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117 Cards in this Set
- Front
- Back
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metastatic brain mass with bleeding
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melanoma
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myocardial perfusion scanning
med used why? what happens |
dypridamole (platelet aggregator)
reveals areas of restricted perfusion by vasodilation coronary steal happens because the diseased vessels were already maximally dilated |
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thyroid cancer from follicular/epithelial cells
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papillary
follicular anaplastic |
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thyroid cancer from parafollicular c cells
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medullary
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wrist drop
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radial nerve
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claw hand
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ulnar
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external rotation, resisting internal
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axillary
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fever/hypothermia
increasd RR increased HR up or down WBCs and PMNs 2 of? |
SIRS
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SIRS due to infection
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sepsis
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severe sepsis
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end organ dysfunction, e.g.,
oliguria hypotension <90 thrombocytopenia <80metabolic acidosis hypoxemia |
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septic shock
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vasopressors need for systolic >90
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most common infection in burns in
week 1 after week 1 |
stap
pseudomonas |
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type of hypersensitivity in a bee sting
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I
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best method of 1st trimester downs testing
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chorionic villus sampling
indicated for women >35 with abnormal u/s |
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most significant predictor of limb avoidance
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fetal age
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1st test for hyperemesis gravidarum
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bHCG
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increased bHCG suggests
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hydatidiform mole
choriocarcinoma |
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clnical triad for hydatidiform mole
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enlarged uterus
hyperemiss increased bHCG |
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pregant
vomiting decreased weight kenotnuria |
hyperemesis gravidarum
note increased LFTs, bili, amylase/lipase in 50% |
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fetal HR decreased starting at time of contraction <15s
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head compression
(early decel) it's ok |
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late decels
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uteroplacental insufficiency
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young person
increased Cr decreased Hbg/Hct/plt increased bili |
HUS (ecoli)
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organ most vulnerable to HUS
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kidney
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meds causing malignant hyperthermia
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halothane
succinylcholine |
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cut off for reassurance as a tx for enuresis
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4-5 years
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rx for nocturnal enuresis
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DDAVP or imipramine
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premature pubarche
origin? |
pubic hair <8 years
50% = cns disorder |
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recurrent hematuria nd sensorineural hearing loss
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alports
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1st step with child with vaginal itch @night
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scotch tape test
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treatment for NMS (neuroleptic malignant syndrome)
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dantrolene
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benztropein treats
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EPS
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drugs that can cause pancreatitis
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depakote
diruetics (furosemide, thazides) IBD (sulfasalazine, 5 asa) immuosupp (azathio, L-asparaginase) AIDS (didanosine, pentamidine) abx (metro, tetracycline) |
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#rads of radiation that are problematic in pregnancy
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5 (vsbarium swallow = 6mRad)
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symptoms of fat embolus
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dyspnea
confusion petechiae tachycardia increased RR fever subconjuntival hemmorhage PHat |
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antiendomysial antiboies
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Celiac
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child with
decreased HGB decreased RBCS increased MCV decreased Plt |
Fanconi's anemia
AR |
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child with
bone marrow failure skin hypopigmentation microcephaly abnormal thumbs hypogonadism |
fanconi's anemia
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tx for fanconi's
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bone marrow transplant
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solitary lytic bone lesion in a child
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langerhans histcytosis
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type I collagen defect
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osteogenesis imperfecta
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icteris
unconjugated hyperbilirubinemia malaise fatigue abd discomfort |
Gilberts
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young child
kernicterus |
Crigler Njjar I
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chronic, mild conjugated and unconjugated bilirubinemia
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Rotors
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time criterion of acute stress disorder vs PTSD
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1 month
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time criterion of adj d/o
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within 3 mos
lasts no longer than 6 mos |
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tx for hairy cell
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cladribine
"clad with hair" |
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tx for non-Hodgkin's lymphoma
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CHOP
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reticulocytosis with hemolytic anemia and thrombocytopenia in a renal pt
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TTP-HUS
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symmetrical pseudofractures/blurring of the spine
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osteomalacia
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Ca
Phos PTH in osteomalacia |
Ca down
phos down PTH up |
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cause of osteomalacia
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vit D deficiency
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increased Ca
decreased phos increased PTH |
primary hyper PTH
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Ca, PHos, PTH all +-
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osteoporosis, Pagets
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increased alk phos
+- Ca increased urinary hydroxyproline |
pagets
hydroxyproline is a marker of bone degradation PAgets AlkPhos |
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decreased Ca
increased phos Decreased PTH |
hypoPTH
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3 month old
decreased glucose lactic acidosis increased uric acid increased lipids doll-like facies (fat cheeks) protuberant abdomen |
G6PD
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floppy baby
feeding difficulties macroglossia heart failure |
Pompe's/acidmaltase deficiency/Type II GSD
"babies flopped and couldn't eat in Pompey" |
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floppy baby
feeding difficulties macroglossia heart failure@ birth increased direct or indirect bili anemia pallor reticulocytosis hepatosplenomegaly |
erythroblastosis fetalis
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conjugated bili up
acholic stools dark urine |
biliary atresia
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jaundic after 1st week of life
tx? |
breast milk jaundice
formula for a few days |
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INR for
venous thromboembolism prosthetic heart valves |
2-3
2.5-3.5 |
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EBV DNA in CSF of AIDS pt
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CNS lymphoma
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arhythmia with increased QRS
increased QT? |
brady
tachy "Q Runs Slow" "Quick Tempo" |
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anion gap normal
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6-12
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serum osmolality formula
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2NA = GLU/18 + BUN/2.8
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oslmolar gap formula
normal value? |
observed osmolality - calculated osmolality
normal =1 |
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osmolar gap metabolic acidosis
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acute methanol, ethanol, ethyleneglycol posoning
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mixed anion gap metabolic acidosis
respiratory alkalosis without osmolar gap |
aspirin
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snowfiled vision and acute pancreatitis
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methyl alcohol poisoning
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fould smelling stools on a trip. Rx?
