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88 Cards in this Set
- Front
- Back
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list 7 potential causes of lower motor neuron facial paralysis
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bell's
Lyme disease (bilateral) Meningitis Otitis Media Mastoiditis Herpes Stroke Temporal Bone fracture Tumor (acoustic schwannoma) |
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What is Ramasay Hunt Syndrom
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Herpes infection involving the 8th nerve.
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List 8 causes of hearing loss
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presbycusis
exposure to loud noises TORCH Meneire's Medications Tumor (acoustic neuroma) labyrinthitis |
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please list the TORCHES infections
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toxoplasmosis
other rubella CMV herpes |
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what causes sudden deafness
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typically trauma or infection
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Acromegaly is associated with what long term complications
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colon cancer
coronary artery disease |
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what drug should be given to suppress a prolactinomaa
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dopamine agonists like bromocriptine
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HLA association of DM1
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DR3, DR2
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treatment for dka
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IVF
insulin electrolyte replacemente (K, phos) |
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MENI
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pituitary adenoma
pancreatic tumor hyper Parathyroidism |
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mechanism of sulfonylurea
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increased insulin secretion
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hormonal pattern of PCOS
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increased GnRH
increased LH increased Estrogen increased androgen decreased FSH |
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what is the somogyi effect?
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AM hyperglycemia due to 3am hypoglycemia because patient is getting too much NPH at night
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treatment for DeQuervian thyroiditis
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NSAIDS to decrease inflam
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treatment for severe DeQuervian thyroiditis
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steroids. prednisone.
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please list the indications for urgent hemodialysis
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acidemia
electrolyte abnormality ingestion of toxin overload of fluid uremia any one plus renal failure. |
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why to we put citrate in blood products?
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it chelates calcium and prevents coagulation.
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side effect of metformin
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lactic acidosis
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what study should you order for a 1 month old with hip click on exam
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ultrasound because ossification does not happen until 4 mnonths of age and utility of plain film poor.
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what is mcardles dz?
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deficiency in glycogen phosphorylase
mild weakness cramping happens after exercise due to lactic acid buildup remember that other glycogen storage diseases can also cause muscle weakness |
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describe myotonic dystrophy
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AD
presents age 20-30 can't relax muscle can't release a handshake MR bald testicular atrophy ovarian atrophy |
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two keywords for mitochondrial myopathies
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ragged red fibers
opthalamoplegia |
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which is milder, becker's or duchennes
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becker's
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most common location for intracerebral hemorrhage
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basal ganglia
symptoms include contralateral hemiplegia dn hemisensory deficits |
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what does a dilated unreactive pupil mean?
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until proven otherwise, this means impingement of CNIII on the ipsilateral side.
usually the result of epidural hematoma is a sign that uncal herniation may occur because ICP is very high never do an LP in this situation |
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what is cushings triad
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breathing irregularly
bradycardia increasing BP sign of increased intracranial pressure |
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firs tthree steps in treating increased icp
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1. reverse trendelenburg
2. hyperventilate 3. mannitol diuresis 4. burr holes |
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syringomyelia clinical presenattion
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lose pain and temperature below lesion in the distribution of a cape
cavitation of cord gradually widens best tx is to create a shunt |
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etiology of senile purpura?
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perivascular connective tissue atrophy
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antibiotic for neutropenic fever
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want to cover both gm neg and pos, also pseudomonas.
so pick cefepime or 3rd gen. worry about GI mucositis |
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tx for infantile spasm
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ACTH
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how long should latent phase of labor last
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14h in multip, 20 in nullip
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dilation rate of active labor?
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1cm/h in nullip.
1.2 in multip |
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tx for subdural hematoma with no midline shift
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conservative. strive to prevent intracranial HTN
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why may you see gout in pt with polycythemia vera
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common in pt with myeloprolif disorders because of high rate turnover
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list 3 indications for aortic valve replacement
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surgery is coming up
pt has symptoms (syncope, breathlessness, angina) valve area is < 0.6cm2 |
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what should you think with a bleeding metastatic brain mass
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melanoma
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does prostate cancer met to brain
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no. mets are local.
