |
|
|
pericardia tampoande picture with use of warfain
|
messtianl hemmoarrage all pressures the same ultrasound shows no blood
|
|
|
after colpo
|
do endocervial adn ectocerival
if endo then hysterceomty ecto do leep or burn do pap every 3 motnhs |
|
|
nacin
|
cuase vasdilation increaes in histamines give aspirn to stop that
|
|
|
statin
|
hmg-coa reductas inhibitor
increase in CK cuase myopathy due to increase in melvaoic acid |
|
|
left murmurs increase on what
|
expiration
|
|
|
aortic dissection dont use what
|
haylain avasodilation put more streess on heart
|
|
|
3rd degree
|
pacemaker
|
|
|
Mi with anemia
|
give blood
|
|
|
statin
|
pr interval lengthe until ventricular beat is dropped
|
|
|
mi complication with murmur
|
mitral regurtion holosytloci murmur raditate to axilla due to pappilary muscle disturion
|
|
|
complication of MI and cold leg
|
artieral thrombus dont look at the viens TX EMBOLECTOMY
|
|
|
hyperplasia on endocextirx
|
tx with pregestorne
|
|
|
WPW and mirtal stenosis can both cause
|
a fib
|
|
|
RCA inferior brac and hypotenison why
|
RCA hits the AV and SA nodes
II III AVf |
|
|
2nd degree heart block tx
|
type 1 use pacemaker or atropine
type 2 pakcemaker |
|
|
HCM treatment
|
beta blocker increasing Diastoel reducing HR
|
|
|
ayspomatic mtiral stensosi
|
phrolaxis of penicllin
think immedialty pulmonarty congestion right ventrialcu failure |
|
|
baby obsturive jaundice acholic stools
|
biliary atresia
|
|
|
b1
b6 |
thinamine ALCHOOL
pyridoxine ISONACID |
|
|
hydaddit mole can turn into what
|
chriocarcioma bhg will increase
prestent has vaginal bleeding + bigger uterus than pregnacy no fetal heart tones hyperthroidism adenal mass HTN <20 weeks |
|
|
partial mole
|
tx suction curetage follow with bhcg
10 to chriocaricoma tripolid 69xxx |
|
|
premenacrch vaginal bleeding
|
forgien body sexual abuse
sacroma bbutidies grapes puberty |
|
|
why do you need to tx precoccious puberty
|
will hit the growth spurt of the and the pt will not grow fully
|
|
|
precoccious puberty with no masses
|
stop estrogen with leuprolide gnrh agoinst
|
|
|
incomplet vs threath aboration
|
incomplet cerical os open
threathen cerical os closed icomplete d and C threathen bed rest |
|
|
ectopic
|
slpingectoy reserved for ruptured ectopi pregnacy
salpingostoy sementa resection |
|
|
+bhcg and abonral bleeding
|
then do vaginal ultrasound
if nothing waith for bchg to go up doubles every days |
|
|
cuase of mitral regruitaion
|
Mirtal valve prolapse
|
|
|
angia and htn
|
beta blocker
|
|
|
Vtach
|
lidocain or amidorane
|
|
|
HoCM cuase mitrae vale reguration
|
anterio motion of mitra vale
|
|
|
pt with vtacy tx with medication that cause constipation and weight gain
|
amiadrone HYPOTHRODISIM
|
|
|
dig tox
|
nause vomiting diarrhea and artial arrthmias
BLUR VISION LOOK FOR LOW K |
|
|
aortic dissection
|
aortic regurimatnion
|
|
|
alpha blockers
OSTEOPOROSIS B BLOCKERS |
used in bph and pts with glucos intorelan dylipiemda
THIAZIDE MI CHF |
|
|
aortic stenosis
|
must recvie profalyaxis
|
|
|
increase cvp decrased po2 and high urine
|
overhydration
|
|
|
R to L
|
Ts tetralogy of fallot transpositon tricuspid atreia
|
|
|
PDA
|
rubella and premature infants
wide pulse pressue and bonding arteria pulese machinery toand from murmur promine pumonary arter markings tx with indomethancin |
|
|
TOF
|
cerbral thrombosis more commonly with extreme polycythemia and dyhdraiton brain abscess
|
|
|
transpostion OF ARTETITES
|
most comon congentia hear disease in the fist 24 h of life
tx with prostalgadin e1 KEEP PDA OPEN HIGH YEILD |
|
|
HTN in kids
|
think renal
|
|
|
shigella in kids
campylbacter |
tmp/smxerythromycin
erythomycin |
|
|
GERD in kidss
|
ph probes is the standar for GER
|
|
|
air in bowel wall
|
NEC
|
|
|
gross hematureia edeam hpertension and reanl insufficiey
