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16 Cards in this Set
- Front
- Back
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fluctuant midline neck mass that moves with protrusion of the tongue. Think? What is needed prior to surgery?
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thyroglossal duct cyst. Sometimes thyroid tissue in the duct is the only functional thyroid tissue.
- imaging study to make sure that there is thyroid tissue in other locations than the cyst. CT is the most useful |
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**Pt has an endarterectomy and now has nerve deviation to on to the left. what was injured
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- left hypoglosal nerve
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most common life threatening sequellae from compartment syndrome?
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rhabdomyelisis -> renal failure
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trauma victim with early signs of extremity tightness, weakness, and pain with passive muscle motion, and pain out of proportion to the injury.
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compartment syndrome
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pt had a gastric bypass and now has dumping syndrome. What do you do?
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high protein low carb diet.
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what do you see on a tibial stress fracture xray?
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negative 50% of the time in the first 2-3 weeks
>3-4 weeks can see periosteal elevation, bone sclerosis |
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pancreatic cyst on CT. Next move
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endoscopic US with aspiration to determine if malignant or not
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what is the strongest risk factor for male breast cancer?
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kleinfelter's syndrome
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s/p cholecystectomy has daily diarrhea with watery diarrhea. dx? tx?
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bile salt induced diarrhea
- Cholestyramine resin for bile acid. |
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what is the most likely consequence of untreated varicocele?
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testicular atrophy
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pt has right varicocele or a varicocele that does not disapear while supine
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rule out inferior vena cava obstruction with CT.
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jaundice fever, and RUQ pain. Dx? tx?
What if they develop hypotension and confusion? |
charcot's triad -> acute cholangitis
- admit, ABX, IVF - if improve, schedule an elective ERCP. If not, urgent biliary decompression (emergent ERCP) - Reynold's pentad - Sepsis - 50% mortality rate |
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suspected scaphoid fractrure with negative xray
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CT or MRI
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trauma -> tachypnea, shallow breathing, tachycardia, ant chest bruises, peripheral cyanosis with normal BP. dx?
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flail chest due to multiple rib fractures.
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most important risk factor for osteoporosis
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age
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blunt chest trauma. xray normal. most important test to evaluate the heart?
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ekg
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