Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
103 Cards in this Set
- Front
- Back
|
34 year old with easy fatguability
decreased concentration insomnia occasional muscle pain r hand clumsiness decreased memory extensor r hand weakness anemia |
lead poisoning
|
|
|
treatment for lead poisoning
|
succimer
|
|
|
cause of blurred visionin NKHS
|
hyperosmolarity that thickens lenses
hyperosmol, hyper eyewhole |
|
|
diabetes, leading to
infection, leading to fatigue blurry vision decrased volume UA with glucose |
NKHS
|
|
|
epigastric and R shoulder pain after eathing big meal
|
biliary colic 2/2 gallstones
|
|
|
dx for prostatitis
|
midstream urine
|
|
|
positively birefringent crystals
dx? content? |
pseudogout "positive pseudo"
Ca++ pyrophosphate "CP-PB" |
|
|
calcium oxalate
|
renal calculi
|
|
|
monosodium urate
|
gout
|
|
|
struvite
|
renal calculi in UTI by proteus or klebsiella
|
|
|
chondrocalcinosis
|
pseudogout
|
|
|
6 mos old
regurg after feedings failure to thrive arching of back when regurging diagnosis next step |
acid reflux disease
pH monitoring |
|
|
decreased potassium
alkalosis normotension |
surreptitious vomiting
diuretic abuse Bartters Gitelmans |
|
|
decreased potassium, alkalosis, hypertension
|
primary hypoaldo
|
|
|
how to differentiate surreptitious vomiting from other causes
|
decreased urine chloride
|
|
|
contraindications to breast feeding
|
HIV
TB HSV near nipple Malaria Sepsis Eclampsia Nephritis Substance abuse Breast ca |
|
|
incrased calcium, increased/normal PTH
|
primary hyper PTH
or Familial hypocalciuric hypercalcemia |
|
|
pneumonitis and colitis in a recent txplnt pt
|
CMV
ColitisandpneuMonitisi Vitis |
|
|
tx for disseminated histo
|
ampho until negative culture and then itraconazole forever
remember Histo Itro; and A before I |
|
|
lowe grade fever
anorexia decreased wieght oropharyngeal ulcers hepatosplenomegaly decreased platelets |
disseminated Histo
|
|
|
foods to avoid on warfarin
|
vitamin K rich foods (green veggies)
vitamin E rich foods supplements with CP450 interactions K makes warfarin Kome down E makes warfare Eke upwards |
|
|
Hypopigmented plaque with no sensation to pinprick
next step +finding |
leprosy
skin biopsy acid fast bacilli |
|
|
Overdose:
CNS depression arrhythmia hypotenion fever flushing dilated pupils decreased BS urinary retention |
TCA
|
|
|
is alcohol bad for osteoporosis
|
yes
|
|
|
MG diagnosed
next step |
chest xray to check for thymoma
|
|
|
2 possible outcomes of HIT
|
thrombosis
bleeding |
|
|
patient with blue fingernals/cold extremities for 2 days after exlap/pressors
|
vasopression induced
|
|
|
best muslce blocker to use as anesthetic in patient with liver adn kidney failure
|
atracurium
let's cure ium |
|
|
shock and metabolic acidosis 6-72 hours after ingestion
|
iron overdose
|
|
|
toxic level of iron in an overdose
|
> or equal to 350
|
|
|
HNPCC cancers
|
colorectal
endometrial hn Poop Pregnant cc |
|
|
HNPCC criteria
|
3 relatives (one is a first degree)
2 or more generations 1 is less than 50 yrs 0 FAP |
|
|
Rx for aspiration pneumonia
|
clinda
clindAspiration |
|
|
rx for abd infections with gram - anaerobes
|
amp-gent-metro
|
|
|
what can really remove k from the body
|
kayexalate
dialysis |
|
|
rx for an agitated old lady
|
haldol
|
|
|
what to avoid in treating an agitated old lady
|
benzo
|
|
|
positive ortolani in newborn. next step?
|
u/s of hips
|
|
|
increased retics
increased bili (-) coombs spherocytes MCHC >36 diagnosis transmission dx |
hereditary spherocytosis
AD osmotic fragility |
|
|
sugar water test is for?
|
paroxysmal nocturnal hemoglobinuria
|
|
|
bugs in CGD
|
staph
aspergillus (make catalase) |
|
|
defect in DGD
|
oxidative metabolism
|
|
|
bugs in complement deficiency
|
gonococcal/meniococcal
|
|
|
bugs in t cell deficiency
|
viral/fungal
|
|
|
bugs in SCID
|
viruses, fungi, bacteria
|
|
|
deficit in SCID
|
B&T cells
|
|
|
bugs in B cell deficiency
|
encapsulateds
s pneumo h flu giardia |
|
|
osteo 2/2 nail puncture would
bug? generall shich bug? tx for nail would |
pseudomonas
staph aureus debridement and oral/parenteral quinolones |
|
|
crystal induced nephropath in HIV pt.