|
posttrep glomerlneprtis
c3 is low |
|
|
aortic stenosis
|
SAD syncope angina Dyspnea
|
|
|
GERD plus wegght loss
|
eGD
|
|
|
kid with nasal polp epitaxis bone defect
|
angiofibrom
|
|
|
big prostate with bone pain
|
leuprolide better than finastirde
|
|
|
DUB
|
preganacy test is neative
noanatoimci causes of abnormal vaginal bleed hormal imbalace PAD pregnacy anatomic Dsyfuncitona uterine |
|
|
DUB posmen
premen reproducti |
endometrial cancer
forgien body truam abouse cancer PAD |
|
|
PCO
|
unopposed estrogen nfertliy endometirum chroically stimulatey hyperpalstie with wirregualr bleeding endometrial cancer
increase LH increase ovarian follicuarl theca cells increae testosteron results in hirstuism |
|
|
adenomysosi
|
endometeriosis in myometerium
|
|
|
tx of PCO
|
OCP normales her bleeding porgesti wil prevetn endometrial hyuperplasia
|
|
|
adnexal mass pre and post
|
Ultrasound reporductive is physiological cyst
|
|
|
mcc adexnal mass reportduct age group
pain |
tertamo dermodi cyst are beingin tumors
torsion aslpingogectomy |
|
|
endometerisos
|
dypurens
dysmeneoria adexal mass retrograde menestartion mcc site ovaries 2nd cul de sac rector vaginal bleeding |
|
|
endometeisos dx and tx
|
laproscopy
tx leupron making it menopauseal atyropy |
|
|
tublar orviar abcess
|
adenxal mass w fever PID
|
|
|
endocarditsis risk
|
prsthecit vlaves
any type of surgery IV druge abuse mitral reguriation PDA infectinve endocardits marfaj syndrow |
|
|
endocardtisi low risk
|
transvenous pacemaker corrdect congeti lesion miral prolapse without regurgitate
|
|
|
SVT
|
high qrs without p first do vagal then do adenosine
|
|
|
Native valves
narrcoit vales prostheti vales |
strept virdian
staph aureus staphy epidermidis |
|
|
Dental procedure prophalyais for endocarditis
urinary of gI |
amoxicillin allergic clindaymycin
ampicllin and gentamicin allergic vancomycin and gentamicin |
|
|
Beta blocker contraindictaion
|
copd, perhipal vascular dx,
heart block pulmary edema, asthma raynouad depression |
|
|
decrease in pressue 10 poins with inspirtation
|
cardic tampondae
|
|
|
HCM increase and decrease
|
decrease in increase volume and equalization of pressure increase arterial such as handgrip adn phenlphrine
|
|
|
Mi acute and pulmonary edam
|
no beta blocker give lasix
|
|
|
torsade de pointes
|
quinidine procaimin tricyclines
|
|
|
dressler
|
2-10 weeks after post mi
|
|
|
aortic anuermys
|
blunt trama
|
|
|
s epi
|
porstic valves
|
|
|
Tranisent st elevations
|
Trasmural ischemia transmural ishcehmia
transmural isschemia Priztmental |
|
|
cyclosporin
|
ginval hyperpla nerphrotoxic
|
|
|
hep b
hep c |
poly artheirs nodosa
vasculotits of sammll or medium siz arteri infiltraiton by neurtrorphils myalgias and arthraligas CNS gi and kidneys foot drop and post pridadia pain tx with cortioc sterodi and cylophosphamide poly cuntatoues phorphria |
|
|
doxicyline
|
lymes 1st protection
lymphgranmon groulosum |
|
|
ostemalacia
|
vit D deficity
low ca low po4 and increase pth long femurs and veterbral bones |
|
|
calcinosis in crest
|
nodular swelling
|
|
|
diabetic wi ED tx
|
sindenfil phosdiestiras inhibiotr
|
|
|
cocaine cardia ischemai
|
benzo nitrates aspiren
|
|
|
Dismmetanted Goncooccous
|
migratoy joints skin lesion that are meoorgaic and pustular lesion
negative BC |
|
|
Steven johnson when
|
after medication
|
|
|
subcuaton nodules pyoderom gangerous in legs canca
|
wengers
|
|
|
aspergilloma
|
move with postion
|
|
|
asprin toxicity
|
tox tinnutis fever tachpen nauses and vomtiting
respirtatory alk and metablolic acid 7.36 pco2 22 hco3 12 |
|
|
albumin
tprotein |
3.5-5.5 this is a queston for hypocalcemia
6-7.8 |
|
|
gi bleed and chest pain what do you not use
|
No aspirn
|
|
|
Renal faliure with uricmeic pericarditis
|
No nsaids
|
|
|
Prostatic cancer with metatiss
