3/7 Flashcards by Cristina Resczenski

when can you use a 5 alpha reductase inhibitor (finasteride) for BPH

if PSA > 1.5 or evidence of prostatic enlargement

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first step if suspect nursemaids elbow

reduction attempt prior to imaging

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intention tremor with ipsilateral involvement

think cerebellar tremor

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tremor better w/ alcohol

essential tremor

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TB PPD mms

> 5 +: exposed, HIV, immsupp, CXR suspicious
10+: increased risk (job?)
15+: no RFs

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LTBI Tx in kids < 12

INH x 9 mo

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shellfish allergy and IV contrast

not a thing, stop asking

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muscle a/w internal lag (can’t lift arm off back in internal rotation)

subscapularis

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imaging in kid suspect appendicitis

U/S first then CT when it doesnt work

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DM meds shown to decrease CAD risk

liraglutide (victoza), empagliflozin (jardiance)

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screening for kids with sickle cell

transcranial doppler

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hand things in FAS

clinodactyly, camptodactyly

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3 yo kid w/ OM w/ effusion: tx

recheck in 3 mo?

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HCOM tx

beta blocker; verapamil if not tolerated

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preferred antidepressant in old folks

escitalopram (not paxil)

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Woodslamp skin colors

pale blue: pseudomonas

coral: corynebacterium (erythrasma)
yellow: tinea
white: vitiligo

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foot stress fracture tx

non weight bearing for a few days then walking boot then rigid shoe in 4-6 wks

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you diagnose hashimotos: do you need an U/S?

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when to steroid inject vs surgery deputrens

contracture –> surgery

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go to travelers diarrhea abx

azithro (cipro for severe)

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PNA RFs for IP

> 65, male, RR > 30, COPD, CHF

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most effective motion sickness med

scopolamine (patch) (more than dramamine)

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pityriasis rosea in pregnancy

risk of spontaneous abortion before 15 wks

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diarrhea after ileal resection cause

increased bile acids; treat with cholestyramine

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test for acl

Lachman (anterior drawer too, but less sensitive)

new onset back pain on chemo (presentation and dx)

progressive, worse lying down | malignant epidural spinal cord compression (need MRI)

meniscal tear test

McMurray

scoliosis cobb angle for referral

20+

daily MME for naloxone

Ca, pth, phos in CKD

hypoca hyperPTH hyperphos

charcot neuropathy?

think obese, neuropathy with what seems like cellulitis but isn't

nursemaids elbow

subluxation of radial head

suspect asthma but normal FEV1/FVC, next step?

methacholine challenge

aymptomatic PAD management

no smoking, walking routine, statin, diet

goal fasting, 1 hour Post prandial GDM

< 95, < 140

only NSAID not a/w MI

naproxen

long term steroids, what to prevent osteoporosis?

bisphosphonates

whats considered long term steroid use

> 2.5 mg daily x > 3 mo

anxiolytic that also treats ibs

SSRIs: citalopram, fluoxetine, paroxetine

how long on DAPT after stent placement

1 year if no bleeding risk

thyroidectomy vs radioactive iodine for multinodular goiter

compressive sx --> surgery

best predictors of severity of pancreatitis

Hct, BUN, Cr

when to get labs/imaging for premature adrenarche

secondary sex characteristics before 8

workup for hypertensive 7 yo

renal u/s

imaging for radiculopathy

not till after 6 weeks conservative management

thyroiditis vs graves

iodine uptake increased in graves

WPW tx

ablation

FABER tests...

``` SI joint (back pain) femoroacetabular impingement (groin pain) ```

test for piriformis syndrome

log roll

provoked dvt AC duration

3 mo

epididymitis tx

< 35: CTX and doxy | > 35: levofloxacin

somatic symptoms d/o 1st line

SSRI

thyroid hormones in preg

TSH lower, T4 initially higher (hcg acts like TSH)

where to inject for rotator cuff

subacromial space

timeline for PP thyroiditis

1 year

when to start ASA for pts at risk for preeclampsia

after 12 wks

signs of calcaneal stress frx

improve with rest, pain with heel squeeze, usually running on hard surfaces

when to think about carotid endarterectomy

event | > 70% stenosis

eosinophilic esophagitis tx

oral budesonide (or swallow inhaled corticosteroid)

first step in normo/microcytic anemia workup

ferritin

tx achilles tendinopathy

calf exercises

crystals in pseudogout

rhomboid, positive bifringence, calcium pyrphosphate

1st line AOM with PCN allergy

mild/mod: cefdinir | severe: clinda + bactrim

fever, bruising, hepatosplenomegaly and LAD in kids

think ALL

most common hypothyroid sx

cold intolerance and fatigue

redosing levothyroid in pregnancy

start taking 2 extra doses a week

NAFL vs NASH

NASH with ferritin > 1.5 x ULN

1st line HTN for black people

thiazide and CCBs

osteoporosis vs severe osteoporosis

< -2.5 +/- fragility fracture

age range intussusception

6 mo - 3 yrs

imaging for intussusception

U/S

pain management vaso-occlusive sicklers

morphine, hydration, heat

most common sx of sickle in infants

dactylitis

management of acute mania

2nd gen antipsychotics: risperidone, olanzapine

time frame HSV vesicle to crust

5 - 8 days

strongyloides 1st line tx

ivermectin

sjogrens tx

pilocarpine/cevelimine for sx, hydroxychloroquine for dz process

sjogrens abs

anti Ro/SSA > anti La/SSB

ARDS criteria

PaO2/FiO2 < 300

when to test high risk babies for hip dysplasia

4 - 6 wks

polymyalgia rheumatica a/w...

giant cell arteritis

ESR in polymyalgia rheumatica

usually > 40 | if > 100 worry about giant cell arteritis or malignancy

when to surgery aortic aneurysms

> 5.5 cm | grows 0.5 cm in 6 mo

stuff a/w pseudogout

hemochromatosis, hyperparathyroidism, fam hypocalciuric hypercalcemia, hypomag, hypophos

PTSD timeline

> 1 mo (otherwise acute stress d/o)

RA labs

CCP (most specific), RF, CRP, ESR

sun exposures for skin cancers

chronic UVB = SSC | intermittent, intense UVA = BCC, melanoma

diff esophageal cancers

``` adenocarcinoma = GERD, obesity, hx barretts SCC = booze and smoking ```

bullous pemphigoid tx

start with topical steroids and tetracycline if mild systemic steroids next +/- immunosuppresives

MC cancer age 15 - 19

Hodgkin lymphoma

hip pain age 5-6

MCC: transient synovitis usually just 1 week, better with nsaids (also think legg-calve perthes)

legg calve perthes age

3 - 12 (4-10) intermittent limp

scfe age

12 - 15 obese

cutaneous manifestations of alpha-1-antitrypsin

necrotizing panniculitis

scleroderma abs

ANA anti-dsDNA anti-ssDNA APL

rosacea tx

metronidazole gel 1st | then azaleic or ivermectin

topical antihistamine for eyes

olopatadine

tx prostatitis

< 35: CTX/doxy x 14 days | > 35: cipro or bactrim x 4 weeks

skin flushing, wheezing, diarrhea

carcinoid

shockable rhythms

VT, vfib

3/7 Flashcards

(100 cards)