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131 Cards in this Set
- Front
- Back
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myopathy
increasd CK unexplained next step |
thyroid panel for hypothyroid
(not muscle biopsy first) |
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young pt had rheumatic fever 1 year ago
next step |
pcn prophylaxis to age 18
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MEN I or II
medullary thyroid ca |
2A/B
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MEN I or II
pimary hyper PTH |
I
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MEN I or II
zollinger ellison |
I
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MEN I or II
pituitary tumors |
I
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MEN I or II
pheo |
2A/B
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MEN I or II
neuromas |
2B
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MEN I or II
enterohepatic tumors |
I
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MEN I or II
marfanoid |
2B
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marfanoid body habitus
dislocation of lenses fair skin vascular thrombosis |
homocystinuria
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typical cause of hyperandrogenism in adulthood
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partial 21 hydroxylase deficiency
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signs of PE confirmed by echo
next step |
embolectomy
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pt gets blood and goes into anaphylaxis
cause? step? |
IgA defieeciency ("Anaphylax igA")
stop give epi |
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pt gets blood and has rapid nemolysis
cause |
ABO mismatch
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how to rule out RF as a cause of decreased Ca
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low Ca with high Phos
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low Ca with Low phos
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vitamin D deficiency due to malabsorption
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abcess develops in complicated diverticulitis
next step |
drain
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causes of assymetric growth restriction in a fetus
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HTN
hypoxemia vascular disease toxic exposure |
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which has a better prognosis, symmetric or assymetric growth restriction
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asymmetric
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why is Mg give to preeclamptic pt in a seizure
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ppx of future seizure
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role of bHCG in pregnancy
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maintenance of corpus lluteum for progesterone levels
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when does biliary atresia ppear
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1-6 weeks
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when does breast feding jaundice occur
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day 1-3
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when does breast milk jaundice appear
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day 3-5 to several months
tx = temporary switch to formula Feeding comes before Jaundice in the alphabet |
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typical flood types in ABO incompatibility
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mom is O mOm
baby is A, B, AB BABy |
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when does ABO jaundice occur
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first 24 hours
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RSV increases risk of future?
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asthma
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why do sicklers get
aplastic crises |
parvo b19 leads to arrest or erythopoiesis
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why do sicklers get
splenic sequestration crisis |
not yet autosplenectomized
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type of mutation causing CF
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dletion on Chromosome 7
codes for phenylalanine |
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pt appears with likely pyelo
next step? |
blood cultures because of risk of gram - sepsis
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ST elevations in II, III, AVF
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inferior wall MI
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when are nitrates and beta blockers contraindicated
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RV infarct
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infarct with clear llung field
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RV infarct
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infarct with JVD
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RV infarct
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r for RV infarct
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fluid resuscination to increase RV
stroke volume and LV filling |
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which hyperthyroid med can increased thyroid hormone
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radioactive iodine
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newborn with failure to thrive
bilateral cataracts jaundice hypoglycemia diagnosis deficiency tx |
galactosemia
GIPU transferase deficiency eliminate galactose |
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newborn weith cataracts only
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galactokinase definciency
"kinase is kinder" |
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course of action when a cuter presents to ED with responsible parents
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admit, even infvoluntarily
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which part o fbladder, injured, can refer pain to diaphragm
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bladder dome via parietal eritoenum
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CN for corneal sensation
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V1
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pruiritic papules and vesicles over extensor surfaces
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dermatitis herpetiformis
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ssociations for erythema multiforme
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herpes
systemic disease drug reactions |
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pruiritis
tense blisters in flexural areas |
bullous pemphygoid
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pt insists high velocity object went into eye
nothing seen next step? |
fluorescein exam
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older man
progressive fatigue/DOE enlarged non tender axillary noeds no FOB decreased bg normal mcv increased retics increased WBC mechanism |
autoimmune hmolytic anemia with an underlying cause like NHL or CLL (b/c of nodes)
anti RBC IgG covers RBCs and gets them removed in spleen |
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phaarmacology of albuterol
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bta 2 agonist
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N/V
abdominal bloating increase WBC orthostatic dilated loops of bowl |
SBO
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man faints regularly when going to bathroom in nighttime
usually with trouble urinating or during coughing fits dx? |
situational syncope
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most common cause of pleural effusion
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CHF
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kind of effusion generated by CHF
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transudate
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when do you need to put a chest tube in for a pneumonic effusion
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pH <7.2
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normal pleural fluid pH
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7.64
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renal side effects of acyclovir
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nephrotoxic
renal tubular obstruction via crystalline aCyClover Crystalline |
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what is O2 goal for acute pancreatitis patient who is on a respirator?
