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115 Cards in this Set
- Front
- Back
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blue inclusions in RCs
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howell joly bodies post splenectomy
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Heinz bodies
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G6PD
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tx for liekly perforated appendix
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IV hydrationand cefotetan
"chief tetan had an appendix" |
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water bottle shaped heart
no PMI |
pericardial effusion
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boot shaped heart
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LVH
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pulsus bisferiens
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2 strong systolic impulses with midsystolic dip
AR +-AS or HOCM |
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opening snap
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mitral stenosis
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encapsulated organisms
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s pneumo
n meningitidis h flu |
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high car or protein diet affects RQ in what way
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increases with carbs; falls with proteins
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next step if renal/splenic injury suspected
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CT
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URI with stridor and excessive drooling
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epiglottitis
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sudden onset stridor with no fever
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foreign body aspiration
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rx for inaptient tx of
CAP nosocomial outpatient CAP |
levofloxacin
vancomycin aizthro |
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what does hyponatremia indicate in CHF
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severing
No Na is NAsty |
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effect of furosemide on K
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decreases
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tx for neonatal chlamydia pna
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oral erythro x 14 days
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thin grayish vaginal discharge
tx? avoid? |
trichomonas
metro alcohol (disulfirmal-like rxn) |
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hypoglycemia in a non-diabetic with elevated insulin
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insulinoma
surreptitious use of insulin |
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most common lesion in diabetes nephropathy
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diffuse glomerulosclerosis
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kimmelstiel wilson nodules
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glomerulosclerosis 2/2 diabetic nephropathy
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rx for pregnancy plan B
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leevonorgestrel
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pulsus parvus et tardus
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AS
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crescendo-decrescendo systolic ejection murmur
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AS
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sudden onset diffuse arthritis in a school teacher
polyarticular symmetric |
parvo B19 viral arthritis
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factors associated with rheumatoid
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Rh, anti CCP
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hand locations of RA
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wrist
MCP PIP |
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elevated ESR and joint pain
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polymyalgia rheumatica
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bruising in a newborn delivered at hom
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vitamin K definciency
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is vitamin K deficiency a PT or PTT issue
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PT
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sudden onset of blurred vision
severe eye pain nausea vomiting fixed dilated pupil |
angle closure glaucoma
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gradual loss of peripheral vision
cupping of optic disk |
open angle glaucoma
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tx forr cardiac tamponade
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volume resuscitation
emergent pericardiocentesis |
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hypotenion
RH failure distended jugular veins tachy |
tamponade
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DC cardioversion is used for
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A fib/flutter
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indications for a pacemaker
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sick sinus syndrome
2nd degree II or 3rd degree heartblock |
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tx for cat scratch
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oral azithro
catzithro |
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attributed risk
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risk in exposed - risk in unexposed
______________________ risk in exposed = (RR-1)/RR |
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lower abdominal pain
bloody diarrhea tenesmis |
UC
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bug causing osteo in sicklers
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salmonella
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endocarditis in someone who had a cystoscopy
bug? |
enterococci vs strep viridans
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kind of seizure that starts with olfactory hallucinations
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partial
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next step after massive hemoptysis
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bronchoscopy to control the bleed
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next step after collapsed lung like 2/2 atalectic volume loss
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bronchoscopy
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weakness
fatigue muscle cramp |
hypokalemia
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neonate with hepatosplenomegaly
microcephaly growth retardation chorioretinitis thrombbocytopenia blueberry muffin appearance |
rubella
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body dysmorphic disorder vs. delusional disorder, somatic type
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BPD involves interference with ability to fn
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abdominal bruit
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renal artery stenosis
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pulsatile abdominal mass
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abdominal aortic aneursym
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what happens to total body K+ stores in DKA
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decreased
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lung cancer with least association to smoking
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adeNOcarcinoma
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most common type of lung cancer
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adenocarcinoma
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centrally located lung cancer
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small cell, squamous
Small and Squamous Sentral |
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severe vulvar itching with numerous excoriation
labia minor difficult to visualize |
lichen sclerosus
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porcelian white atrophy of vulva
next step? why? |
lichen sclerosis
biopsy r/o vulvar SCC |
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tx for lichen sclerosus
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corticosteroid cream
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low AFP at 18 weeks
next step |
u/s to confirm dates
then amnio |
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dates for amnio
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16-20
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subcutaneou emphysema
next step |
XCR
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rx if breast cancer is HER2
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trastuzumab
anthracycline |
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2 week infant
jaundice hepatomegaly direct (conjugated) hyperbilirubinemia |
could be:
sepsis hypthyroid galactosemia tyrosinemia biliary atresia neonatal hepatitis |
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unconjugated hyperbilirubinemiaa
anemia + coomps |
erythroblastosis fetalis
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normal skin at birth
gradual progression to dry scaly skin skin rough, dry with horny plates |
ichthyosis
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key traits of small cell
tx? |
SIADH
no surgery |
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electrolyte for hyperactive DTRs
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decreased Ca
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caused by increased K?
