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33 Cards in this Set

  • Front
  • Back

arrhythmia seen in digitalis toxicity

atrial tachycardia with AV block.


due to both intropy effect and vagal effects

what intervention prolongs COPD survival?

long-term O2 supplementation

discharge during ovulatory phase


vs luteal phase


vs follicular phase

- ov = profuse, clear, thin, will fern on slide and creates long thread. pH 6.5.


- luteal = thicker, less stretch


- follic = thick, scant, acidic

MC predisposing factor for acute bacterial sinusitis?

viral URI

osteitis deformans

aka paget disease

Dermatomyositis is associated with AA, Renal failure, malignancy, carpal tunnel syndrome, OR sudden visual loss ????

malignancy > 10% of pt with DM will develop


MC in women so check ovarian (also lung and breast).

acrochordon

skin tag on body

what cardio drug has AE of tinnitis and/or hearing loss?

loop diuretics aka furasomide

CSF = oligoclonal bands is almost pathpneumonic for??

multiple sclerosis

hydated cyst

Echinococcosis tapeworm from dogs and cats.


usually go to liver, some Ca++ around cyst

cysticercosis

Taenia solium tapeworm from undercooked pork.


go to muscle or brain (neurocysticercosis)

B12 deficiency can lead to what complication?

gastric cancer


(think pernicous anemia via in stomach)

Dubin-johnson vs rottor syndrome

both are direct hyperbilirubinemia


DJ = dark granules in liver cell biopsy


rott = normal liver biopsy

Behcet's syndrome

rare immune-mediated small-vessel systemic vasculitis.


- mucous membrane ulceration, anterior uveitis, IBS, skin rash via eryth migrans, arthralgias, lung involv.

Coxsackie vs HSV in oral vessicles

Coxsackie = vesicles on uvula and tonsils. then will go to hands/feet!!


HSV = lips only!

tumor lysis syndrome =


Ca, P, K, uric acid

v Ca++


^ P & ^ K = intracell, low Ca b/c P binds to it!!


^ uric acid

pt with blue toes and livedo reticularis, AKI after cardiac catheterization ??

altheroembolism aka cholesterol emboli


very common

2 best test for pt with Hep B?

HBsAg & anti-HBc IgM


- anti-HBc = present during window period!!


- anti-HBs = immunized or recovered


- HBeAg = viral replication


- window period = b/t HBsAg - AntiHBs

CMV vs HSV retinitis ?

CMV = painless, fluffy or grandular lesions


HSV = severe, retinal necrosis, uveitis

pt with deformed feet + effusions and several extra-articular bone fragments on X-ray =

charcot jt aka neurogenic arthropathy


assoc with B12 def, DM


(question's answer was nerve damage)

hepatorenal syndrome

had ? that looked like Hep C with GN but it was liver that caused acute renal failure. . answer was to get liver transplant (vs kidney)

Zinc deficiency

diet high in wheat, malabsorb


skin/hair - eczema, thin hair, distrub smell/taste


^ diarrhea, v immune esp pna.


required for testosterone = hypogonade, delayed puberty

Zinc toxicity

N/V/D pain/cramps

copper deficiency

- bariatric surg, zinc toxicity, hereditary, celiac?


anemia + neutropenia (thrombocytopenia is rare)


mimics myelodysplastic syndrome


ring sideroblasts


peripheral and optic neuropathy


* compare to Wilson's!

Thiamine deficiency

B1 = washed rice / white bread/ alcoholics


beriberi = heart, neuro,

Biotin deficiency

B7 = raw egg eaters (sometime binds to B7)


hair loss, anemia, hallucinations, rash

riboflavin deficiency

B2 = malnutrit / alcoholics


bright pink tongue, cracked lips, throat swelling, bloodshot eyes > coma / death

B5 deficiency

pins and needles sensation usually seen in prisoners of war - it's in all food

aluminum toxicity

seen in hemodialysis pt


- brain, may contribute to tangles


- leads to microcytic anemia

mercury toxicity

peripheral neuropathy, pink/red cheeks, fingertips, toes, desquamation!!


effects epi/norepi breakdown = pheochromocytoma like symptoms!

Vit A deficiency

biotin spots on eyes, , keratomalacia


2nd pulm infect, renal stones, dermatosis (think why we use A in measles)


Vit A toxicity

acute = HA/ V/ stupor, papilledema


chronic = wt loss, N, dry MM, bone/ jt pain

Vit E deficiency

seen in fat malabo, needs selenum


neuro = v or absent DTR, ataxia, dysarthria, loss of position/vibration, loss of pain, impaired vision and eye movement.


no anemia