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127 Cards in this Set
- Front
- Back
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what kind of waiver is necessary in order for MD to speak about a pt's med hx
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written
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group of teenagers at a cookout to ED with
increased HR increased RR pinkish hue |
CO poisoning from grill
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bitter almond breath
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cyanide poisoning
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cyanosis
bluish discoloration of skin/MM |
methemoglobinemia
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aggressive
paranoid ataxia nystagmus muscle rigidity |
PCP intox
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perceptual intensification
depersonalization sweating, tachy pupillary dilation poor coordination |
LSD
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blood at uretrhal meatus
high riding rpostate by pelvic hematoma scrotal hematuria difficulty urination |
posterior uretrhal injury
Prostate abnormal in Posterior |
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perineal tenderness/hematuria
normal prostate urethral bleeding |
anteiror urethral injury
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tears in the cardia
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mallory weiss tear 2/2 vomiting
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criterial for severe preclampsia
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160/11
5g proteinuria oliguria increased liver enzymes thrombocytopenia |
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rx for eclampsia/pre-eclampsia
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methyldopa
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when can forceps be used
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full dilation of cervix
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zavanelli maneuver
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shoulder dystocia
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pna with gram + diplococci
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strep pneum
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pna with gram + cocci in clusters
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staph
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pna with gram - cocci
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neisseria
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pna with gram + rods
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listeria
bacillus |
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pna with gram - rods
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pseudomonas
hemophilus kebsiella legionella |
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red tongue
sandpaper type rash 3-5 day fever |
scarlet fever
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red tongue
truncal rash >=5 day rash |
kawasaki
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desquamative rash with infection ni kid
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kawasaki
TSS (but multiorgan shock signs in this case) |
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URI + amox/ampicillin
rash |
EBV
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liver biopsy with PAS +
diastase - |
alpha 1 anti trypsin
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reed steinberg cells
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hodgkins disease
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area of colon vulnerable to ischemia
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distal left
Doesn't Live |
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desquamative rash with infection ni kid
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kawasaki
TSS (but multiorgan shock signs in this case) |
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increased ACE
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sarcoid
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hydatid cyst source
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contact with dogs
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aminiotransferase abnomalities in an obese, diabetic with increased TGL who doesn't drink
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NASH
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URI + amox/ampicillin
rash |
EBV
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hepatitis
anti smooth muscle AB or ANA finding on biopsy |
autoimmune
prominent and inflammatory infiltrate |
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liver biopsy with PAS +
diastase - |
alpha 1 anti trypsin
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TPN leading to hepatitis
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NASH
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reed steinberg cells
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hodgkins disease
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area of colon vulnerable to ischemia
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distal left
Doesn't Live |
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increased ACE
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sarcoid
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hydatid cyst source
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contact with dogs
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aminiotransferase abnomalities in an obese, diabetic with increased TGL who doesn't drink
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NASH
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hepatitis
anti smooth muscle AB or ANA finding on biopsy |
autoimmune
prominent and inflammatory infiltrate |
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TPN leading to hepatitis
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NASH
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desquamative rash with infection ni kid
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kawasaki
TSS (but multiorgan shock signs in this case) |
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URI + amox/ampicillin
rash |
EBV
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liver biopsy with PAS +
diastase - |
alpha 1 anti trypsin
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reed steinberg cells
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hodgkins disease
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area of colon vulnerable to ischemia
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distal left
Doesn't Live |
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increased ACE
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sarcoid
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hydatid cyst source
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contact with dogs
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aminiotransferase abnomalities in an obese, diabetic with increased TGL who doesn't drink
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NASH
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hepatitis
anti smooth muscle AB or ANA finding on biopsy |
autoimmune
prominent and inflammatory infiltrate |
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TPN leading to hepatitis
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NASH
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post chole
no labe irregularities no stones but continued pain |
functional pain
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increased calcium
decreased urine calcium family hx |
familiary hypocaclciuric hypercalcium
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first line tx for uncomplicated cystitis
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bactrim
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tx for ed in diabetes
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sildenafil
+ doxazosin if on an alpha blocker |
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what kind of med is doxazosin
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alpha blocker
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jauncide the day after a long operation with a lot of transfusions
increased alk phos build ast/alt elevatsion |
post op cholestasis
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severe r sided abd pain
fever gross hematuria |
renal vein thrombosis
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nephrotic syndrome most associated
with renal vein thrombosis |
membranous
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cause of acromegaly
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pituitary adenoma
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cause of death most frequent
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CHF (congestive)
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pathology of angiodema
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C1 inhibitor deficiency, dysfunction or destruction
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15 year old with angiodema after a dental procedure
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hereditary angiodema
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painless ulcer leading to a bubo
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lymphogranuloma venereum
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cirrhotic patient with ascites
develops abd pain or AMS PMN is paracentesis is >250 |
spontaneous bacterial peritonitis (SBP)
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ascites with elevated PMN
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SBP
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mom with active Hep B delivers baby. Next step
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HB1G (passive immunization) + recombinant HBV vacine
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anti HTNsives in pregancy? for what bp? Avoid?