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list three organisms likely to cause endometritis
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anaerobes #1 usually polymicrobial
e.coli enterococcus |
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LGV lesion appearance
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not super bad
shallow painless no association in time with adenopathy POSITIVE SYPHILLIS SEROLOGY |
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Granuloma Inguinale lesion appearance
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uglier.
beefy red granular base irregular borders ulcerates coexisting LA |
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primary syphillis lesion appearance
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punched out
rolled edges painless lymphadenopathy with ulcer |
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name one drug that can cause AIN
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naficillin
will see WBC casts |
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name on drug that can cause ARF
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aminoglycosides
amikacin gentamycin will see epithelial casts |
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best way to detect IUP at bhcg of 1500-6500
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tv sono required to rule in or out ectopic
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list 6 criteria for OA diagnosis
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age over 50
bony enlargement crepitus bone pain no morning stiffness no warmth/erythema |
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type of bacteria pseudomonas
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gm negative bacillus
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what is the NPH triad
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ataxia
incontinence dementia |
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one phenomenon of tamponade
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pulsus paradoxus
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pathognomonic pathology feature of crohn's vs UC
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noncaseating granulomas
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typical hysticytosis x patient
typical lesion for histiocytosis x treatment? |
young adult or child
solitary bone lesion resolves spontaneously |
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what bad thing can happen to the bone marrow of sickle cell patients
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aplastic crisis due to parvo b19
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what does splenic sequestration look like clinically
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palpable spleen
reticulocytosis. trying to make more rbc's because they are stuck in the spleen! |
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what illness is erythema multiforme associated with
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mycoplasma pneumonia
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meds that erythema multiforme is associated with
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sulfa penicillin
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sjogren's antibody
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ssa
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lcss antibody
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anti centromere or anti nucleolar
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scleroderma antibody
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anti scl 70
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clozapine side effect
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agranulocytosis
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chlorpromazine side effect
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jaundice
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FAST images inconclusive because pt is obese and they are unstable
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diagnostic peritoneal lavage to look for bleeding
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most common cause acute bacterial sinusitis
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s. pneumo
h. flu moraxella |
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most common cause otitis media
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s. pneumo
h. flu moraxella |
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classic pna most common cause
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s. pneumo
h flu |
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atypical pna most common cause
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mycoplasma
chlamydia |
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bronchitis most common organism
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viral
h flu moraxella |
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neonatal meningitis
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gbs
ecoli listeria |
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adult child meningitis
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s pneumo
neisseria (no h flu because of vaccination but watch out for in in unvaccinated pt) |
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bronchiolitis organism
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RSV
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epiglottitis organism
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h flu
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croup organism
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paraflu
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most common cause of death from hellp
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hemorrhagic shock
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mittelschmerz
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mid cycle abdominal pain seen in females usually young.
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leading cause of death in pt with acromegaly
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cardiovascular
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three most common nosocomial infections in order
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uti
surgical site pna |
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aca stroke
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contralateral paralysis will be greater in the upper extremity.
urinary incontinence |
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mca stroke
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contralateral lower extremity paralysis will be greater
homonymous hemianopsia possible aphasia |
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pca stroke
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homonymous hemianiopsia
cnIII palsy amaurosis fugax |
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what does a positive NBT test mean?
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problem with intracellular killing. it's positive when the oxidative burst is messed up.
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common infections to see in a patient with complement deficiency?
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encapsulated bacteria like s pneumo
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presentation of pt with leukocyte adhesion defect
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delayed cord separation
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clinical presentation of hereditary angioedema
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AD
swelling eyes, lips, possibly airway |
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cause of hereditary angioedema?
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c1 esterase inhibitor causing c4 complement levels to be low.
treat with androgens |
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most common primary immunodeficiency
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IgA deficiency. think about this if pt devel anaphylaxis in response to Ig.
infections respiratory gi |
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brouton's agammaglobulinemia
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XLR
males infxn start after 6 months of age infxn lung, sinus s. pneumo h. flu |
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3 things to know about wiskott aldrich
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thrombocytopenia
eczema recurrent infection (respiratory) XLR males |
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chronic granulomatous disease
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XLR
NBT positive recurrent catalase positive infections nadph oxidase doesn't work. |
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pt deficient in C5-9 what organism do you worry about?
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neisseria.
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