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124 Cards in this Set
- Front
- Back
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purplish discoloration of skin with gangrenous changes
rx? |
necrotizing fasciitis
amp + sulbactam + clinda ACS |
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nodular eruptions in patients with tb
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erythema induratum
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neutrophilia cryptitis
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IBD (Crohns or UC)
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epithelial necrosis in gut
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ishcemic colitis
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adult with systolic murmur at paex, disappears with squat
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MVP
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murmur increases with squatting
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VSD
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complication fo rheumatic heart disease
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MS (rarely MVP)
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complication of endocarditis
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MR
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renal insufficiency
hyper K non anion gap metabolic acidosis |
RTA 4
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what part of spine is associated with morning weakness
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cervical (RA)
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tumor with increased bHCG
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choriocarcinoma
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tumor with increased testosterone and estradiol
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leydig cell
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tumor with increased AFP and bHCG
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seminoma
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tumor with increased AFP
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yolk sac
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rf for aspiration pna
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alcohol
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variable decels
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cord compression
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neonate:
jaundice large tongue hoarse cry decreased activity |
congenital hypothyroid
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thrombocytopenia
skin lesions like ecxzema multiple bacterial infections etiology inheritance |
wiscott aldrich
decreased Plt production X linked |
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unilateral/bilateral white light reflex
+/- exophthalmos no deafness or PDA |
retinoblastoma
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time in pregnancy when rubella transmitted fi
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first 4 weeks
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most common cause of congenital hypothyoid
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thyroid dysgenesis
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cause of overflow incontinency
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neuropathy
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cause of urge incontinence
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detrusor instability
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1 month of blurred vision,
frontal headache occasional falls blurry vision worse by leaning forward high BP |
intracranial HTN
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increased head size on growth charts
bulging fontanelle next step? tx? |
CT head
shunt |
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tic disease in SE/S/Mid-atlantic
no rash thrombocytopenia increased AST,ALT |
ehrlichiosis
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low t3 but other thyroid tests wnl
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sick euthyroid syndrom in context of an active illness
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vision loss
photophsia showers of floaters |
retinal detachment
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sudden painless unilateral loss of vision
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central retinal vein occlusion
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weakness after spinal injury, upper more than lower
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central cord syndrome
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ipsi loss of vibrationand proprioception
ipsi spastic paresis |
brown sequard
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bilateral loss of vibration and proprioception
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posterior cord syndrom
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systolic murmur that increases in inspiration
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TCR
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S4 in left lateral decubitus
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hypertensive cardiomyopathy
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diastolic murmur best heard when pt sitting up
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AR
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systolic murmur increases on standing
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hypertrophic obstructive cardiomyopathy
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paradoxical splitting of s2
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LBBB
because delayed closure of aortic valve |
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erythematous papules with central scar
sandpaper like texture |
actinic keratosis
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"stuck on" lesions with "greasy" surface in elderly people
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seborrheic keratosis
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maculopapular rash in a xmas tree pattern along skin tension lines
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pityriasis rosea
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S3
tx |
LV failure "kentucky"
diuretics |
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foot drop and high stepping
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L5 radiculopathy
alco Charcot Marie Tooth |
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apneic patient in the field with likely head and neck injury
next step |
orotrachal intubation
NOT cricothyroid thoracostomy no longer done |
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car accident
widened mediastinum left hemothorax |
aortic injury
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multiple small, well circumscribed ulcers wtih "volcano-like" appearance
eosinophilic inclusions |
HSV esophagitis
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Pt fell 2 stories
obvious head injury next step? |
xray spine
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seizure with eye blinking and gabbling
no post ictal confusion |
absence
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sudden loss of muscle control for 1-2 weeks
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atonic seizure
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motor, sensory, autonomic or psychic symptoms without any loss of csness
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simple partial
complex partial has pic |
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podocyte fusion
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minimal changeg
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rash
arthralgia renal disease |
henoch schonlein purpura
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IgA depositions on basement membrane
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henoch schonlein purpurA
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stridor in child
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H flu epiglottitis
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thumb sign on xray
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epiglottits
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bird's beak
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achalasia
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racemic epi used for
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croup
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pt on pheytoin and has megaloblastic anemia
tx? |
folic acid
(B12 is not affected by phenytoin!) |
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drugs that affect folic acid
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phenytoin
methotrexate tmp PMT for health |
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microangiopathic hemolytic anemia
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HUS
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smear with schistocytes and giant platelets
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HUS
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smear with target cells
microcytosis hypochromia anisopoikilocytosis |
thalassemia
