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39 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Important Lower back pain questions |
Numbness/tingling? Bowel bladder incontinence? Spinal tenderness? |
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3 common causes of FUO |
-infection (TB, abscess, osteo, endo) -connective tissue (adult stills and GCA) -malignancy (lymphoma and leukemia) |
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3 most common causes of cough or chf exac |
Fill in |
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Most common causes CAP |
Strep pneumo Mycoplasma Haemophilus influenza Chlamydia Resp virus |
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Inpatient (non icu) pna pathogens |
Strep pneumo, mycoplasma, haemophilus, chlamydia Legionella Aspiration |
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ICU pna pathogens |
S. Pneumo Legionella Staph aureus Gram neg rods Haemophilus |
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Vertigo - central causes |
Vestibular migraine Brain stem ischemia Cerebellum infarction Chiari malformation MS |
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Vertigo - Peripheral causes |
BPPV Vestibular neuritis Herpes zoster (Ramsay hunt) Meniere disease Acoustic neuroma AG toxicity Otitis media |
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Vertigo + tinnitus |
Menieres |
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Head impulse test for vertigo -if positive --> central or periph? |
Probably peripheral |
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MOCA score less than ___ equals cognitive impairment |
26/30 |
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Traumatic spinal cord injury, improved motor function of methylprednisolone given within first ____ hrs |
-IV bonus 30mg/kg within first 8 hrs -Followed by infusion over next 24 |
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Aura with temporal lobe epilepsy |
- MC: Rising epigastric sensation -dry mouth, fear, anxiety |
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Tardive Dyskinesia causes |
DA antagonists -metoclopramide (antiemetic) Typical/atypical antipsychotics -exceptions: Quetiapine, clozapine |
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Cardiac causes syncope |
aortic stenosis), hypertrophic cardiomyopathy, atrial myxoma, pulmonary embolus, pulmonary hypertension, pericardial tamponade, acute MI/ischemia, and acute aortic dissection. |
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MUDPILES |
Dh |
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Thrombocytopenia |
Dh |
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Contraindications to LP |
1) raised icp 2) thrombocytopenia 3) skin infection, epidural abscess |
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Does hyperphosphatemia occur in AKI or CKD |
Both! |
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3 structures of kidney involved in intrinsic renal injury |
Vessels/vasculature Glomerulus Tubules/interstitium |
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Nephrotic range proteinuria |
>3.5g per day |
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Cytochrome p450 inducers |
Quinidine Barbiturates St. John's wart Phenytoin Rifampin Griseofulvin Carbamazepine Chronic alcohol Glucocorticoids |
Queen Barb Steals PhenPhen and refuses greasy carbs, chronic alcohol, and glucose |
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Nephrotic range proteinuria |
>3.5g per day |
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Cytochrome p450 inducers |
Quinidine Barbiturates St. John's wart Phenytoin Rifampin Griseofulvin Carbamazepine Chronic alcohol Glucocorticoids |
Queen Barb Steals PhenPhen and refuses greasy carbs, chronic alcohol, and glucose |
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Cytochrome p450 inhibitors |
Ketoconazole Erythromycin Grapefruit juice Sulfonamide a Isoniazid Cimetidine Chloramphenicol Omeprazol Acute alcohol |
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Drugs associated with Drug Induced SLE (DILE) |
Hydralazine Minocycline Diltiazem Isoniazid ã-TNFi Procainamide Methyldopa Anticonvulsants Antithyroid
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The first two listed associated with p-ANCA vasculitis |
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Treatment for dry eyes in sjogrens |
Cyclosporine drops! |
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SLE Rx |
NSAIDS > hydroxychloroquine > MMF > azathioprine |
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MCC reactive arthritis |
Chlamydia Shigella Salmonella Yersinea Campylobacter |
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Clinical evidence of SLE |
Alopecia Aphthous ulcers Pericardial & pleural serositis Rash Kidney disease Cytopenias
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Anemia + thrombocytosis is common in which diswase |
RA |
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Top 3 DDx AMS in cirrhosis patients |
Hepatic encephalopathy SBP Early GIB |
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Causes met acidosis with and without gap!! |
Kadkld |
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R-CHOP |
Nccn.org guidelines Rituximab Cyclophosphamide Doxorubicin Vincristine Prednisone |
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Causes met acidosis with and without gap!! |
Kadkld |
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R-CHOP |
Nccn.org guidelines Rituximab Cyclophosphamide Doxorubicin Vincristine Prednisone |
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Causes of thrombocytopenia |
Myeloproliferative Other stuff (look up, including iron def) |
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Essential thrombocytosis vs PCV |
Pts can bleed themselves down (compensatory iron def dt high hgb) |
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B12 def can mimic Myelodysplasia (Pancytopenia, LDH, etc) |
B12 def is 10% likely to exist if b12 >350 vs 90% likely if SO if still suspected check methylmalonic! MDS would have hypercellular BM bx |
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