8/11 Flashcards by Dylan Bergstedt

what muscle is used to distinguish between different levels of axillary lymph nodes

pec minor

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exposed bone post dental procedure, swollen gums old lady probable dx

bisphophonatevrelated osteonecrosis

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poly arthritis nodosa

constitutional features

fever, weight loss, malaise

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poly arthritis nodosa skin findings

nodules, lived reticular, ulcers, purpura

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poly arthritis nodosa renal things

HTN, renal infarct, arterial aneurysm

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poly arthritis nodosa neuro things

HA, seizures, mononeuritis multiplex

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poly arthritis nodosa GI things

mesenteric ischemia/infarct

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poly arthritis nodosa MSK things

myalgia and arthritis

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poly arthritis nodosa ANCA and

ana?

negative

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poly arthritis nodosa angio findings

micro aneurysms and segmental/distal narrowing

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tissue biopsy of poly arthritis nodosa

non granulomatous trasmural inflammation

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thyroid nodule post US with high or normal TSH next step

FNA unless super normal US

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thyroid nodule post US with low TSH next step

reactive iodine scintigraphy- FNA for cold, medical management for hot

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best predictors for lung resection outcomes

FEV1 DLCO

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tx for septic bursitis

aspiration to get dx, systemic abx and drainage if safe like in knee

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chromium deficiency signs

impaired glucose control

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copper deficiency signs symptoms

brittle hair/hairloss
skin depigmentation
ataxia and peripheral neuropathy
anemia
osteoporosis

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selenium deficiency

thyroid dysfunction
cardiomyopathy
immune dysfunction

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zinc deficiency

alopecia 
pustular skin rash
hypogonadism
impaired wound healing
impaired taste
immune dysfunction

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thyrogloassal duct cyst location and features

midline
tract between foramen cecum and base of anterior neck
cyst moves with swallowing and tongue protrusion
often presents after URI

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dermoid cyst location and features

midline
cystic mass with trapped epithelial debris
occurs along embrionic fusion planes
no displacement with tongue protrusion

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branchial cleft cyst location and features

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lateral
may extend to the tonsils fossa (2nd brachial arch ) or pyriform recess (3rd branchial arch)
ANTERIOR to STERNOCLEIDOMASTOID

Mycobacterium avian lymphadenitis location and features

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lateral
necrotic lymph node
violaceous discoloration of skin
often fistula

cystic hygroma location and features

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posterior

dilated lymphatic vesels

what does histoplasmosis look like

narrow based budding yeast

histoplasmosis tx

itroconazole or amphoterain b

why do OHS patients have low cl

too much hypoventilation = hypercarbia, increases bicarb retention to maintain physiologic ph., This decreases cl reabsorbtion . note:m this happens in OSA also but resolves with normal daytime breathing

most common se of inhaledcorticosteroid use

oral thrush

3 top causes of chronic cough

post nasal drip, asthma, GERD

sarcoid DLCO

⬇️

sarcoid electrolyte abnormality

hep Ca

asbestosis diffusion lung capacity

down arrow ⬇️

heart thing that can develop asbestosis

cor pulmonale

TB causing primary adrenal insufficiency lab findings

hyponatremia, hyperk, hypoglycemia, eisonophillia

low dose ct recommendations for smokers age

55-80 yearly

low dose ct for lung cancer screening eligibility

30+ pack years of smoking. and patient is a current smoker or quit smoking in the last 15 years

transudative effusion ph pulmonary

7.4-7.55

exudative pleural effusion ph

7.3-7.45, <7.3 probably bacterial or tumor

what can SSRi do to physiologic tremors

increase them

sx looks like sarcoid but is a fungus

histoplasmosis

blastomyces signs and symptoms

skin lesions, osteolytic bone lesions or prostate involvement

when to get ct with uncomplicated pyelonephritis

no improvement in symptoms at 48-72 hours, or unusual urinary findings

vaccines recomended in chronic liver failure

``` tents: q10 years influenza ; anual PNA23: @dx and @65 Hep A and B if not immune ```

MAC tx

macrolide+ ethambutol

MAC manifestations

fever and weight loss abdominal pain and diarrhea LAD and heptosplenomegally ⬆️ alk phos

male urethritis nothing on gram stain

chlamydia

when do HIV patients get CMV prophylaxis

never but organ transplants if CMV-seropositive do

what is most common ekg finding of lyme myocarditis

AV block

mucormycosis/rhizopus tx

amphotericin b and surgical debridement

rpm and vldr neg but for sure it's syphylis next test and why those were neg

treponema antibody, others negative early in primary infection

needle stick from HIV + patient

draw blood for test and start 3 drug therapy immediately

mycoplasma pneumonia signs, symptoms, tx

HA,Malasie,fever,persistant dry cough, pharyngitis(no exudates), macula/vesicular rash tx macrolide and respiratory fluoroquinolone

What causes erysipelas and what are it's signs and symptoms

strep progenies(group a) superficial dermis and lymphatics, well demarcated edges. rapid spread and onset fever in early course

can patients on TNFA alpha inhibitors get live vaccines

8/11 Flashcards

(54 cards)