4/24 Flashcards by Eric Swanson

treatment of hypercalcemia in metastatic bone disease

bisphosphonates

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basis of normal stress response

no change in functionality

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pathway for psych dopamine neurons

mesolimbic

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adult stills disease

recurrent fevers, joint pains and rash

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immune response in endocarditis

can have positive RF factor and high ESR

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uterus with multiple small cysts

trophoblastic disease

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most common arrhythmia in cardiac arrest

vfib - reentrant ventricular arrhythmia

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fetal anemia on heart tracing

sinusoidal pattern

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bartonella vs pasturella

bartonella = cat scratch - skin findings with lymphadenopathy
pasteurella = cat bite - cellulitis

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location of blasto and special aspects

mississippi and ohio river basins - skin lesions and lytic bone lesions

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age of diagnosis of CVID

25-40

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mutation in polycythemia vera

JAK2

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when symptoms occur in aortic stenosis

less than 1.0cm area

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why is septic arthritis more common in RA

due to joint deformities

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high hormone in non-functioning pituitary adenoma

prolactin - not inhibited

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large, hard liver with occult stool blood

could be liver metastases, in alcoholics, liver is shrunken and cirrhotic

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acid-base disorder in aspirin tox

metabolic acidosis and respiratory alkalosis

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vessels involved in fibromuscular dysplasi

carotid and renal arteries

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treatment of stye

warm compresses

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treatment of pregnant women with previous herpes infection

acyclovir at 36 weeks

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treatment of true wound dehiscence

emergent surgery - skin dehiscence can be treated with wet-to dry or vacuum

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option for psych patients that are non-adherent

long acting injectables

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key finding in inevitable aborition

cervical dilation

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age distribution of type 1 diabetes

4-6 then 10-14

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hcg can mimic....

TSH, can have hyperthyroidism in molar pregnancy

risk for vaginal candidiasis

pregnancy, immunosuppression or diabetes

chlamydia vs gonoccocal urethritis

gonoccocal - 1-3 days and purulent | chlamydia - 5-14 days and non-purulent, nor prevented by erythromycin

STI mostly likely to show no gram staining

chlamydia (gonorrhea usually does)

high hematocrit and low glucose in newborn

polycythemia

meningitis in kids older than 1 month

neisseria or s pneumo

treatment of GBS

IVIG - steroids do not work

third most common cause of pancreatitis

hypertriglyceridemia

ichthyosis vulgaris

diffuse dermal scaling

high creatinine and low urine sodium in liver disease

hepatorenal syndrome

timeline for tick borne infection

must be on for at least 48-72 hours

eye problems in NF1

optic gliomas

most common reason for stent thrombus

medication non-compliance of dual platelet therapy

specific cell in interstitial nephritis

urine eosinophils

treatment of arsenic poisoning

dimercaprol

lead tox vs arsenic tox

``` lead = more GI arsenic = more skin ```

necessary treatment of emphysematous cholecystitis

emergent lap chole

calcium/phos in pagets disease

normal, elevated alk phos due to bone turnover

psych complication in MS

depression

CN 6 fibers most susceptible to ischemia

inner, somatic, down and out gaze

treatment of women with PCOS that wants baby

clomiphene citrate (blocks estrogen feedback, allowing FSH/LH secretion)

bedwetting is normal before age ___

major hormone issue in refeeding syndrome

insulin, drive potassium into cell (and phosphorus and mag)

timeline of HIT

usually 5-10 days after heparin started

treatment of lead poisoning

calcium disodium EDTA

triad in paroxysmal nocturnal hemoglobinuria

hemolysis, cytopenias, hypercoagulable state

negative progesterone withdrawal test

due to damage of the endometrium, likely secondary to surgery

associated with REM sleep disorder

Lewy body dementia or Parkinsons

treatment of polymyositis

steroids

PTHrP

due to squamous cell carcinoma SCa++ous cell

malodorous vaginal discharge

symmetric congenital defects are usually caused by...

congenital defects (asymmetric are caused by placental insufficiency)

bilateral diffuse interstitial infiltrates in immunocompromised

PCP pneumonia

paranoid vs delusions

delusions - specific, no other diagnosis, funcitonal | paranoid - pervasive distrust, always present

treatment of narcolepsy

modafinil

pleural effusion lung sounds

decreased tactile fremitus, dull to percussion

euthyroid sick syndrome

low T3, others normal - due to decreased peripheral conversion of T4 to T3

thyroid test in acutely ill

interpret with caution

treatment of leg DVT with contraindication to thrombolytics

IVC filter

phenytoin can cause ______ deficiency

folate due to impaired uptake in jejunum

low calcium and high PTH

low vitamin D or chronic kidney disease

longitudinal splitting of glomerular basement membrane

Alport syndrome - mutation of type 4 collagen

neuro symptoms after brain aneurysm repair

rebleeding early | vasospasm and infarction in day 3-10 (prevent with CCB)

acute joint pain after working in day care center

parvovirus

cause of obstruction in tension pneumo

crushing of VC, does not cause elevated left heart pressures

HPV in child should concern for...

child sexual abuse

dissociative identity disorder the same as....

multi personality disorder

CVID vs brutons

brutons also had low B cell count, presents earlier (defect in tyrosine kinase)

when to use different graves treatment

drugs - mild, pregnancy, older patient, stabilization RAI - moderate to severe after stabilized thyroidectomy - cancer, severe eye problems

mechanism underlying exudative effusion

increased capillary permeability

TEN vs SJS

TEN = greater than 30% of body area

mechanism for compensation in aortic valve disease

eccentric hypertrophy, increase compliance

cause of hyponatremia in labor augmentation

oxytocin acts like ADH

muscle issue in cushings

atrophy due to increased catabolism

trigger of bronchoconstriction in asthma

can be aspirin or beta blockers

papillary muscle rupture vs septal rupture

murmur in septal rupture is harsh and holosystolic with palpable thrill

vessel concern in Kawasakis

coronary artery aneurysm

why human milk is better

better for absorption and gastric emptying

first step in microcytic anemia

get iron studies

three options for Cushing syndrome evaluation

late-night cortisol, urine cortisol or low dose dex suppression

well appearing infant with painless and bloody stools

food protein induced allergic protocolitis

age of Meckels

most common at 2, rare before 6

sharp triphasic synchronous discharges

Jakob Cruzfedlt

when was HepC screened for in blood transfusions

after 1992

mitral valve in HOCM

systolic anterior motion of mitral valve

treatment of frequent PVCs

beta blocker

treatment of Prinzmetal

CCBs

anti U1 ribonucleoprotein

polymyositis

4/24 Flashcards

(92 cards)