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59 Cards in this Set
- Front
- Back
sinusitis caused by H flu now has frontal mass
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Pott's Puffy tumor
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college student with severe sore throat, vesicles on soft palate
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Cocksakie virus
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32 y/o male, pleuritic chest pain, no resp distress
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Sputum gram stain
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15 y/o bilat infiltrates, agglutinin test is positive
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mycoplasma
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30 y/o man, 3 yr h/o dyspnea, rales/wheezing, CLUBBING fingers
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bronchiectasis
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Tx for legionella
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Erythromycin
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Rusty sputum is pneumococcus, what is the treatment?
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PCN
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Difficulty breathing because of stuffy nose, how do you treat?
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Pseudafed
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Med that loosens secretions
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expectorants
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19 y/o with maxilla tenderness, what is the most likely pathogen?
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Strep
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consolidated pneumonias, all except?
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< whisper pectorilequey
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what are the clinical findings suggestive of pneumococcal pneumonia, all except?
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Marked leukopenia
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DOC for mycoplasma
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Erythromycin
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3 MCC of acute sinusitis?
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M.Cat
H.Flu Strep |
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what drug do you avoid with sleep apnea
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hypnotic meds
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Pt with cystic fibrosis will most likely die from?
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Pulmonary infection
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23 y/o hispanic with SOB, dry hacking cough, HIV and drug abuse. What should be included in differential?
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Viral pneumonia
PCP CMV pneumonitis, retinitis TB |
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Diffused bilat infiltrates
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PCP
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MC fungal pathogen isolated in bronchietasis
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Aspergillus
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structural deformity of bronchus, cilliary dysfunction
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Bronchiectasis
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Pt with diarrhea and penumonia
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Legionella
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College dorm pt with low grade fever
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Mycoplasma, Tx with a macrolide
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What causes pleuresy?
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Inflammation
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what is cheyne stokes?
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periods of breathing with gradually increasing and decreasing tidal volume interspersed with periods of apnea
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Kussmaul breathing is?
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very deep and labored breathing with normal or reduced frequency, found in resp acidosis; it is a form of hyperventilation
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Biot's respiration
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rapid, short breathing with periods of apnea; indicating ICP
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stridulous breathing
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related to stridor, stridor causes
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Vit A def. can give you?
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Night blindness
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swollen bleeding gums, anemia, loose teeth
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Scurvey
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Easy bleeding in babies
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Vit K def.
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chronic watery diarrhea, eats wheaties
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Celiac Sprue
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1 wk old with constipation and ab distention
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Hirshsprung's
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28 y/o with chest tightness, wheezing h/o hay fever, pulm function will reveal what?
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< FEV1
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which Beri Beri will give you wernicke's?
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dry (Neuro - wernicke-korsakoff)
Caused by thiamine def. |
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what is the triad for Pellagra
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Triad: Dermatitis, diarrhea, dementia
Caused by Niacin def. |
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what is Kwashiorkor?
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swollen abdomen, reddish discoloration of the hair and depigmented skin. "bull-dog" face
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Minerals to prevent osteoporosis
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calcium
Vit D |
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lesions on corner of mouth
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Riboflavin
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test to measure protein status
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Albumin
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test for iron carrying protein in blood
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transferrin
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when would you give bicarb to treat blood gas?
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< 7.2 pH
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In met acidosis, what does the body do to compensate?
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Hyperventilate
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In Met Alkalosis, what does the body do to compensate?
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Hypoventilate
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Test useful in patients with renal symptoms but normal findings
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Renal biopsy
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what is the normal specific gravity?
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1.000-1.025
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Test useful for evaluation of renal masses
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MRI
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Small kidney generally reflect chronic renal disease, what test is good for this?
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Renal ultrasound
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name the intracellular cations
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Potassium and Magnesium
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name the major anions of the intra-cellular space
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Phosphate and protein
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major cation of the extra-cellular space
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Sodium
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the major anions of the extra-cellular space
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Chloride and bicarbonate
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Water toxicity specific gravity
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close to 1.000
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casts are suggestive of?
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glomerular diseases:
Nephritic syndrome Lupus |
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type of crystals seen in a pt with gout
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cystine
uric acid Assoc. with Acid urine |
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Alkaline urine would form these type of renal stones
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calcium phosphate
calcium oxlate |
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what are hyaline casts?
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Most common protein cast. Low urine flow, concentrated urine, or an acidic environment can contribute to the formation of hyaline casts
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what are waxy casts?
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suggest the very low urine flow associated with severe, longstanding kidney disease
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what are RBC casts?
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always pathologic
indicative of glomerular damage: Wegener's granulomatosis SLE Goodpasture’s syndrome |
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when would you see WBC casts?
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inflammation or infection:
pyelonephritis |