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138 Cards in this Set
- Front
- Back
bruises in arms of a 79 y/o
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senile purpura
=connective dissue d/o = unconcerning |
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statistical test to compare 2 proportions
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chi square
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statistical test to compare 2 means
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sample z or t test
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statistical test to compare 3 or more means
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anova
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velcro like inspiration crackles
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idiopathic pulmonary fibrosis
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3 signs
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coarctation of aorta
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headache
epistaxis cold extremtiies delayed femoral artery pulsation |
coartcation
|
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boot shapted heart
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TOP
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parasternal RV left and fixed split of S2
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ASD
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cutoff in size of aortic aneurysm repair
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>6cm
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cancer bone pain no longer covered by SNAIDS
Next steps |
short acting morphine
increase doses switch to long acting when dose established and short acting for breakthrough |
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positive TB tiberculin for healthy person with no RF
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>15
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3 day old newborn, erythematous vesicles/papules
+eosinophils red halos next step |
erythema tox??? (p101 of notebook)
nothing |
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#1 nonpharm intervention for HTN
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decreased drinking (not smoking!)
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acute anterior wall MI with pulmonary edema
Next step |
furosemide
(also warfarin +PTCA) |
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breast swelling
erythema discharge +axillary nodes next step? Dx? |
biopsy, with tx depending on histology
dx is inflammatory breast ca |
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genetic condition associated with medullary thyroid ca
inheritance pattern? gene? |
MEN II
A RET |
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quad test results for downs
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bHCG and inhibin A increase
MSA FP and estriol down |
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test to confirm PE
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spiral CT
or VQ scan or pulm angiogram NOT le u/s |
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next step after CT shows duodenal hernation after a blunt trauma
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nasogastric suction
parenteral nutrition |
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ADH causes water retention or excretion
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retention
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skin necrosis in pt newly on warfarin
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temporary pro coagulation 2/2 inhibitied Protein C production
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clotting factor that appears first in pts on warfarin
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Protein C (shortest half life)
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bow legged kid
25 OH vit D, Ca++ and Alk phos all wnl inheritance? |
hypophos rickets
x |
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labs in Vit D deficiency rickets
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decreased Ca leads to increased PTH leads to normal Ca
decreased phos |
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decreased Ca
increased phos increased PTH |
pseudophy PTH
|
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kid with URI
fever irrigtability muffled hot potato voice neck stiffness dx |
retropharyngeal abscess
CT |
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complex loculated pulmonary effusion with thick peel post drainage of hemothorax
tx? |
empyema
surgery |
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CHF associated with proteinuria and easy bruising
restrictive cardiomyopathy |
amyloidosis
|
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bliateral hilar adenopathy
erythema nodosum |
sarcoid
|
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widening of mediastinum
JVD How? |
AD leads to
pericardial fluid accumulation, leads to tamponade |
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big increase in bile with
AST/ALT elevation? Alk Phos? |
AST/ALT elevation = intrahepatic
Alk Phos indicates extrahepatic |
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next step in jaundice with increased alk phos
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CT/US abd to rule out extra hepatic cause
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recurrent oral and genital ulcers/skin lesions
mouth ulcers blurred vision, anterior uveitis hyperpigmented areas on extremities painful nodular lesions with areas of hyperpimentation dx? progresses to? demographic? |
Behcets
dementia or blindness Turks, Asians, Middle Easterners |
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risk factor for nasopharyngeal carcinoma
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EBV
smoking nitrosamines in salted fish |
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dark brown discoloration of colon
lymph folilcles showing through as pale patches |
melanosis coli 2/2 laxative abuse
|
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tx for slipped cap femoral epiphysis
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surgical pinning
|
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exposed to hep B. Next step
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HBV IVIG AND vaccine
|
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anosmia
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Kallmans 46XX
|
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otherwise healthy young person with CHF
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myocarditis 2/2 viral infection with coxsackie B
|
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7 y/o with
severe headache vomiting AMS nuchal rigidity subarachnoid blood likely has |
hx of seizures 2/2 AVM
|
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cherry red spot
hepatosplenomegaly cervical LAD deficiency |
Niemann Pick
sphingomyelinase |
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cherry red spot
hyperaucusis MR seizure dx deficiency? |
Tay Sachs
hexosaminidase |
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hepatosplenomegaly
anemia decreased WBC/Plt dx? deficiency? |
gaucher
glucocerebrosidase |
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hyperacusis
irritability seizures dx? deficiency? |
Krabbe
galactocerebrosidase |
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lactic acidosis in patient with suspected SBO
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bowel ischemia
|
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bilateral hand and feet swelling in african american who is 9 mos old
