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138 Cards in this Set

  • Front
  • Back
bruises in arms of a 79 y/o
senile purpura
=connective dissue d/o
= unconcerning
statistical test to compare 2 proportions
chi square
statistical test to compare 2 means
sample z or t test
statistical test to compare 3 or more means
anova
velcro like inspiration crackles
idiopathic pulmonary fibrosis
3 signs
coarctation of aorta
headache
epistaxis
cold extremtiies
delayed femoral artery pulsation
coartcation
boot shapted heart
TOP
parasternal RV left and fixed split of S2
ASD
cutoff in size of aortic aneurysm repair
>6cm
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
positive TB tiberculin for healthy person with no RF
>15
3 day old newborn, erythematous vesicles/papules
+eosinophils
red halos

next step
erythema tox??? (p101 of notebook)

nothing
#1 nonpharm intervention for HTN
decreased drinking (not smoking!)
acute anterior wall MI with pulmonary edema

Next step
furosemide
(also warfarin +PTCA)
breast swelling
erythema
discharge
+axillary nodes

next step?
Dx?
biopsy, with tx depending on histology

dx is inflammatory breast ca
genetic condition associated with medullary thyroid ca

inheritance pattern?
gene?
MEN II
A
RET
quad test results for downs
bHCG and inhibin A increase
MSA FP and estriol down
test to confirm PE
spiral CT
or VQ scan
or pulm angiogram
NOT le u/s
next step after CT shows duodenal hernation after a blunt trauma
nasogastric suction
parenteral nutrition
ADH causes water retention or excretion
retention
skin necrosis in pt newly on warfarin
temporary pro coagulation 2/2 inhibitied Protein C production
clotting factor that appears first in pts on warfarin
Protein C (shortest half life)
bow legged kid
25 OH vit D, Ca++ and Alk phos all wnl

inheritance?
hypophos rickets

x
labs in Vit D deficiency rickets
decreased Ca leads to increased PTH leads to normal Ca

decreased phos
decreased Ca
increased phos
increased PTH
pseudophy PTH
kid with URI
fever
irrigtability
muffled hot potato voice
neck stiffness

dx
retropharyngeal abscess

CT
complex loculated pulmonary effusion with thick peel post drainage of hemothorax

tx?
empyema

surgery
CHF associated with proteinuria and easy bruising
restrictive cardiomyopathy
amyloidosis
bliateral hilar adenopathy
erythema nodosum
sarcoid
widening of mediastinum
JVD

How?
AD leads to
pericardial fluid accumulation, leads to
tamponade
big increase in bile with

AST/ALT elevation?

Alk Phos?
AST/ALT elevation = intrahepatic

Alk Phos indicates extrahepatic
next step in jaundice with increased alk phos
CT/US abd to rule out extra hepatic cause
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
risk factor for nasopharyngeal carcinoma
EBV
smoking
nitrosamines in salted fish
dark brown discoloration of colon
lymph folilcles showing through as pale patches
melanosis coli 2/2 laxative abuse
tx for slipped cap femoral epiphysis
surgical pinning
exposed to hep B. Next step
HBV IVIG AND vaccine
anosmia
Kallmans 46XX
otherwise healthy young person with CHF
myocarditis 2/2 viral infection with coxsackie B
7 y/o with
severe headache
vomiting
AMS
nuchal rigidity
subarachnoid blood

likely has
hx of seizures 2/2 AVM
cherry red spot
hepatosplenomegaly
cervical LAD

deficiency
Niemann Pick

sphingomyelinase
cherry red spot
hyperaucusis
MR
seizure

dx
deficiency?
Tay Sachs

hexosaminidase
hepatosplenomegaly
anemia
decreased WBC/Plt

dx?
deficiency?
gaucher
glucocerebrosidase
hyperacusis
irritability
seizures

dx?
deficiency?
Krabbe
galactocerebrosidase
lactic acidosis in patient with suspected SBO
bowel ischemia
bilateral hand and feet swelling in african american who is 9 mos old
vaso occlusion phenomena 2/2/ sickle

