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76 Cards in this Set

  • Front
  • Back
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pulmonary atresia

...

cyanosis

Hypoplastic left heart syndrome

Group of defects with a small left ventricle. shock, HF, single s2, male, 25% of cardiac deaths before 1 wk old

cyanotic

Transposition of the great vessels

aorta and pulmonary artery transposed. Systolic murmur or systolic ejection murmur. cyanosis

atrial septal defect
noncyanotic. MC ostium secundum, FTT, systolic ejection murmur, wide fixed split s2
ventricular septal defect
MC. systolic murmur. can be asx.
patent ductus arteriosus
opened channel bypassing lungs . wide pulse pressure. machine murmur
noncyanotic
coartion of the aorta
Narrowing in the proximal thoracic aorta, systolic murmur, difference in arterial pulse and blood pressure in upper extremity and lower extremity; pathognomonic
noncyanotic
diagnostic for achalasia
esophageal manometry

HLA-B27 and SI joint involved

ankylosing spondylitis
brugadas syndrome
genetic disorder in Asian males; v. fib, syncope and sudden death
takotsubo cardiomyopathy
occurs after a major catecholamine discharge. is an apical LV ballooning. indistinguishable from MI
hypertrophic cardiomyopathy
genetic.
leriche's syndrome

erectile dysfunction due to PAD of the iliac artery.

howell-jolly bodies
folic acid def anemia
Osborn waves

hypothermia. upward deflection following R wave.

Jefferson fracture

c1 atlas fx

kehr's sign

referred pain to shoulder from spleen rupture

.

thyroid-stimulating autoantibodies

GRAVES - primary hyperthyroidism

3 or more p waves

wandering atrial pacemaker

oligoclonal IgG bands in CSF

MS

Lhermitte's Sign

sensation or electric shocks down the spine In MS

Borrelia burgdorferi

lymes disease

Factor VIII Deficiency

hemophilia A

Factor IX deficiency

hemophilia B (Christmas Disease)

Creutzfeldt-Jakob disease

periodic sharp waves on eeg, myoclonic jerking, vacuolar (spongiform)chnages in gray matter

CREST

Calcinosis, Raynaud, Esophageal dysmotility, Sclerodactyly, telangiectasia

Scleroderma

Pseudotumor cerebri Tx

Carbonic anhydrase inhibitors (Acetazolamide)

AV malformations

located in cecum, associated w/ Aortic stenosis, painless bleeding in elderly

Pellagra (diarrhea, dermatitis, dementia)

Niacin Deficiency

also glossitis

Menopause Labs

Increased FSH & LH, decreased estrogen

serum protein elctrophoresis

SCD, MM

Strawberry cervix

Trich.

Chadwick's sign

blue cervix in pregnancy

anti-GBM

good pasture syndrome.

Argyll Robertson pupil

bilateral small pupils.


assoc w/ neurosyphilis. accommodate but do not react.

"Prostitute's Pupil"

Marcus Gunn pupil

light shone in the affected eye will produce less pupillary constriction than light shone in the unaffected eye. [lesion of optic nerve)

abnormal swinging flashlight test.

cranial nerves (sensory vs motor)

some say marry money but my brother says big brains matter most. (s-sensory, m-motor, b-both)

cranial nerves

Olfactory, optic, oculomotor, trochlear, trigeminal, abducens, facial, vestibulocochlar(auditory), glossopharyngeal, vagus, accessory/spinal,

Virchow's node

abd ca mets sign (left supraclavicular fossa lymph node)

Phenytoin side effects

1. Gingival Hyperplasia
2. Hirsutism
3. Coarse facial features
4. Peripheral Neuropathy (decreased Deep Tendon Reflex)
5. Hepatotoxicity
6. Stevens-Johnson Syndrome
7. Pancreatitis
8. Osteoporosis
9. Folic Acid deficiency

heterophile antibody titer

MONO. haptoglo

haptoglobin

decreased in hemolytic anemia, megalobastic anemia, severe liver disease, lg hematomoas, EBV, CMV, OCPs


Increased in inflammation, infection, androgens

Best marker for iron def anemia

ferritin

An inferior MI is due to ischemia of which artery and ECG changes will be seen in which leads?

