5/13 Flashcards Preview

World week 1 > 5/13 > Flashcards

Flashcards in 5/13 Deck (68)
Loading flashcards...
1

Migraines in children

Often bifrontal and shorter in duration

2

Recurrent pneumonias in the same anatomic region suggest

Bronchial obstruction due to an underlying abnormality (bronchogenic carcinoma most worrisome)

3

RA + Nephrotic syndrome think what

Amyloidosis (AA amyloidosis)

4

Next step in suspected achalasia after barium swallow

endoscopy to rule out malignancy (can mimic achalasia)

5

What frequently follows umbilical stump infection in neonates

Neonatal tetanus (generally seen in infants born to unimmunized mothers)

6

Measles vs Rubella

Fever higher in measles (up to 104)
Rash in measles is darker and spreads more gradually (reddish brown compared to pink)

7

HIV pt's w/ signs of inc ICP, HA, and low grade fever should be evaluated for

Cryptococcal meningitis

8

Mech for esophageal dysmotility in SS

Atrophy and fibrosis of the smooth muscle in the lower esophagus

9

What is eosinophils esophagitis

Heartburn that does not respond to standard medications for GERD
Manometry will show esophageal hyper contractility

10

What can AVMs in the lung cause

Shunting of blood from right to left side of the heart, causing chronic hypoxemia and a reactive polycythemia

11

Hep B a risk for what glomerular disease

Membranous nephropathy

12

How do anticholinergic drugs cause urinary retention

Reducing detrusor contraction and preventing urethral sphincter relaxation

13

What should be done after any central venous catheter is placed

CXR to confirm proper placement

14

Who should get DM screening

All patients w/ sustained BP > 135/80
Maybs everyone over 45

15

How does mesothelioma present

Unilateral pleural abnormality with a large pleural effusion on CXR

16

Laps of VIPoma

Hypokalemia and achlorhydria
Hypercalcemia and hyperglycemia

17

Why replace volume before intubating in those in hypovolemic shock

Positive pressure ventilation increases intrathoracic pressure, which decreases preload, which can cause circulatory collapse if volume isn't fixed first

18

MCC of bloody diarrhea in absence of fever

E. coli

19

2 first steps in sever hypercalcemia

IV saline bolus and calcitonin

20

Myasthenic crisis mgmt

Endotracheal intubation followed by treatment w/ plasmapheresis or IVIg and steroids

21

Systemic manifestations of Fe poisoning

Abdominal pain
Hematemesis
Shock
Metabolic acidosis

22

MCC of empyema

Bacterial seeding of a parapneumonic effusion in setting of bacterial pneumonia

23

AE of hydroxychlorquine

Retinopathy

24

What causes placental abruption

Bleeding into decidua-placenta interface after rupture of maternal decidual blood vessels

25

US that is pathognomonic for placental abruption

Retroplacental hemorrhage on US

26

What is E corrodes

Gram neg anaerobe normally seen in oral flora

27

Hallmark of ischemic hepatopathy

Rapid and massive increase in transaminases w/ modest accompanying elevations in T bili and alk phos

28

Signs of hypernatremia

Mainly neurologic: lethargy, AMS, irritability, and seizures

29

Why never hypotonic solutions in hypernatremia

They quickly exit the intravascular system and lower the sodium too rapidly

30

Fever, chills and deep abdominal pain suggest

Retroperitoneal abscess