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17 Cards in this Set
- Front
- Back
Acute exacerbations of MS are treated with what?
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High does IV methylprenidsone
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To reduce # of exacerbations in MS or Secondary Progressive form of MS Rx with
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Beta-Interferon
or Glatirmer acetate |
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Pain in the hip that progressively gets worse with limited Abduction and Internal rotation?
Other Causes of this Why is this not Septic Arthitis? |
Aseptic Necrosis of the Femoral Head
Chronic Corticosteroid use, SLE, Alcoholism, Gauchers Because in septic arthritis you have a fever sick child and over the join you will have warth and tenderness. |
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Craniopharyngeoma
Two age modalities? Tumor looks like Vision defect |
Children and adults 55-65
In Children in will result in short stature due to the loss of growth hormone and thyroid hormone In adults sexual dysfunction is much more prominant, men can hace loss of libido and woman can have ammenorhea Cysts filled with vesicles Bitemporal Hemianopsia |
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AntiPsych med with no sexual side effects
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Bupoprion
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Anerobic infection from aspiration pneumonia or any GI issue
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CLINDAMYCIN
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Rx for cardiogenic pulmonary Edema
which type of heart failure would you see it in? |
Nitrogylcerine.
Diastolic heart failure from long standing HTN . This will reduce preload |
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Lights Criteria that points to an Exudate:
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Need One of these
-Pleural Fluid Protien/ Serum Protein >.5 -Pleural Fluid LDH/ Serum LDH =>.6 Pleural Fluid LDH greater than 2/3 the upper limit of normal for serum |
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Complicated Pleural Effusion:
Criteria? Treatment must involve? |
Positive gram stain, positive culture, Ph<7.2 and a glucose less than 60 mg/dL
Requires AB's and chest tube for drainage to prevent an Empyema |
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Conn's Syndrome
BP? Renin level? Hypernatremia? K level? Edema? Met alk or ac |
An Aldosterone secreting tumor
BP elevated DECREASED BC ALDO IS GETTING EXRECTED MILD HYPERNATREMIA LOW K MILD IF ANY EDEMA |
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Severely PRUITIC ELEVATED lesions that start out as erythematous papules and then followed by elevated serpinginous reddish brown
lesions after patient was at the beach. why not scabies |
Cutaneous larva migrans
Scabies more in the distal hands the burrows are short wavy lines |
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Any Air under the diaphram-->
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surgical consult
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Any HTN that develops before 20 weeks in a pregnancy is either (2)
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Chronic HTN or a hyditiform mole
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Meningococcal meningitis
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meningitis plus a petechial rash around the wrist axilla flanks or ankles.
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Three Types of ETOH abuse on the liver:
Fatty Liver Alcoholic fibrosis/Cirrhosis 2. Which ones are reversible ? 3. which one is irreversible |
FL( steatosis) is the result of short term ETOH abuse
Alcohol Hepatits: has mallory bodies infiltration of neutrophils liver cell necrosis and perivenular distribution of inflammations Fibrosis has regenerative nodules 3. True fibrosis with regenerative nodules is irreversible. 2. All of them are reversible if ETOH consumption is ceased right away, fibrosis can be reversed if it is early enough in the disease. |
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Vulvovaginosis in young child with friend with similar symptoms and symptoms worse at night
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dx via scotch tape test for pinworms
rx emperically with mebendizole. |
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Nephrotic syndrome in adult with sudden onset r flank pain
etiology? most common form of glomeruler nephtrists |
Renal vein thrombosis
because have a loss of tons of antithrombin 3 in the urine are more susceptible to hypercoaguable state. Membranous glomerulonephrits most common form |