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124 Cards in this Set
- Front
- Back
purplish discoloration of skin with gangrenous changes
rx? |
necrotizing fasciitis
amp + sulbactam + clinda ACS |
|
nodular eruptions in patients with tb
|
erythema induratum
|
|
neutrophilia cryptitis
|
IBD (Crohns or UC)
|
|
epithelial necrosis in gut
|
ishcemic colitis
|
|
adult with systolic murmur at paex, disappears with squat
|
MVP
|
|
murmur increases with squatting
|
VSD
|
|
complication fo rheumatic heart disease
|
MS (rarely MVP)
|
|
complication of endocarditis
|
MR
|
|
renal insufficiency
hyper K non anion gap metabolic acidosis |
RTA 4
|
|
what part of spine is associated with morning weakness
|
cervical (RA)
|
|
tumor with increased bHCG
|
choriocarcinoma
|
|
tumor with increased testosterone and estradiol
|
leydig cell
|
|
tumor with increased AFP and bHCG
|
seminoma
|
|
tumor with increased AFP
|
yolk sac
|
|
rf for aspiration pna
|
alcohol
|
|
variable decels
|
cord compression
|
|
neonate:
jaundice large tongue hoarse cry decreased activity |
congenital hypothyroid
|
|
thrombocytopenia
skin lesions like ecxzema multiple bacterial infections etiology inheritance |
wiscott aldrich
decreased Plt production X linked |
|
unilateral/bilateral white light reflex
+/- exophthalmos no deafness or PDA |
retinoblastoma
|
|
time in pregnancy when rubella transmitted fi
|
first 4 weeks
|
|
most common cause of congenital hypothyoid
|
thyroid dysgenesis
|
|
cause of overflow incontinency
|
neuropathy
|
|
cause of urge incontinence
|
detrusor instability
|
|
1 month of blurred vision,
frontal headache occasional falls blurry vision worse by leaning forward high BP |
intracranial HTN
|
|
increased head size on growth charts
bulging fontanelle next step? tx? |
CT head
shunt |
|
tic disease in SE/S/Mid-atlantic
no rash thrombocytopenia increased AST,ALT |
ehrlichiosis
|
|
low t3 but other thyroid tests wnl
|
sick euthyroid syndrom in context of an active illness
|
|
vision loss
photophsia showers of floaters |
retinal detachment
|
|
sudden painless unilateral loss of vision
|
central retinal vein occlusion
|
|
weakness after spinal injury, upper more than lower
|
central cord syndrome
|
|
ipsi loss of vibrationand proprioception
ipsi spastic paresis |
brown sequard
|
|
bilateral loss of vibration and proprioception
|
posterior cord syndrom
|
|
systolic murmur that increases in inspiration
|
TCR
|
|
S4 in left lateral decubitus
|
hypertensive cardiomyopathy
|
|
diastolic murmur best heard when pt sitting up
|
AR
|
|
systolic murmur increases on standing
|
hypertrophic obstructive cardiomyopathy
|
|
paradoxical splitting of s2
|
LBBB
because delayed closure of aortic valve |
|
erythematous papules with central scar
sandpaper like texture |
actinic keratosis
|
|
"stuck on" lesions with "greasy" surface in elderly people
|
seborrheic keratosis
|
|
maculopapular rash in a xmas tree pattern along skin tension lines
|
pityriasis rosea
|
|
S3
tx |
LV failure "kentucky"
diuretics |
|
foot drop and high stepping
|
L5 radiculopathy
alco Charcot Marie Tooth |
|
apneic patient in the field with likely head and neck injury
next step |
orotrachal intubation
NOT cricothyroid thoracostomy no longer done |
|
car accident
widened mediastinum left hemothorax |
aortic injury
|
|
multiple small, well circumscribed ulcers wtih "volcano-like" appearance
eosinophilic inclusions |
HSV esophagitis
|
|
Pt fell 2 stories
obvious head injury next step? |
xray spine
|
|
seizure with eye blinking and gabbling
no post ictal confusion |
absence
|
|
sudden loss of muscle control for 1-2 weeks
|
atonic seizure
|
|
motor, sensory, autonomic or psychic symptoms without any loss of csness
|
simple partial
complex partial has pic |
|
podocyte fusion
|
minimal changeg
|
|
rash
arthralgia renal disease |
henoch schonlein purpura
|
|
IgA depositions on basement membrane
|
henoch schonlein purpurA
|
|
stridor in child
|
H flu epiglottitis
|
|
thumb sign on xray
|
epiglottits
|
|
bird's beak
|
achalasia
|
|
racemic epi used for
|
croup
|
|
pt on pheytoin and has megaloblastic anemia
tx? |
folic acid
(B12 is not affected by phenytoin!) |
|
drugs that affect folic acid
|
phenytoin
methotrexate tmp PMT for health |
|
microangiopathic hemolytic anemia
|
HUS
|
|
smear with schistocytes and giant platelets
|
HUS
|
|
smear with target cells
microcytosis hypochromia anisopoikilocytosis |
thalassemia
|
|
macrocytosis
hypersegmented PMNs |
folate deficiency
|
|
increased PT and PTT
|
DIC
|
|
kid had diarrheal illness leading to ARF
anemia fever decreased plt schistocytes |
HUS
|
|
proximal muscleweakness
increased ESR increased CK 45 y/o woman tx? |
