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32 Cards in this Set
- Front
- Back
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long-term deprivation of affection effects
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1. decreased muscle tone
2. poor language skills 3. poor socialization skills 4. lack of basic trust 5. anaclitic depression 6. weight loss 7. physical illness |
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what can be seen in a well-child exam of an affection deprived child?
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4 W's
Weak, Wordless, Wanting, Wary |
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collagen defect in ehlors-danlos
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collagen type III
3-D |
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causes of bloody diarrhea
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-campylobacter
-salmonella -shigella -EHEC -EIEC -yersinia enterolitica -antamoeba histolytica |
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use of MacConkey's
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lactose is KEE
-lactose-fermenting enteric bacteria grow pink colonies -test with macConKEES Citrobacter, Klebsiella, E.coli, Enterobacter, Serratia e. coli |
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most common primary cardiac tumor in adults
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myxomas (in left atrium)
-ball-valve obstruction -associated with multiple syncopal episodes |
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most common primary cardiac tumor in children
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rhabdomyomas
-associated with tuberous sclerosis |
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right lower quadrant pain in 17 year old female with rebound tenderness, nausea, and vomitting: what must be ruled out
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pregnancy - use beta-HCG
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what type of skin cancer is associated with arsenic exposure
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squamous cell skin cancer
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causes of metabolic acidosis with elevated anion gap
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MUDPILES
-methanol -uremia -diabetic ketoacidosis -paraldehyde/phenformin -iron tablets of INH -lactic acidosis -ethylene glycol -salicylates |
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von geirke's disease
type? findings? |
one, sever fasting hypoglycemia, increased glycogen in liver, increase blood lactate, hepatosplenomegaly
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enzyme deficiency in von geirke's
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G6P
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pompe's disease
type? findings? |
two, cardiomegaly and systemic findings leading to early death
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enzyme deficiency in pompe's disease
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lysosomal alpha 1,4 glucosidase (acid maltase)
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cori's disease
type? findings? |
milder form of type I with normal blood lactate levels
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enzyme deficiency in cori's disease
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debranching enzyme (alpha, 1, 6 glucosidase)
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mcArdle's disease
type? findings? |
five, increase glycogen in muscle, but cannot break it down, leading to painful muscle cramps, myoglobinuria with strenuous activity
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enzyme deficiency of mcArdle's
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skeletal muscle glycogen phosphorylase
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treatment for gram negative rods in patients with renal insufficiency
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aztreonam (inhibits cell wall synthesis)
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big gun treatment effective in gram positive cocci, gram negative rods, and anaerobes
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imipenum, cilastin
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prophylaxis in AIDS patients against p. jiroveci pneumonia
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TMP-SMX (bactrim)
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used as solo prophylaxis against TB
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isoniazid
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prophylaxis for those exposed to someone with meningococcus meningitis
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cirpoflaxin is drug of choice, also rifampin and minoclycin
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treats both hypertension and BPH
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alpha 1 selective antagonists
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BPH versus prostate cancer rectal findings
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BPH has nodular enlargement of periurethral/lateral and middle lobes
cancer forms in posterior lobe of prostate |
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primary hyperaldosteronism
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-due to adrenal hyperplasia or aldosterone-secreting adrenal adenoma (conn's syndrome)
-see hypertension, hypokalemia, metabolic alkalosis, low plasma renin -uni or bilateral |
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secondary hyperaldosteronism
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-kidney perception of low intravascular volume results in an overactive RAAS
-due to renal artery stenosis, chronic renal failure, CHF, cirrhosis, nephrotic syndrome -see high plasma renin |
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partial detachment of placenta is called
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abruptio placentae
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common causes of DIC
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STOP Making New Thrombi::
Sepsis (gram negative) Trauma Obstetric complications acute Pancreatitis Malignancy Nephrotic syndrome Transfusion |
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DIC mechanism
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widespread activation of clotting leads to a deficiency in clotting factors creating a bleeding state
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what is BNP and why is it useful in HF
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brain natrietic peptide secreted by ventricles of heart in response to excessive stretching of heart muscle cells
normal level rules out HF and can be used for screening or prognosis purposes |
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what are omega 3 fatty acids and what are their current clinical applications
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-docosahexaenoic acid (DHA)
-eicosapentaenoic acid (EPA) -alpha-linolenis acid (ALA) -lowers triglycerides -decreases risk of death, heart attack, dangerous abnormal heart rhythms and strokes -slows build up of atherosclerotic plaques, and decreases blood pressure slightly |
