Bio Med - Day 4b Flashcards Preview

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Flashcards in Bio Med - Day 4b Deck (44)
1

A collection of air in the pleural sack that can lead to pulmonary collapse

Pneumothorax

2

Primary Pneumothorax typically happens to _________ (3 characteristics) types of patients, where as Secondary Pneumothorax happens to _____________ patients
Tension Pneumothorax is most often seen in ________

Tall, Thin young Males

Px with COPD, TB, Trauma, Pneumocystis JIroveci Pneumonia, iatrogenic

Shock/Death

3

Chest Pain, Dyspnea, Unilateral diminished breath sound is all indicative of what condition

Pneumothorax

4

Signs and Symptoms of Pneumothorax (remember "P-Thorax" as the nemonic)

P = Pleuritic Pain
T = Tracheal Deviation
H = Hyperessonance
O = Onset Sudden
R = Reduced Breath sounds and Dyspnea
A = Absent Fremitus
X = X- ray shows collapse

5

Treatment for Tension Pneumothorax

Needle Decompression - usually in the second intercostal space

6

What is the Virchow's Triad in terms of DVT

Venous stasis = long plain rides; Bed rest; etc.
Endothelial Trauma = injury to the lower extremities
Hypercoagulability = malignancy; pregnancy; etc.

7

Signs and Symptoms of DVT

Unilateral lower extremity pain & swelling
PE = Homan's Sign - discomfort behind the knee on forced dorsiflexion of the foot

8

Initial and best test for DVT is what

Doppler Ultra sound
second would be CT scan

9

What is one of the treatments for DVT

Heparin

10

Physical Exam for DVT

Homan's Sign - discomfort behind the knee on forced dorsiflexion of the foot

11

What virus causes Mono

EBV - Epstein Barr Virus

12

Main symptoms of Mono

fever
pharyngitis
lymphadenopathy

***secondary - fatigue and upper eyelid edema

13

Mono is diagnosed by what test

Heterophil antibody (monospot) test
EBV specific antibodies

14

What is the most critical complication of mono

Splenic rupture - these patients have Splenomegaly - for one month these patients need to avoid contact sports

15

Highly sensitive but not specific test for SLE - Systemic Lupus Erythematosis

Anti-nuclear Antibodies (ANA)

16

Most common endocrine disorder in reproductive woman

Polycystic Ovarian Syndrome

17

What will a patient experience if they have PCOS

Hussitism - hairy face
BMI > 30
High BP

18

What are patients with PCOS at greater risk for

Type 2 DM
Insulin Resistance
Infertility
Metabolic syndrome

19

What are the hallmarks of a patient with Metabolic Syndrome

Insulin Resistance
Obesity
Hypertension
Atherogenic Dyslipidemia

20

The most severe form of PCOS is HAIR-AN syndrome' HAIR-AN stands for what

Hyper Androgen
Insulin Resistance
Acanthosis Nigricans

21

Type of Diuretic that can treat Hirsutism

Spironolactone - K sparing Diuretic

22

If there is too much pressure in the brain, what type of diuretic can be used

Mannitol

23

Chronic Obstructive Pulmonary Disease or COPD is characterized by _______ lung function, with airflow obstruction.

decreased

24

Looking for a condition here:

_______ presents with a productive cough for >3 months/year for 2 consecutive years

Chronic Bronchitis

25

Terminal airway destruction and dilation; A group of lung diseases that block airflow and make it difficult to breathe

Emphysema

26

What condition results in the patient being characterized as a "Pink Puffer"

Emphysema

27

What will a patient with Emphysema present with/look like

Dyspnea
Pursed Lips
Minimal cough
decreased create sounds
late hypercarbia/hypoxia
Thin/wasted appearance

28

What condition is it that patients are referred to as "Blue Bloaters"

Chronic Bronchitis

29

What will a patient with Chronic Bronchitis present with/look like

Cyanosis
mild dyspnea
productive cough
often over weight, with peripheral edema
rhonchi
early signs of hypercarbia/hypoxia
classic "barrel chest" due to use of accessory chest muscles
JVD
end-expiratory wheezing
muffled breath sounds

30

COPD - Chronic Obstructive Pulmonary Disease refers to what 2 conditions

Emphysema & Chronic Bronchitis

31

Most important risk factor of COPD

Smoking

32

Pyelonephritis is what

Kidney inflammation - Upper UTI

33

Nearly 85% of community acquired cases of pyelonephritis results from the same pathogens that cause what

Cystitis - Bladder Infection

34

Pyelonephritis is the most common serious medical complication of what

Pregnancy

35

Symptoms of Pyelonephritis include

flank pain
fever
chills
nausea
vomiting
Dysuria
frequency
urgency

36

What 4 different types of analysis can diagnose Pyelonephritis

Urinalysis and culture
CBC
Ultrasound
CT Scan

37

What area will you experience pain when suffering from Pyelonephritis

Costovertebral Tenderness

38

Side effect of Fluoroquinolone is what
(classic Pyelonephritis drug)

A. Muscle Pain
B. GI bleed
C. Hepatotoxicity
D. Tendon Rupture

D. Tendon Rupture

39

Symptoms of MS

Urinary retention
Constipation
Nystagmus
tinitus
speech issues

40

Remitting and relapsing. Patient presents with multiple neurologic complaints that are separate in time and space; A disease in which the immune system eats away at the protective covering of nerves

Multiple Sclerosis

41

30 year old female has scanning speech, nystagmus, and intranuclear ophthalmoplegia. What condition dose this patient suffer from

Multiple Sclerosis

42

MS patients are sensitive to what type of weather

Hot weather

***also hot shower

43

After taking a hot shower the parasitic infection that gets worse/more itchy is ______

Scabies

44

Most common area for scabies on the body

between fingers
wrists
genital area
butt