RCA, II, III, aVF

An anterolateral MI is due to ischemia of which artery and ECG changes will be seen in which leads?"

Left circumflex, I, aVL, V4-V6

A large anterior MI is due to ischemia of which artery and changes will be seen in which ECG leads?

left main, V1-V6

What are the vitamin K dependent factors?"

II, VII, IX, X

PT measures ________ factors. PTT measures _______ factors.

PT --> extrinsic
PTT --> intrinsic

mnemonic: (PeT & PiTT)

Red blood cell casts

Wegener's granulomatosis, SLE, post-streptococcal GN or Goodpasture’s syndrome, nephritic syndrome, UT injury

muddy brown cast

acute tubular necrosis

Reiter’s disease

arthritis, urethritis, and conjunctivitis, balanitis circinata

cystic acne tx

1. Benzoyl peroxide, comedolytic (retin A) & Cleocin topical


2. doxy or erythro po


3. Refractory: Isotretinoin (Accutane)

Large-Vessel Vasculitis

1. Giant Cell Arteritis (Carotid Artery)
2. Takayasu's Disease (Aorta)

Medium-Vessel Vasculitis

1. Polyarteritis Nodosa
2. Kawasaki's Disease (coronary arteries)

Small-Vessel Vasculitis

1. Wegener's Granulomatosis (respiratory tract,Glomerulonephritis)
2. Churg-Strauss Syndrome (respiratory tract)
3. Microscopic Polyangiitis (respiratory tract,Glomerulonephritis)
4. Henoch-Schonlein Purpura (IgA deposits in skin, gi tract, joints, Glomerulonephritis)
5. Essential Cryoglobulinemia (skin, glomeruli)
6. Cutaneous leuokocytoclastic Vasculitis (skin only)
ZES
gastrinoma, likely in duodenum or pancreas. MEN1. confirmed by increased gastrin level >200 after given IV secretin. tx:sx
courvoisier's sign
jaundice and palpable gallbladder think pancreatic cancer
elevated alpha -fetoprotein
hepatic carcinoma , testicular cancer
low urine osm + hypernatremia
diabetes inspidius
hypercalcemia
malignancy, ⬆pth, sarcoid, vital D tox.
trousseau's sign
carpal tunnel spasm after BP cuff applied for 3 min = hypocalcemia
chvostek's sign
spasm of facial muscle after tapping facial nerve in front of ear = hypocalcemia
wilms' tumor
nephroblastoma, anaplasia = poorer px. us. sx, chemo (dactinomycin, vincristine, doxorubicin), rad.
peyronie 's disease
fibrous plaques causing penile curvative
cotton wool spots and flame hemorrhages
htn retinopathy
cherry red spot
central retinal artery occulsion
hirschsprung's disease
congenital aganglionic megacolon. chronic constipation with intermittent fecal soiling. mcc lower intestinal obstruction in neonates. dx:rectal suction bx.
jaundice, acholic stool, hepatomegaly
alpha1 antitrypsin deficiency in infants
preformed antibodies
responsible for hyperactivity rejection of transplant. liver.
antithyroid peroxidase antibody positive (TPO antibody)
hashimoto's thyroiditis. hypothyroidism + goiter
autoimmune thyroid inflammation
askanazy cells (hurtle cells)
thyroid stimulating immunoglobulin (TSH receptor ab)
Graves disease. hyperthyroidism
De quervain's thyroiditis
viral. painful. HLA-B35. high T4,T3 then falls when stores exhausted. hyper to hypo.
pseudogout
calcium pyrophosphate. positively birefringent rhomboidal crystals
heme pos stool, abdominal pain, migratory joint pain, hives->petechi->purpuric, hematuria
henoch-schonlein purpura. commonly after URI.
snuff box pain, fall on heel of hand
carpal scaphoid fracture. even with negative xrs. thumb Spica cast.
flaccid paralysis, loss of bowel/bladder, loss of pain and temp sensation.
occulsion of the anterior spinal artery.