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24 Cards in this Set
- Front
- Back
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most common pathogen causing septicemia in a sickle cell pt
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Strep pneumonia
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most common pathogen causing meningitis in a sickle cell pt
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strep pneumonia
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most common pathogen causing osteomyelitis/arthrits in a sickle cell pt
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Salmonella
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most common pathogen causing pneumonia in a sickle cell pt
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Mycoplasma
resp viruses |
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common cardiac complication c sickle cell pts
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cardiomegaly due to need for high CO c the anemia
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why do sickle cell pts end up needing high doses of narcotics
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massive pain
tolerance to drugs rapid metabolism of drugs |
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what happens to the spleens of sickle cell pts
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gets massive early on and the atrophies due to work overload
just cant take it |
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how long to sickle cell pts live
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average of 42 for men and 48 for women
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what is sarcoidosis
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non-caseating granulomations disease
multisystem disorder young and middle aged adults pulmonary, skin, liver, spleen, lymph, heart, CNS |
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who gets sarcoidosis
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anyone
typically 20-40 yrs old much more common and severe in african americans |
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what is the pathogenisis of sarcoidosis
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genetic predisposition Plus
one or more types of environmental exposure causing antigenic stimulus exaggerated immune response |
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what is the immunology behind sarcoidosis
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depressed type IV hypersensitivity
inc Th1 response immune complexes B-cell hyperactivity |
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what are the clinical manifestations of sarcoidosis
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50% asymptomatic c abnormal CXR
25% cough, SOB, hemoptysis, wheezing, pain 25% fever, headache, malaise 5% lofgrens synd 7% have other organs effected |
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What are the PE findings of sarcoidosis
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cutaneous nodules
erythema nodosum lymphadenopathy hepato-splenomegaly wheezing |
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organ involvement
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lung- 90%
skin- 25% Liver- 50 to 80% occular lesions-11-80% |
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how do you treat sarcoidosis
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prednisone 30-60 mg QD
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what is lofgrens syndrome
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bilateral hilar lymphadenopathy
fever arthralgias erythema nordosum |
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what is stage 4 sarcoidosis
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advanced fibrosis
cor pulmonale |
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Hx of sleep apnea
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wife notices:
pt gasping for breath stops breathing LOUD snoring insomnia restless sleep obese neck size over 17" DM HTN |
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what is the definition of sleep apnea
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cessation of airflow for greater than 10 sec
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how do you diagnose sleep apnea
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sleep study that reveals
Mild: 5-15 events an hour moderate: 15 - 30 severe: over 30 |
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what are the treatment options for sleep apnea
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CPAP
Bi-PAP Weight loss surgery |
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what is a CPAP
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mask with continuous positive pressure
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what is a bi-PAP
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for severe apnea
high pressure on inhilation, lower pressure on exhilation |