an inlammatory mypopathy such as
polymyositis dermatomyositis steroids |
|
rx for ALS
|
reluzole
|
|
non psych use of TCA
|
fibromyalgia
|
|
5 stages of CLL
|
O lymphocytes
I adenopathy II splenomegaly III anemia IV thrombocytopenia LASAT Thrombo is terrible prognosis |
|
plasma cell leukemia
|
multiple myeloma
|
|
b cell disease
|
CLL
CLL and a BCC |
|
main cause of death in CLL
|
infection
|
|
drug for cml
target? |
imatinib (gleevec)
target is TK |
|
target of methotrexated
|
folic acid metabolism
|
|
most common form of drug induced nephropathy
|
analgesic
aspirin NSAIDS |
|
papillary necrosis
chronic tubulointerstitial nephritis |
analgesic nephropathy
|
|
rapidly progressive dementia
myoclonus EEG changes |
Creutzfeld-Jakob
|
|
degeneration fo frontal/temporal lobes
|
Picks
|
|
day night reversal
mild confusion or coma cirrhosis asterixis tx? |
hepatic encephalopathy
lactulose |
|
AMS
ataxia nystagmus tx? |
Wernicke's
thiamine |
|
HIV pt
low CD4 retinal opacifications (yellowish/white) retinal hemorrhage |
CMV retinitis
|
|
tx for CMV retinitis
|
ganciclovir or foscarnet
|
|
microaneurysms
hemorrhages exudates retinal edema + cotton wool spots |
proliferative diabetic retinopathy
(simple if without the cotton wool) |
|
graudal loss of peripheral vision
|
open angle glaucoma
|
|
increased T4, free T4
decreased TSH decreased iodine reuptake neck swelling |
thyroiditis
|
|
dx for ankylosing spondylitis
|
xray of sacroiliacs
|
|
probably BPH. Next step?
|
U/A to r/o UTI/hematuria
|
|
increased alk phos
No GGT |
Pagets
|
|
young person
no heart disease episodes of tacy to 160-22- mechanism? rx? other tricks to affect the problem |
PSVT
reentry adenosine need to increase vagal tone with valsalva carotid sinus massage immersion in cold water |
|
poor diet
symmetrical peripheral neuropathy with sensory and motor impairments, especially distally |
thiamine deficiency
=dry beri beri |
|
poor diet
symmetrical peripheral neuropathy with sensory and motor impairments, especially distally cardiac trouble (megaly, myopathy, CHF, edema) |
wet beri beri
|
|
v poor diet
anorexia celiac sprue sore throat, cheilitis stomattitis glossitis photophobia |
riboflavin deficiency
|
|
amt of blood loos requiring transfusion
|
1500cc
|
|
injury in midshaft humerus fracture
|
radial nerve
|
|
pain
palor pulselessness paresthesia pr? |
compartment syndrome
usually from arm and calf |
|
loss of sensation over lateral 3 /12 fingers
|
median nerve
|
|
alternative to bactrim for PCP in sulfa allergy
|
pentamidine
|
|
ruptured membranes
maternal fever/leukocytosis |
intraamnionic infection
|
|
homgenistic acid in urine of a kid with black urine on standing
deficiency |
alkaptonuria
hemogenistic acid oxidase |
|
baby 2 wks
smells like boiled cabbage |
tyrosinemia
|
|
deficiency in tyrosinemia
|
fumarylacetoacetate
|
|
acid fast filamentous branching rods
in lungs cavidtary or nodules bug? tx? |
nocardia
bactrim |
|
cavitary lesion
hiv pt from southwest |
cocco
|
|
shortened PR and widened QRS
|
WPW
|
|
tx for sinusitis in a kid
|
amox
|
|
abd pain and decreased activity and distension in a critically ill patient
treatment? |
acalculous cholecystitis
percutaneous chole |
|
placental abruption?
next step |
rapid vaginal delivery unless rapid deterioation
|
|
2 best options for quick decreased K
|
calcium gluconate
insulin and glucose beta agonists slow |
|
acidosis
low urine output hypotension tachypnea fever why acidotic? tx? |
septic shock
increased lactate in blood tx by correct cause and restore perfusion |
|
splinter hemorrhages
|
endocarditis
|
|
2 main side effects of HCTZ
|
decreased K
hyperglycemia increased lipids |
|
gum/nose bleeding
leukocytosis with increased blasts + sudan black +alpha-na;hthylene |
acute monocytic leukemia
FAB M5 |
|
increased hypergranular myelocytes
auer rods |
APML
|
|
22q11
likely findings surgical precaution? |
DiGeorge
absent thymus/parathyroids watch Ca levels |
|
overdose
bradycardia AV block hypotension diffuse wheezing antidote |
B blockers
atropine and fluids glucagon |
|
overdose
cold and clammy extremtieis |
b blockers
this is likely cardiogenic shock |
|
overdose
bradycardia normal BP blurred vision distrubed color perception fatigue headache abd pain |
digoxin
|
|
stroke
contralateral motor and/or sensory Lower>upper |
ACA stroke
|
|
Stroke
upper > lower hemianopia |
MCA stroke
|
|
Stroke
upper > lower hemianopia with aphasia |
left MCA
|
|
Stroke
upper > lower hemianopia with neglect and anosognosia |
right mca
|
|
pure motor or pure sensory stroke
|
lacunar
|
|
dysarthria-clumsy hand
|
lacunar
|
|
ataxia hemiparesis
|
lacurnar stroke
|
|
alexia without agraphia
|
PCA stroke
|