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59 Cards in this Set

  • Front
  • Back
sinusitis caused by H flu now has frontal mass
Pott's Puffy tumor
college student with severe sore throat, vesicles on soft palate
Cocksakie virus
32 y/o male, pleuritic chest pain, no resp distress
Sputum gram stain
15 y/o bilat infiltrates, agglutinin test is positive
mycoplasma
30 y/o man, 3 yr h/o dyspnea, rales/wheezing, CLUBBING fingers
bronchiectasis
Tx for legionella
Erythromycin
Rusty sputum is pneumococcus, what is the treatment?
PCN
Difficulty breathing because of stuffy nose, how do you treat?
Pseudafed
Med that loosens secretions
expectorants
19 y/o with maxilla tenderness, what is the most likely pathogen?
Strep
consolidated pneumonias, all except?
< whisper pectorilequey
what are the clinical findings suggestive of pneumococcal pneumonia, all except?
Marked leukopenia
DOC for mycoplasma
Erythromycin
3 MCC of acute sinusitis?
M.Cat
H.Flu
Strep
what drug do you avoid with sleep apnea
hypnotic meds
Pt with cystic fibrosis will most likely die from?
Pulmonary infection
23 y/o hispanic with SOB, dry hacking cough, HIV and drug abuse. What should be included in differential?
Viral pneumonia
PCP
CMV pneumonitis, retinitis
TB
Diffused bilat infiltrates
PCP
MC fungal pathogen isolated in bronchietasis
Aspergillus
structural deformity of bronchus, cilliary dysfunction
Bronchiectasis
Pt with diarrhea and penumonia
Legionella
College dorm pt with low grade fever
Mycoplasma, Tx with a macrolide
What causes pleuresy?
Inflammation
what is cheyne stokes?
periods of breathing with gradually increasing and decreasing tidal volume interspersed with periods of apnea
Kussmaul breathing is?
very deep and labored breathing with normal or reduced frequency, found in resp acidosis; it is a form of hyperventilation
Biot's respiration
rapid, short breathing with periods of apnea; indicating ICP
stridulous breathing
related to stridor, stridor causes
Vit A def. can give you?
Night blindness
swollen bleeding gums, anemia, loose teeth
Scurvey
Easy bleeding in babies
Vit K def.
chronic watery diarrhea, eats wheaties
Celiac Sprue
1 wk old with constipation and ab distention
Hirshsprung's
28 y/o with chest tightness, wheezing h/o hay fever, pulm function will reveal what?
< FEV1
which Beri Beri will give you wernicke's?
dry (Neuro - wernicke-korsakoff)

Caused by thiamine def.
what is the triad for Pellagra
Triad: Dermatitis, diarrhea, dementia

Caused by Niacin def.
what is Kwashiorkor?
swollen abdomen, reddish discoloration of the hair and depigmented skin. "bull-dog" face
Minerals to prevent osteoporosis
calcium
Vit D
lesions on corner of mouth
Riboflavin
test to measure protein status
Albumin
test for iron carrying protein in blood
transferrin
when would you give bicarb to treat blood gas?
< 7.2 pH
In met acidosis, what does the body do to compensate?
Hyperventilate
In Met Alkalosis, what does the body do to compensate?
Hypoventilate
Test useful in patients with renal symptoms but normal findings
Renal biopsy
what is the normal specific gravity?
1.000-1.025
Test useful for evaluation of renal masses
MRI
Small kidney generally reflect chronic renal disease, what test is good for this?
Renal ultrasound
name the intracellular cations
Potassium and Magnesium
name the major anions of the intra-cellular space
Phosphate and protein
major cation of the extra-cellular space
Sodium
the major anions of the extra-cellular space
Chloride and bicarbonate
Water toxicity specific gravity
close to 1.000
casts are suggestive of?
glomerular diseases:
Nephritic syndrome
Lupus
type of crystals seen in a pt with gout
cystine
uric acid

Assoc. with Acid urine
Alkaline urine would form these type of renal stones
calcium phosphate
calcium oxlate
what are hyaline casts?
Most common protein cast. Low urine flow, concentrated urine, or an acidic environment can contribute to the formation of hyaline casts
what are waxy casts?
suggest the very low urine flow associated with severe, longstanding kidney disease
what are RBC casts?
always pathologic
indicative of glomerular damage:
Wegener's granulomatosis
SLE
Goodpasture’s syndrome
when would you see WBC casts?
inflammation or infection:
pyelonephritis