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metro (it's giardia)
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best method of sun protection
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void from 10-4
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smear with large RBCs
hypersegmented neutrophils |
macrocytic
megaloblastic anemia folate or B12 |
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depressed PCWP and normal MV oxygen
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septic shock
PCWP decreased because of decreased preload (hypovolumia) low MVo2 because of increased oxygen extraction by hypoperfuse tissues |
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low LV preload
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volume depletion
IVF redistribution |
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procedure needed by girls with Turners
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bilateral gonadectomy b/c of gonado blastoma
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widened pulse pressure
strong peripehral arteral puse tachy displace PMI LVH |
AV fistula
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corneal neovascularization in an immigrant camp
conjunctivities rx? |
trachoma
tetracycline or azithro "trachoma from Tents needs Tetra or azithro" |
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vitamin that reduced morbidity and mortality with measles
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A
without A meAsles is a mes |
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#1 RF for foot ulcers
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diabetic neuropathy
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nephrotic syndrome that accounts for more than half of African American cases
+ obesity heroine use HIV |
focal segmental
"AfAms are a segment of the population" |
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hematuria after URI
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IgA nephropathy
I Got A URI |
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nephrotic child
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minimal change
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Side effect (SE) of lung fibrosis
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amiodarone
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Se = agranulocytosis
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procainamide
clozaril |
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SE = increased aminotransferases
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amiodarone
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SE= drug induced lupus
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procainamide
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SE = thyroid dysfunction
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amiodarone
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SE = AV block
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digoxin
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SE= corneal deposits
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amiodarone
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SE= blue green skin
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amiodarone
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SE = increased QT
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procainamide
quinidine geodon |
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SE = seizures
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lidocaine
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acid base status in someone with hyperaldosteronism
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metabolic alkalosis because H+ moves to intracelllar in exchange for K
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Na
K Renin in hyperaldo |
Na up
K down Renin down hyper AlDOSteroNIsm (all the letters of sodium which is hyper) |
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tender, large symmetrical uterus
40 year old female |
adenomyosis
(but r/o carcinoma) |
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t for catatonic schizophrenia
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ativan
get ATIt |
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uncontrolled catalase and infections
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CGD
"catalase grew dangerous" |
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young boy
eczema thrombocytopenia recurrent infections by encapsulateds Ig's up? down? |
Wiskott Aldrich
decreased IgM increased IgA,E decreased IgM increased IgM |
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immune disorder with partial oculocutaneous albinism
tx? |
chediak Higashi
daily bactrim/ascorbic acid |
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no polymorphs in the pus
delayed separation of umbilical cord recurrent bacterial infection early tooth loss |
LAD
"deLAyeD" |
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chronic pruritic dermatitis
recurrent staph increased Ig? coarse facial features |
Job's syndrome=
Hyper IgE syndrome |
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Lyme in child <9 yrs. rx?
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amox
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rx leading to membranous lomerulonephritis
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captopril
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seizures
MR portwine/nevus along trigeminal nerve (hemangioma) intracranial calcification |
sturge Weber
"Seizure Wine" |
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seizure and adenoma sebacium on butterfly distribution
5-10 years old spots of a certain description |
Tuberous sclerosis
"ashleafs fall on the Tubers" |
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axillary freckling
cafe au lait spots |
neurofibromatosis
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Why do TDF kids squat
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increased systemic vascular resistance
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when in pregnancy to give rh test
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first visit and at 28 weeks
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most common problem of a supracondylar fracture above teh elbow
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brachial artery interfering with radial pulse
BReak |
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when is axillary artery injured
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proximal humerus fracture
proXimal aXillary |
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baby with
erythematous lesions on cheeks erosion scalings excoriated papules and plaques on flexural and etensor survaces can also be on trunk, scalp, forehead |
atopic dermatitis
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cradle cap
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seborhheic dermatitis
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crescent sign on medial malleolus
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ruptured baker's cyst leading to pseudothrombophlebitis
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young person with
HTN muscle weakness numbness key sign? |
primary hyperaldo
increased aldo/renin |
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hepatosplenomegaly and increased lymph nodes
tired/anemiac easy brusining night sweats headaches + dizziness visual problems demyelinating sensorimotor neuroapthy increased Ig M = thick blood |
Waldenstrom's macroglobulinemia
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igG or IgA spike
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multiple myeloma
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hyperviscosity of blood
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Waldenstrom's macroglobulimemia
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