Cause? what is it? |
Indinavir, a protease inhibitor
|
|
|
no BM in setting of retroperitoneal hemorrhage/vertebral fracture
|
paralytic ileus
|
|
|
who gets rhogam
|
Rh negative women
|
|
|
when is rhogam administered
|
at 28 weeks
within 72 hours of any abortion/ectopic/delivery |
|
|
ideal fasting glucose in pregnancy
|
75-90
|
|
|
why can baby born to diabetic mother have hyperviscosity
|
polycythemia
|
|
|
2 most common bugs causing:
sore throat fever difficulty swalloing increased respiratory rate drooling LAD muffled voice tenderness to palpation over larynx |
epiglotitis
H flu (esophagus is like a chimney with a flu) Strep pyo (esophagus on fire) |
|
|
modiabetes med to avoid in ARF, hepatic failure or sepsis
|
metformin
|
|
|
patient hyperkalemic.
Rx that might be at fault |
posassium spring diuretcs like amiloride or spironolactone
ACE NSAIDS |
|
|
first step in tx of hyper Calcemia
|
saline rehydration
|
|
|
arterial occlusion at the bifurcation of the aorta
|
Leriche syndrome
|
|
|
bilateral hip,thigh,buttock claudication
impotence symmetric LE atrophy |
Leriche syndrome
|
|
|
CSF:
increased wbc, increased protein decreased glucose |
bacterial meningitis
|
|
|
menintgitis with petechiae and purpura
|
meningococcal
|
|
|
what turns positive fastest in an MI?
|
Myoglobin (1hr)
MI MYO |
|
|
STEMI. First two steps
|
aspirin
angioplasty |
|
|
when to use diltiazem in a cardiac patient
|
if patient has asthma
|
|
|
when to use ACE in a cardiac patient
|
low EF
|
|
|
when to use clopidogrel
|
if aspirin no tolerated
|
|
|
indications for thrombolytics
|
within 12 hours of
ST elevation or new LBBB |
|
|
cause of ED post MI
|
anxiety
|
|
|
V3 V4 V5 ST depressions
|
anterior ischemia
|
|
|
rx for ST depressions
|
enoxaparin (a clot is forming)
|
|
|
rx prior to cath
|
tirofiban or clopidogrel
|
|
|
heart meds that lower mortality
|
aspirin
beta blocker |
|
|
first test for endocarditis
|
blood culture
|
|
|
hemorrhagic lesions with focused dots
|
Roth spots
|
|
|
tx for
neovascularizaiton in diabetic retinopathy vitreous hemorrhages copper wiring/AV nicking |
laser photocoagulation
|
|
|
erythema nodosum associated with
|
syphilis
sarcoid pregnancy strep |
|
|
flat painlesss lesions in endocarditis
|
Janeway
|
|
|
painful pea shaped lesions in endocarditis
|
oslers
|
|
|
non blancing petechia
|
thrombocytopenia
dysfunctional platelets vasculitis |
|
|
vertical pupils
|
coloboma
|
|
|
crusty stuff around eyelid
dx bug |
blepharitis
staph |
|
|
why is TCV endocarditis acute
|
coagulase pos staph aureus
|
|
|
subconjunctival petechiae
|
endocarditis
|
|
|
multiple lung abscesses
|
septic emboli from IV drug users endocarditis
|
|
|
rx for endocarditis
|
vanc (betalactam that makes the whole)
and gent (that kills the ribosome) |
|
|
mechanism of vancomycin Red man
cure? |
histamine release from mast cells
slow down vanc rate |
|
|
likely comorbidity in endocarditis
|
complement deficiency due to circulating immune complexes
|
|
|
strep bovis endocarditis. Next step
|
colonoscopy
|
|
|
Rx if prosthetic valve endocarditis
Next step |
rifampin
TEE to check for leaks around valves 2/2 abscesses |
|
|
bug in homeless, flea bitten person with endocarditis
|
bartonella for the fleabitten
|
|
|
bug from unpasteruized milk in france
|
brucella
|
|
|
airborn bug from uterus/placenta of sheep
|
coxiella
|
|
|
bug from direct contact with small furry animals like rabbits
|
francisella
|
|
|
bug from contact with urine and infected rats that causes renal and liver issues
|
leptospirosis
|
|
|
bug in elderly, neonates, HIV pts and causes meningitis
|
listeria
|
|
|
ppx for endocarditis for dental work
|
none
|
|
|
ppx for endocarditis for colonoscopy
|
none
|
|
|
ppx for endocarditis with prosthetic valve
|
none
|
|
|
ppx for endocartiditis for getting a filling
|
none
|
|
|
ppx for endocarditis with prosthetic valve and dental extraction
|
oral amox
|
|
|
ppx for endocarditis with tonsillectomy
|
oral amox
|
|
|
ppx for endocarditis with cutting the oropharynx
|
oral amox
|