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labetalol and methyldopa if >120/80
no ACE/ARB!! |
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definition of intermittent asthma
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<=2 days per week
nighttime awakenings <=2 b agonists <= 2 days per week PFTs wnl b agonist is med |
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definition of meild persistent
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> 2 days per week but not daily
3-4 nighttime awakenings PFT wnl PRN albuterol and inhaled corticosteroid |
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deinition of moderate asthma
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daily sx
weekly nighttime awakenings moderate limit of activities FEVI 60-80 |
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severe asthma
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throughout day
frequent nighttime very limited activity FEVI <60 hig done inhaled corticosteroid short and long acting inhaler |
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anxiety drug that can cause seizure
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alprazolam, if stopped abruptly
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no peristoltic waves in lower 2/3 of esophagus
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scleroderma
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nest step after confirming MG
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cxr for thymoma
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anti-Jo
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polymyositis
Jo PO |
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anti-RNP
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connective tissue disease
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eclamptic mother in labor was given mag
Now decreased DTRs, decreased RR |
stop mag
give calcium gluconate |
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poison that can be caused by nitroprusside
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cyanide
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BPP scores 8
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decreased amniotic fluid but wnl; delivery normal
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BPP score 6 without oligo
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delivery if >=37 weeks
OR repeat BPP in 24 hours if < 37 weeks |
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BPP 6 with oligo
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deliver at >=32, otherwise daily maonitoring
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BPP <4
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deliver if >=26 weeks
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elevated BP in first 20 weeks of pregnancy
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either chronic HTN or mole (r/o by normal size)
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increased sodium
decreased K hypertension |
hyperaldo
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risk factors fo previa
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prior C section
advanced maternal ag |
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septic hip in a child. next step
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surgical drainage
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tx for juvenile arthritis of hip
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salicylates
rest PT |
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infant with macrosomia, marcroglossia, visceromegal
omphalocele, hypoglycemia, hyperinsulinemia prominent eyes/occiput ear creases hyperplasia of pancreas chromosome |
beckwith wiedemann
11p |
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associated with Beckwith wiedemann
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wilms tumor
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hypotonia
enlarged tonue umbilical hernia increased head size |
congenital hyperthyroid
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caudal regression
TGN duodenal atresia small left colon anencephaly neural tube deficits |
diabetic mother
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wilms tumor
aniridia genituurinary anomaly retardation genes? |
WAGR
II (WT1) and PAX6 |
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wilms tumor risk increased
male pseudohermaphrodism early onset renal failure with mesangial sclerosis |
Denys Drash
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hepatomegaly
direct hyperbilirubinemia coag disorders abnormal renal function emesis anorexia acidosis glycosuria |
galactosemia
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hypoglycemia with fasting
why? |
von geirkes
failure to release glucose from liver |
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sudden onset SOB
pleuritic CP low grade fever hemoptysis |
PE, even without HR and RR increaeses, decreased O2, calf swellign, Virchows!
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stasis
endothelial injury hypercoagulable state |
Virchow's triad
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patient ingested lye.
next step |
DAMAGE IS INSTANTANEOUS
IV hydration esophageal endoscopy to assess drainage DON'T USE CHARCOAL |
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lung nodule withhalo sign
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aspergillosis
Asperhalosis |
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sw us, lung infection
associated with erythema multiform erythema nodosum arthralgias |
cocco
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papules along path of lymphatic flow
papules ulcerate |
sporotrichosis
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when is hep C test indicated in pt + for gonorhhea
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if IV drug user
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facial or other skin lesions
- sudden onset - erythematous - edematous - tender - raised borders bug associated frequent site? |
erysipelas
group A beta hemolytic strep legs |
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painful swelling (exquisite pain) after embolectomy
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ischemia reperfusion syndrome
= compartment syndrome 2/2 tissue swelling |
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how many hors of ischemia to produce ischemia reperfusion syndrome
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4-6
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emtpy sell
increased ICP |
pseudotumor
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anti RBC membrane IgG Abs
+ direct coombs increased LDH spherocytes |
autoimmune hemolysis
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4 week infant
projectile vomiting after feeding next step |
pyloric stenosis Py-4-ic
abd us |
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1 week old
pneumatosis intestinalis (intramural air) abd distention vomiting frank blood in stools leukocytosis |
necrotizing enterocolitis
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no meconium in first 24 hours
intermittent diarrhea, constipation, abd distention dx |
Hirschsprungs
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prostate ca pt with likely mets given CNS signs
loss of bowell and bladdder control first step? biggest concern? |
steroids to decrease swelling
compression of thecal sac |
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Dusky red target shaped lesions over all 4 extremities
associated with |
erythema multiforme
mycoplasma |
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bug that doesn't stain, only PMNs seen
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mycoplasma (no wall)
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a pna with more extra-pulmonary features
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mycoplasma
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fevere
severe jaundice RUQ pain |
Charcot's triad - cholangitis
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fever
severe jaundice RUQ pain confusion hypotension next step most important aspect |
Reynold's pentad - ascending cholangitis
biliary decrompression by ERCP drainage of biliary tree |
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crescendo decrescendo systolic murmur on LSB
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hypertrophic cardiomyopathy
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normal contraction of upper 1/3 of esophageal sphincter
decreased peristalsis of mid esophagus no LES relaxation |
achalasia
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choking or food-sticking sensation with swallowing
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cricopharngeal dysfunction
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severe non-cardiac chest pain due to uncoordinated contractions of esophageal body
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diffuse esophageal spasm (DES)
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decreased LES pressure
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GERD
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+ straight leg raise from lifting something something
next step |
disk herniation
resume activity, NSAIDS, muscle relaxants |
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arthritis with low likelihood of deformity
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SLE
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vestibulotoxic abx
result |
aminoglycosides
esp gent permanent vertigo, ataxia |
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diziness
hearing loss tinnitus |
menieres
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GI complainst and
periorbital edem myositis eosinophilia and splinter hemmorhages and conjunctival/retinal hemorrhages |
trichinellosis
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splinter hemmorhage
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endocarditis or trichinellosis
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