|
Leuporlide
|
|
|
fluroquionlone
|
legionllena pneomonia
pyleonephifitis NOT IN PREG |
|
|
penicllin
|
1 syphillus
sclart fever |
|
|
cef
|
dissemtante gonocoosus
|
|
|
NSAIDS
|
RA
AS PERICARTIISC |
|
|
H influezna
|
epiglottis
pnemonai in copd |
|
|
anit phoso lipid
|
flase VRDL
lupus anticoagular APTT anti cardiolipid WILL INCREASE PTT BY IGM BINDING |
|
|
HBV transplant
|
Lamivudine HB immuno globin
|
|
|
hcv
|
interferon ribarvin
|
|
|
mcc of thyroid nodule
|
collid
|
|
|
ichthosis
|
lizard skin
|
|
|
strept viridan mcc type
|
mutans
|
|
|
chroinic cough
|
FUCKING ACE ACE ACE
|
|
|
chrio carcionma
|
go to lungs look like emboli
look for after prenangcy and enlarge uterus |
|
|
pnh
|
venosis thrombosis hepatic vein budd chirari syndromw
membran dect intravasuclar hemolysis LDH biliruibn and retci count sugar water test and ham test |
|
|
rhab
|
+blood no RBC ATN look for eptiltial cast increase in Cr
mcc alcholoism tx fluids and alkaziation of fluid |
|
|
hyperglycemia
necoting dermatis weight loss |
glucagoma
|
|
|
prostatis bacteria
|
young chylimdia gonorrhea
old ecoli gram stain and culture of mid stream unrine sample |
|
|
AIDs diarrhea
|
look at stool ova parastites
|
|
|
zenkers
|
outpoching of posterior pharygeal constrictor muscels
upper esopagus herinal posterioly motor dysfucitno and incoordiantion reguriation of food 2-3days old dx barium no nasogracits tubes developing perforation |
|
|
acyclovir can cause what
|
nephorpahty
|
|
|
Spinal cord commpression
|
dexamethasone plus mri
if pacemarker use ct myelogram |
|
|
which valve is hit in endocardtisis
|
tricuspid in iv drug absures
mitral in regural enodcarditsi |
|
|
fi02 should kept under what
|
40%
|
|
|
what is elevate in folate and b12 deficinecy
and just b12 |
homocytstine
and methmaolic acid in b12 |
|
|
copd will have what respiratory picture
|
respiratoyr acid and hypoxia
|
|
|
shiella where do you get it
|
daycare and
|
|
|
myco avium complex
|
tx clarithromycin and ethamutol
|
|
|
febrile transfusion
|
nsaids acetomphia rx donoer lekocytes
|
|
|
lung mass cartliate
|
haratoma just need observation
|
|
|
lung and gi symptoms with thrush and infection in a bmt patinet
|
cmv look for diarrhea
dx colonscopy tx with ganciclovir se neutorpenia |
|
|
g6pd defeiciney what is hte level of g6pd defeinte test
what is seen on smear |
normal after hemolsysis
bite cells and heniz bodies increase ldh bilirubin and reti cout and normal mcv low hapto |
|
|
steroids can cause what to nertophil
|
increase neutrophile count by increasin bone marrow release
|
|
|
spherecytosis
|
AD
osmotic frag test mchc is increase >36% mvc normal look for jaundice cholecysitsis splenomegaly bc thats where hemolysis happens high bili extravascular give folate so no aplastic crisis or parvovirus |
|
|
osetosarcoma
|
sunburst
thigh upper arma young metaphysea tumor surgery tx |
|
|
pv
|
low eropotien level
increase rbc mass and elevate platelt count |
|
|
aspiration leads to what
|
lung abcess look for alcoho biabeti coam shock and antestia
oral anaerboes look for putrid foul smill sputm and weight loss anemai and fatiges lower lobs most common sites of aspirati in uthe upright postion and posterio segen of rugi upper lobe is most cmoom sit in the supine postion dx is only by lung biospy bc gram stain will not show anything tx clindamycin is good for above the diapharam |
|
|
cnanc
|
goddpasture and wengern
|
|
|
cystic fibrosis deficieny is what vitamins
|
lost of vit adek
k is loss of II VII IX X |
|
|
PT and PTT
|
11-15
24-40 |
|
|
ondosetron
|
5ht3 antangosit used with cancer pt who keep on vomiting
|
|
|
ATN
|
urine osm <350 urine na >40
fena> 1% |
|
|
down and out ptosis
|
cn 3 can be caused by diabetes
|
|
|
high indirect
|
hemolysis or bilirubin conjuation
|
|
|
NASH caused by what
|
obestiy dm and hypertriglic