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vaso occlusion phenomena 2/2/ sickle
= dactylitis |
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parkinsonism
autonomic dysfunction widespread nero signs (orthostatics) tx |
shy drager
multiple system atrophy tx is intravascular volume expnsion by any means |
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severe hypotenion in Ashkenazi child
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Riley Day
|
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b12 deficiency interferes in what biohemical process
|
DNA synthesis via THF
|
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impaired glutathione synthesis
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anemia of G6PD
|
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glossitis
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B12 deficiency
|
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mucopurulent discharge from cervical os; not bacteria
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chlamydia
|
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arthralgias
wt loss fever diarrhea abd pain male 30-60 dementia |
Whipples
|
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recurrent stones since childhood
pos family nx hexagonal crystals on U/A pos urinary cyanide nitroprosside test |
cystinuria
|
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italian american with microcytic anemia
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thalassemia
|
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tx for hereditary spherocytosis
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splenectomy
|
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tx for autoimmune hemolytic anemia
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steroids
|
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aldosterone/renin in primary hyperaldo
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both increased
|
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rx for untington's
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haldol
|
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most common means of acquisition of osteo adjacent to a foot ulcer
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contiguous spread
|
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when is odds ratio result of a in a case control study about the same as the relative risk
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whn the disease is really rare
|
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unilateral flank mass in a child 2-3 rs
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neuroblastoma
|
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bilateral flank masses
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polycystic kidney
|
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physical findin that confirms malignant HTN
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BP >= 200/140
papilledema |
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% of Wilms tumors that are bilateral
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2
|
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rx for torsades
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Mg
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tx for lead poison
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Ca EDTA (severe) or succimer (mild)
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tx for acetaminophen poisoning
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n-acetylcystein
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tx for wegeners
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high dose steroids
|
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who gets hep A vacine
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pts with Hep C
|
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tx for liver failure pt with bleeding disorder
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FFP
|
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PAS in lamina propria of Small intestine
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Whipples
|
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pure motor storke
etiology RF |
lacunar
small vessel hyalinosis HTN/Diabetes |
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urinary urgency
urinary frequency chronic pelvic pain (esp dyspareunia) |
interstitial cystitis
|
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target BP for diabetics
|
<130/80
|
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tx for precocious central puberty
|
CT scan
GnRH agonist (to stop epiphyseal fusion) |
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vaginal bleeding
malodorous discharge tx in an old woman tx in a young woman |
vaginal SCC
radiation resection if <2 cm |
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cause of pronator drift
|
UMN lesion
|
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cause of dysmetria or poor rapid alternating
|
cerebellar
|
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64 y/o with markedly worsening pna
hemoptysis multiple thin walled cavities on CXR |
suprainfection of staph aureus
(necrotizing leading to abscesses) |
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increased gastric residues in preterm neonate
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necrotizing enterocolitis
|
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neonate with excessive drooling
chokin coughing cyanosis with feedings |
traceho-esophageal fistula
|
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neonate:
bilius vomiting without abd distension |
duodenal atresia
|
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leukocoria in neonate/infant
dx? gene? its mechanism? |
retinoblastoma
Rb, tumor suppressor |
|
pain
watering redness in eye visicles and dendritic ulcers in cornea dx? tx? |
herpes simplex keratitis
antivirals |
|
hazy cornea in a contact lens wearaer after trauma or foreign body
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bacterial keratitis
|
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cornea with haziness
central ulcer adjacent stromal abscess hypopyon |
bacterial keratitis
|
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elderly person
fever malaise burning, itching sensation periorbitally vesicular rash in V11 conjunctivitis and dendriform ulcers |
herpes zoster ophthalmicus
|
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severe pain and photophobia after trauma
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corneal abrasion
|
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farmer or immunocompromised
cornea with a strmal abscess |
fungal keratitis
|
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child with 10 days of fever
bulbar conjunctival injection fussing/crusting of lips hyperemic macules LAD dx? tx? |
kawasaki
IVIG, high dose aspirin |
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abd pain
decreased hgb increased bili increased LDH decreased hapto hepatic vein thrombosis dx etiologoy how to diagnosie |
paroxysmal nocturnal hemoglobinuria
CD55,59 can't bind and compblement binds RBCs flow cytometry to assess for CD55/59 on RBC |
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increased LDH/Bili
decreased hapto |
hemolytic anemia
|
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Explain Situational Leadership Style:
Delegating |
"Delegating" implies that the leader/manager/supervisor assigns responsibility to the subordinate and the backs off. Many refer to this as "Empowerment". It's not the case that low direction and support means no direction and support.