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macrocytosis
hypersegmented PMNs |
folate deficiency
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increased PT and PTT
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DIC
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kid had diarrheal illness leading to ARF
anemia fever decreased plt schistocytes |
HUS
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proximal muscleweakness
increased ESR increased CK 45 y/o woman tx? |
an inlammatory mypopathy such as
polymyositis dermatomyositis steroids |
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rx for ALS
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reluzole
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non psych use of TCA
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fibromyalgia
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5 stages of CLL
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O lymphocytes
I adenopathy II splenomegaly III anemia IV thrombocytopenia LASAT Thrombo is terrible prognosis |
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plasma cell leukemia
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multiple myeloma
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b cell disease
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CLL
CLL and a BCC |
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main cause of death in CLL
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infection
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drug for cml
target? |
imatinib (gleevec)
target is TK |
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target of methotrexated
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folic acid metabolism
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most common form of drug induced nephropathy
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analgesic
aspirin NSAIDS |
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papillary necrosis
chronic tubulointerstitial nephritis |
analgesic nephropathy
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rapidly progressive dementia
myoclonus EEG changes |
Creutzfeld-Jakob
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degeneration fo frontal/temporal lobes
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Picks
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day night reversal
mild confusion or coma cirrhosis asterixis tx? |
hepatic encephalopathy
lactulose |
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AMS
ataxia nystagmus tx? |
Wernicke's
thiamine |
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HIV pt
low CD4 retinal opacifications (yellowish/white) retinal hemorrhage |
CMV retinitis
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tx for CMV retinitis
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ganciclovir or foscarnet
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microaneurysms
hemorrhages exudates retinal edema + cotton wool spots |
proliferative diabetic retinopathy
(simple if without the cotton wool) |
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graudal loss of peripheral vision
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open angle glaucoma
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increased T4, free T4
decreased TSH decreased iodine reuptake neck swelling |
thyroiditis
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dx for ankylosing spondylitis
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xray of sacroiliacs
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probably BPH. Next step?
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U/A to r/o UTI/hematuria
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increased alk phos
No GGT |
Pagets
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young person
no heart disease episodes of tacy to 160-22- mechanism? rx? other tricks to affect the problem |
PSVT
reentry adenosine need to increase vagal tone with valsalva carotid sinus massage immersion in cold water |
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poor diet
symmetrical peripheral neuropathy with sensory and motor impairments, especially distally |
thiamine deficiency
=dry beri beri |
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poor diet
symmetrical peripheral neuropathy with sensory and motor impairments, especially distally cardiac trouble (megaly, myopathy, CHF, edema) |
wet beri beri
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v poor diet
anorexia celiac sprue sore throat, cheilitis stomattitis glossitis photophobia |
riboflavin deficiency
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amt of blood loos requiring transfusion
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1500cc
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injury in midshaft humerus fracture
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radial nerve
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pain
palor pulselessness paresthesia pr? |
compartment syndrome
usually from arm and calf |
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loss of sensation over lateral 3 /12 fingers
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median nerve
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alternative to bactrim for PCP in sulfa allergy
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pentamidine
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ruptured membranes
maternal fever/leukocytosis |
intraamnionic infection
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homgenistic acid in urine of a kid with black urine on standing
deficiency |
alkaptonuria
hemogenistic acid oxidase |
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baby 2 wks
smells like boiled cabbage |
tyrosinemia
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deficiency in tyrosinemia
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fumarylacetoacetate
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acid fast filamentous branching rods
in lungs cavidtary or nodules bug? tx? |
nocardia
bactrim |
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cavitary lesion
hiv pt from southwest |
cocco
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shortened PR and widened QRS
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WPW
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tx for sinusitis in a kid
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amox
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abd pain and decreased activity and distension in a critically ill patient
treatment? |
acalculous cholecystitis
percutaneous chole |
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placental abruption?
next step |
rapid vaginal delivery unless rapid deterioation
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2 best options for quick decreased K
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calcium gluconate
insulin and glucose beta agonists slow |
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acidosis
low urine output hypotension tachypnea fever why acidotic? tx? |
septic shock
increased lactate in blood tx by correct cause and restore perfusion |
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splinter hemorrhages
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endocarditis
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2 main side effects of HCTZ
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decreased K
hyperglycemia increased lipids |
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gum/nose bleeding
leukocytosis with increased blasts + sudan black +alpha-na;hthylene |
acute monocytic leukemia
FAB M5 |
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increased hypergranular myelocytes
auer rods |
APML
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22q11
likely findings surgical precaution? |
DiGeorge
absent thymus/parathyroids watch Ca levels |
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overdose
bradycardia AV block hypotension diffuse wheezing antidote |
B blockers
atropine and fluids glucagon |
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overdose
cold and clammy extremtieis |
b blockers
this is likely cardiogenic shock |
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overdose
bradycardia normal BP blurred vision distrubed color perception fatigue headache abd pain |
digoxin
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stroke
contralateral motor and/or sensory Lower>upper |
ACA stroke
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Stroke
upper > lower hemianopia |
MCA stroke
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Stroke
upper > lower hemianopia with aphasia |
left MCA
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Stroke
upper > lower hemianopia with neglect and anosognosia |
right mca
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pure motor or pure sensory stroke
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lacunar
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dysarthria-clumsy hand
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lacunar
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ataxia hemiparesis
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lacurnar stroke
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alexia without agraphia
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PCA stroke
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