|
|
|
ERCP
|
can cuase biliary fistula
|
|
|
hepatocelluarl carcionam
|
from chronic liver dx
|
|
|
tx of gullian bare
|
immunoglobin
|
|
|
hemocromatosis
|
listeria yershina vibrio
|
|
|
needle stick of hep B pt
|
in and hep b vaccine X3
|
|
|
what is not a risk factor for pancreatic cancer
|
alchohol not a risk factor
|
|
|
solitary mass of live
|
metastatic most likely
|
|
|
psedodemtina vs alherimer
|
know that alzhimerher pt have no idea that they are losing there memory
|
|
|
lichen planus
|
pruitis
|
|
|
seborrhe dermatitis
|
dnadruff and blepharitis sclaing skin on scalp and eyelids and treat with dandruff shapoo
|
|
|
vomititing
|
increase aldosteon systne which will kick h and k out so correct need replace volume and K+
|
|
|
Pt weight gain burising proxima muscl weakness
|
cushing hypokalemia
|
|
|
respiratoy alkosis
|
pneumonia high altitude salicty intox anixty
|
|
|
Prengany
|
hyperesms gravian
metaolic alkosis and porgeston stimulalet the respiratoy centers |
|
|
metalboic alkosis
|
hgih ph low K volume ocntraction can be from diurtic
|
|
|
leading cause of death in screloderma
|
pulmonary fibrosis
|
|
|
restirtict lung pattern
|
TLC Residual cpaactiy and residual vououme are all decrease
Co diffuison will by decrease in inertsital lung dx such as Rhemoatiod artitis EXTRINISC RESITISTION WILL Cause the same with out the diffusion capactiy going down |
|
|
Endocarditis
|
osler node painful nodulr on pads and finger or toes
roths spots retinal lesion by hemorrhabge both are vasculitis janewyar lesion pailes pathc on palms or soles emboli |
|
|
honey moon cystist
|
recetn sexually active members
G+ coccus restat to nobiocin? |
|
|
Gonococcal
nongonococcal |
ceftriaxone or cipro
doxy or signle does of azithromycin |
|
|
Uti
pyelo |
tmpsmx
fluorquinolone nitro if pregnant |
|
|
rmsf
|
start of palms and soles goes to trunk
tx dox |
|
|
scalart fever
|
group b strawberry tongues and sandpaper like rash on trunk which desquamates after a few day
|
|
|
herpes 8
herpes 6 |
kapsosi
rosea |
|
|
Lymphogrtanuoma venerum
|
painless eruption that spontaneousl hearls
|
|
|
granuomal inguinal
|
calymmatbactieru granuomatic G- bacterim
painless ulcer lymphadenopathy microscopi examintat revela donoan bodies |
|
|
chlamydia
|
dx pcr dana probe assay
tx azithromycinX1 and doxycyclinX 7 days |
|
|
osteomyeltis
|
staph aurea and psuedomonas
Nafcillin and gentamin Vancomycin and |
|
|
strep viridans
|
penicillin allergic cefriazoxne or vancomycin
|
|
|
staph aureurs
|
Naficllin plus gentamicin allergic
cfazolin or vancomyicn |
|
|
diatbict with otits externa
|
pseudomase you antibotit ear drops
|
|
|
nuerospyhilius
|
argyll robertson pupil in th presence of actue mania
|
|
|
osteomyelistis
|
tenderness over the infected bone
draining sinus tact |
|
|
bacterial tracheitis
|
less than
|
|
|
cgd
|
recurrent lympadentits multipe site osteomyletites
cutaneous abscess hepatic abscess and recurrent infection sta aureus or aspergillus |
|
|
menigitis do what first
|
do ct imaging first bc there is a risk of herniation High yeild question
|
|
|
pyrazinamide
|
used for treatment of TB inbigt of fatty acid syantahse
|
|
|
vancomycin
|
red man sndrome
|
|
|
ototox
|
aminoglycosieds
|
|
|
tularemia
|
infected rabbits pnemonia pharyngits peluar effesion heilar lymphadeonpath and pnuemotits
|
|
|
vesicles scattered on he tongue buccal mucoas psterior pharynx gums palate and lips hands figer feet butock adn groin
|
coxsackie A hand foot and mouth dz
|
|
|
paramyxovirue is responsibel for
|
mealses
|
|
|
floroquione se
|
17% degree of GI upset
|
|
|
erythmea nodosum
|
NSAIDS
|
|
|
erythema multiforme
|
follow infection with herpes simplex of mycoplaa
palsm and soles tx with antihitamines |
|
|
urticaria
|
hypersensitvity reaction mediated by IgE and mast cell activation
|