|
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JVD
muffled heart sounds borderline BP |
emerging tamponade
|
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abd pain
mouth ulcers granulomatous |
crohns
|
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rx for RA that leads to
stomatitis nausea abd pain fever hepatotixicity melosupression mode of action response rx |
methotrexate
antimetabolite folic acid |
|
rx for ra that leads to
predisposition to infection and cytopenia/lymphoma mode of action |
infliximab
etanercept adalimumab anti-cytokine |
|
RA with splenomegaly and decreased PMNs
when does this occur |
Felty syndrome
occurs after 10 years of RA |
|
permanent loss of vision
optic disk swelling retinal hemmorhage dilated veins cotton wool spots no pain prognosis? |
central retinal vein occlusion
no tx but some have partial recovery |
|
typical etiology of amaurosis fugax
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atherosclerotic disease of carotids
|
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bolood and thunder appearance with vision loss
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central retinal vein occlusion
|
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sudden, painless loss of vision
pallor of optic disk cherry red fovea box car segmentation of blood in retinal veins |
central retinal artery occlusion
|
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anemia with
decreased iron decreased TIBC decreased transferrin increased ferritin |
chronic disease
|
|
anemia with
increased iron increased ferritin increased transferrin decreased TIBC |
hemochromatosis
|
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anemia with
decreased iron decrease ferritin increased TIBC decreased transferrin sat |
iron deficiency
|
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asymmetric breath sounds after intubation
tx? |
pull back on endotracheal tube
|
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real causes of increased MSAFP?
decreased? |
neural tube defects
abd wall defects multiple gestation Downs (is down) Edwards |
|
decreased MSAFP
decreased estriol increased bhcg increased inhibin A |
downs
|
|
decreased MSAFP
decreased estriol really low BHCG inhibin a ok |
Edwards (a real downer)
|
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constipation
llq pain fever dx next step if it fails |
acute diverticulitis
IV abx CT |
|
oligochlonal bands
|
MS
|
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how to monitor lung function in GB patients
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vital capacity
|
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ping pong ball sensation over occiput
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craniotabes of Vitamin D deficiency
|
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pt in ED with likely PE. Next step?
|
heparin and then CT
|
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otherwise healthy woman
cold 2 weeks ago now with CHF |
dilated cardiomyopathy 2/2 acute viral myocarditis, likely coxsackie
|
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concentric hypertrophy
|
2/2 chronic pressure overload
|
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eccentric hypertrophy
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2/2 chronic volume overload
|
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left atrial hypertrophy
mid diastolic murmur opening snap |
MS
|
|
infant with polycythemia
likely sequela |
delayed clamping of umbilical cord
respiratory distress |
|
suspected renal stone
terrible pain next step? |
abd CT (other modalities can iss)
|
|
tylenol overdose
next steps: |
1. activated charcoal
2. level at 4 hours 3. n acetylcysteine w/in 8 hrs based on result |
|
elecrolyte abnormality associatd with SAH (sub arachnoid)
|
hypo Na (like SiAdH)
|
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pt post stenting
bluish discoloration in extremities ARF increased EOS GI sx |
cholesterol emboli
|
|
UC pt
beefy red tongue diarrhea rash poor concentration |
Niacin B3 deficiency
dementia diarrhea dermatitis |
|
scoliosis
hammer toes |
Friedricks Ataxia
|
|
irritability
depression dermatitis stomatitis increased hoocystein |
B6 deficiency
|
|
cap distribution
loss of P&T preserved Position and vibration what happens to cord? associated brain malformation? |
syringomyelia
cavitary expansion or "cavitation" arnold chiari |
|
caudal displacement of 4th ventricle
|
arnold chiari
|
|
first test for gall bladder
|
abd u/s
|
|
when ERCP
|
cholangitis or biliary obstruction because ERCP can treat
|
|
when HIDA?
|
acalculous cholecystitis
|
|
in hypovolemic/hemorrhagic shock...
PCWP? SVR? |
PCWP decreases
SVR increases (vasoconstriction) |
|
teenage boy
unstable gait speech difficulty cause of death |
friedrich ataxia
cardiomyopathy/respiratory |
|
pain
itching red streaks on chest resolved 2 weeks later on arm dx? association |
migratory phlebitis, Troussauds
occult tumor (adenocarcinoma of pancreas) |
|
signs of hemorrhage at 36w but no vaginal bleeding
|
placental abruption
|
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cause of amniotic fluid embolism
|
amnio or labor
|