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asystole
muslce weaknes flaccid paralysis |
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U waves
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severe hypokalemia
Under K |
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sunburst psclerotic lesion
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osteosarcoma
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onion skinning tumor
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Ewings sarcoma
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soap bubble appearance on XR
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Gian cell tumor
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pain exacerbated by eating
better by eating |
mesenteric angina, erosive gastritis
peptic ulcer disease (duodenom) Duodenum digs dinner |
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hematemesis after a lot of wretching
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Mallory weiss
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pain on outer surface of thign
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trochanteric bursitis
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side effects of PTU and methimazole
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agranulocytosis
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how to pick up agranulocytosis in a PTU pt
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fever and sore throate, WBC <1000
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breast pain worse at time of menses,
seous, non bloddy on aspiraton |
fibrocystic condition
= benign |
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weakness/atrophy of hypothenar and interosseous muscles
+- clawhand |
lower trunk (brachial plexus) injury
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positive arm drop sign
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rotator cuff tear
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what is pseudo-allergic reaction
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aspirin sensitivity
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persistent nasal blockage
episodes of bronchoconstriction possible nasal polyps tx? |
aspirin leading to pseudo allergic reaction
avoid NSAIDS use of leukotriene receptor antagonism |
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Mac tx? ppx?
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tx = clarithromycin and ethamputol
ppx = azithro |
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infant
cyanotic when feeding OK when crying diagnosis tx |
choanal atresia
to diagnose, pass catheter nose to oropharynx, and CT scnan with intranasal contrast tx place oral aiwway lavage feeding |
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continuous cyanosis from birth
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TGA
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systolic ejection murmur in pulmonic area
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TAPVc
(total anomalous pulmonary venous connection) |
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cyanosis and murmur
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truncus arteriosis
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tachypnea
chest retractions nasal flaring and wheezing after first few weeks of life why do these kids end up cyanotic |
L-R shunts
key chang is decreased pulm vascular resistance Pulm HTN reverses shunt R-L = eisenmengers |
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inspiratory stridor exacerbated by exertion
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laryngomalacia
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next step after assessing BPH in a man with urinary symptoms
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abd u/s for hydronephrosis
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child with
abd pain jaundice recurrent pancreatitis increased amylase/lipase rx? |
choledocal cyst
u/s leading to CT/MRI as needed |
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marked obstructive jaundice
acholic stools |
biliary atresia
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dilation of intra and/or extra hepatic biliary ducts
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choledochal cust
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blue toes after cath
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cholesterol embolism
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anti mitochondrial abs
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primary biliary cirrhosis
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pruritis
fatigue xanthelasma hsmegaly |
pbc
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tx for PBC
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urso
(also methotrexate adn colchicine0 liver transplant is only definitive |
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ANA
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lupus
type 1 autoimmune hepatitis |
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anti smooth muscle abs
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active and chronic hpeatitis
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anti LKM
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active and chronic hepatitis
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anti smith
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SLe 30-5-%
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pANCA
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Churg Strauss
microscopic polyangitis ulcerative colitis |
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infant with lesions on palms/soles
hsmegaly jaundice anemia rhinorea |
congenital syphillis
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2 yo child
frontal bossing high arched palate hutchison teeth interstitial keratitis saddle nose perioral fissures |
later manifestations of congenital syphillis
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age >50
aching pain in neck, shoulders, pelvis lasting >=1 month morning stiffness elevated ESR unremarkable physical exam tx |
polymualgia rheumatica
low dose prednisone |
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TRAP stain
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hairy cell leukemia
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splenomegaly
left shift basophilia decreased alk phos |
CML
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Owl's eye cells
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Hodgkins
"Hodgkins Howl" |
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pt presents with likely spinal injury
next step |
IV steroids!!!
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intense retroorbiatl headaches with Horners
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cluster
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nocturnal hypo to am hyper glycemia
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smogyi effect
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BPP score = 8, 6, 4
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good
contraction stress text delivery |
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sore throat
hyperemia edema of mouth mm cheilitis stomatitis glossitis seborrheic dermatitis photo phobia |
riboflavin/B2 deficiency
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crohns pt with left flank pan
likely cause? |
increased oxaluria leading to nephrolithiasis
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types of diseases that cause this?
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ones that inerfere with fat absorption
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post op patient NPO x5 days with bleeding?
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vit K deficiency
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thrombocytopenia
microangiopathic hemolytic anemia fever neurologic signs |
TTP
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TTP with renal failure
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TTP/HUS
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