= dactylitis
parkinsonism
autonomic dysfunction
widespread nero signs (orthostatics)

tx
shy drager
multiple system atrophy

tx is intravascular volume expnsion by any means
severe hypotenion in Ashkenazi child
Riley Day
b12 deficiency interferes in what biohemical process
DNA synthesis via THF
impaired glutathione synthesis
anemia of G6PD
glossitis
B12 deficiency
mucopurulent discharge from cervical os; not bacteria
chlamydia
arthralgias
wt loss
fever
diarrhea
abd pain
male 30-60
dementia
Whipples
recurrent stones since childhood
pos family nx
hexagonal crystals on U/A
pos urinary cyanide nitroprosside test
cystinuria
italian american with microcytic anemia
thalassemia
tx for hereditary spherocytosis
splenectomy
tx for autoimmune hemolytic anemia
steroids
aldosterone/renin in primary hyperaldo
both increased
rx for untington's
haldol
most common means of acquisition of osteo adjacent to a foot ulcer
contiguous spread
when is odds ratio result of a in a case control study about the same as the relative risk
whn the disease is really rare
unilateral flank mass in a child 2-3 rs
neuroblastoma
bilateral flank masses
polycystic kidney
physical findin that confirms malignant HTN
BP >= 200/140
papilledema
% of Wilms tumors that are bilateral
2
rx for torsades
Mg
tx for lead poison
Ca EDTA (severe) or succimer (mild)
tx for acetaminophen poisoning
n-acetylcystein
tx for wegeners
high dose steroids
who gets hep A vacine
pts with Hep C
tx for liver failure pt with bleeding disorder
FFP
PAS in lamina propria of Small intestine
Whipples
pure motor storke

etiology
RF
lacunar
small vessel hyalinosis
HTN/Diabetes
urinary urgency
urinary frequency
chronic pelvic pain (esp dyspareunia)
interstitial cystitis
target BP for diabetics
<130/80
tx for precocious central puberty
CT scan
GnRH agonist (to stop epiphyseal fusion)
vaginal bleeding
malodorous discharge

tx in an old woman
tx in a young woman
vaginal SCC

radiation
resection if <2 cm
cause of pronator drift
UMN lesion
cause of dysmetria or poor rapid alternating
cerebellar
64 y/o with markedly worsening pna
hemoptysis
multiple thin walled cavities on CXR
suprainfection of staph aureus

(necrotizing leading to abscesses)
increased gastric residues in preterm neonate
necrotizing enterocolitis
neonate with excessive drooling
chokin
coughing
cyanosis with feedings
traceho-esophageal fistula
neonate:
bilius vomiting without abd distension
duodenal atresia
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
bacterial keratitis
cornea with haziness
central ulcer
adjacent stromal abscess
hypopyon
bacterial keratitis
elderly person
fever
malaise
burning, itching sensation periorbitally
vesicular rash in V11
conjunctivitis and dendriform ulcers
herpes zoster ophthalmicus
severe pain and photophobia after trauma
corneal abrasion
farmer or immunocompromised
cornea with a strmal abscess
fungal keratitis
child with 10 days of fever
bulbar conjunctival injection
fussing/crusting of lips
hyperemic macules
LAD

dx?
tx?
kawasaki

IVIG, high dose aspirin
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
increased LDH/Bili
decreased hapto
hemolytic anemia
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.
JVD
muffled heart sounds
borderline BP
emerging tamponade
abd pain
mouth ulcers
granulomatous
crohns
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
atherosclerotic disease of carotids
bolood and thunder appearance with vision loss
central retinal vein occlusion
sudden, painless loss of vision
pallor of optic disk
cherry red fovea
box car segmentation of blood in retinal veins
central retinal artery occlusion
anemia with
decreased iron
decreased TIBC
decreased transferrin
increased ferritin
chronic disease
anemia with
increased iron
increased ferritin
increased transferrin
decreased TIBC
hemochromatosis
anemia with
decreased iron
decrease ferritin
increased TIBC
decreased transferrin sat
iron deficiency
asymmetric breath sounds after intubation

tx?
pull back on endotracheal tube
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)
constipation
llq pain
fever

dx
next step
if it fails
acute diverticulitis

IV abx
CT
oligochlonal bands
MS
how to monitor lung function in GB patients
vital capacity
ping pong ball sensation over occiput
craniotabes of Vitamin D deficiency
pt in ED with likely PE. Next step?
heparin and then CT
otherwise healthy woman
cold 2 weeks ago
now with CHF
dilated cardiomyopathy 2/2 acute viral myocarditis, likely coxsackie
concentric hypertrophy
2/2 chronic pressure overload
eccentric hypertrophy
2/2 chronic volume overload
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)
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
cause of amniotic fluid embolism
amnio or labor