why is this important? |
?=60
risk of ARDS in pancreatitis |
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patient who has traveled from asia
pain on breathing worse on inspiration hemoptysis on OCPs |
pleural pain 2/2 pulmonary infarction 2/2 PE
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common causes of pleuritic CP
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pulmonary infarct 2/2 PE
;neumonia pneumothorax collagen vascular disease viral pleuritis radiation pneumonitis |
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anti mitochondrial abs
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PBC
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anti TP abs
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Hashimotos
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thyroid stimulating immunoglobulins
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Graves disease
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high fever
chills tenosynovitis migratory polyarthralgias small number of pusturlar lesions on extremities |
disseminated gonococcemia
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widespread musculoskeletal pain and excessive tenderness on palpation at 11 of 18 areas
no joing swelling worse with exercise normal ESR associtaaed with IBS, depression, fatigue |
fibromyalgia
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pain and stiffnes of shoulders and pelvic girdle
elevated ESR associated with temporal arteritis |
polymyalgia
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symmetrical proximal muscle weakness and mild pain
increased CK inflammation |
polymyositis
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kid post ingestion
seizure hypotension prolonged QRS |
TCAs
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antidote to TCA
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sodium bicarb
help acidosis narrows QRS comtrols hypoTN |
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TCA antidote for a mild intoxication
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physostigmine
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mechanism of nitroglycerin
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dilation of capacitance vessels
decreases preload decreases heart size decreases O2 demands on heart |
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heart defect in Edwards
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VSD
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heart defect in Downs
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ASD
endocardial cushion |
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heart defect in neonatal lupus
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congenital heart block
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congenital rubella heart defect
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PDA
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heart defect in kawasaki
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coronary artery aneurysms
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who gets VZIG for chicken pos exposure
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high risk
720-96 hours post exposuure |
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most vulnerable part of colon to ischemia
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splenic flexure
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painful 3rd trimester vaginal bleeding with normal u/s
mother with high BP cocaine use early delivery with moderate bleeding |
abruptio placentae
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asplenia indicates x which indicates what sequela?
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complement deficiency
problems with encapsulateds |
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+ NBT test
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impaired oxidative burst
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necrotic periodontal infections
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LAD
also deLYyeD umbilical cord separation |
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fingers with veicles
+ Tzank smear what? whatis source? who gets it? what is found on the Tzank? |
herpetic whitlow
health care workers get it giant cells are found on Tzank |
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disease that tailors get
|
Felon = tense abscess and throbbing pain in volar space
"Felons wear nice suits made by a tailor" |
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which meds are best for negative sx of schizo
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atypicals e.g., risperidone
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tx for A fib in an otherwise healthy pt
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aspirin alonee
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tx for A fib in an unhealthy patient
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warfarin
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what does P value mean
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@ of getting the same results by chance alone
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drug that can increased MV
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methotrexat
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when do you do internal podalic inversion
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twin delivery
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3/6 systolic murmur at 2nd R intercolstal space
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AS
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CXR with crescent sign/lucency next to round mass (cavitary lesion0
tx? |
aspergillis
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free air under diaphram
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performation of an abdomina viscus
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orphan annie nuclei
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papillary thyroid ca
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diffuse thyroid follicular hyperplasia
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graves disease
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dense lymphocytic infiltrate in thyroid
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hashimotos
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bilateral acoustic neuromas
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NFM
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antipsychotic leading to hypothermia
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fluphenazine
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nephrotic syndrome in Hodgkins patient
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minimal change
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type of hypersensitivity in poison ivy
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IV, cell mediated
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i.
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type of hypersensitivity in anaphylaxis
|
I "
and I is IgE for Early" |
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type of hypersensitivity in serum sickness
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III
IgG and M |
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type of hypersensitivity in arthus
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III
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type of hypersensitivity in immune hemolytic anemia
|
II'
"ab" letters |
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type of hypersensitivity in rh hemolytic
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II
"ab" 2 letters |
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risk of elevated homocystein
tx? |
thrombosis, atherosclerosis
B5, pryidoxime |
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risk in pregnancy of prior anorexics
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small for gestational age
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main cuase of death in acute MI
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reentrant ventricular arrhythias
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GS coma scale point allocation
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4 eyes
5 verbal 6 motor |
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PTT in lupus patients
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slightly prolonged but this is only lab artifact
|
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decreased IQ
prominent jaw long ears large testicles genetic mechanism |
fragile X
increased CGG repeats in FMR1 gene |
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overdose with seizure
big pupils intestinal ileus hypotension increased QRS tx? |
TCA
sodium bicarbonate |
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midline mass and oliguria in newborn
dx? |
posterior urethral valves
voicing cystourethrogram |
|
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large palpable flank mass in a 2-5 year old
|
wilms tumor
|
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small midline mass deep to umbliicus
|
omphalomesenteric duct cyst
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fibrillin 1 mutation
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marfans
|
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inheritans of marfans
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AD
|
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acute chest pain after a lot of vomiting
unilateral pleural effusion |
boerhaves leading to esophageal rupture
|
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pleural effusion with increased amylast
|
esophageal rupture
pancreatitis |
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elevated 17 hydroxyprogesterone
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CAH
|
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next step in full heart block
|
pacemaker asap
|
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diarrhea
weight loss bloating flatulence after gastric bypass |
bacterial overgrowth
|
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head and nec masses in a smoker
|
squamous cel
|
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abg correlate of PE
|
high Aa gradient
|
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differential for an anterior mediastilan mass
|
4Ts
teratoma thyroid thymoma Terrible lymphoma |
|
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tumor
increasd AFP and BHCG |
mixed germ cell tmor
|
|
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rapidly progressive bilateral cellulitis of submaxillary and sublingual spaces
source? cause of death? |
Ludwig's angina
infected 2nd or 3rd mandibular molars asphyxiation |
|
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large basophilic cells with a vacuolated appearance
|
CMV
|
|
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disorders with decreased quantitiy of bile ducts (ductopenia)
|
Hodgkins
GVH sarcoid CMV HIV PBC AML bone marrow transplant me toxicity |
|
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rx leading to cenetrilobular or diffuse liver necrosis
|
aspirin
|
|
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hepatocyte swelling and necrosis
mallory bodies neutrophilic infiltration |
alcoholic hepatitis
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