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14 Cards in this Set
- Front
- Back
Dx
px with dyspnea, hilar lymphadenopathy and hypercalcemia |
sarcoidosis
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what characteristics favor an isolated pulmonary malignant nodule
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smoker
>45 yo new lesion old lesion with incr'd size absence/irregular calcifications irregular margins size > 2 cm |
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what is the Rx for normal pressure hydrocephalus
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VP shunt (shunts CSF from ventricles to peritoneum)
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Rx for pseudotumor cerebri
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acetozolamide
weight loss serial LP (refractory cases) VP shunt |
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what are the indications for a px to be admitted with diverticulitis
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immunocompromised
elderly signigicant comorbidities high fever significant leukocytosis unable to tolerate PO intake |
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risk factor for diverticulosis
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> 60 y/o
low fiber, high fat diet |
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Rx for diverticulitis
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bowel rest x 3 days
broad spectrum AB's to cover G-'s & anaerobes (e.g. Metronidazole + Ciprofloxacin) |
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Rx for diverticulitis with abscess formation
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percutaneous drainage of abscess
IVF's bowel rest IV antibiotics |
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Rx for carcinoid syndorme
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somatostatin (shuts down 5-HT production)
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Rx for carcinoid syndrome that is refractory to octreotide
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Octreotide + IFN-alpha
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next step in management in a patient younger than 50 yo with bright red blood only seen on toilet paper
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most likely dx: hemorrhoids
Dx'c test: anoscopy |
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MCC of acute pain and swelling of the midline sacrococcygeal skin and subcutaneous tissue
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pilonidal cyst
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MCC of recurrent LLQ abdominal pain that improves with defecation
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diverticulosis
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how are anal fissures managed
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stool softeners
nifedipine, diltiazem, bethanachol botox partial sphicterotomy |