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14 Cards in this Set

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

Dx'c test: anoscopy
MCC of acute pain and swelling of the midline sacrococcygeal skin and subcutaneous tissue
pilonidal cyst
MCC of recurrent LLQ abdominal pain that improves with defecation
diverticulosis
how are anal fissures managed
stool softeners
nifedipine, diltiazem, bethanachol
botox
partial sphicterotomy