Deck 1 Flashcards

(9 cards)

1
Q

Clinical clues for ASD

A
  • Right ventricular heave
  • Wide, fixed splitting of the second heart sound
  • Mid systolic pulmonary flow or ejection murmur
  • Right axis deviation and incomplete RBBB
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2
Q

Important ASD complications

A
  • Atrial arrhythmias (Afib and flutter)
  • Stroke due to paradoxical embolization
  • Migraine headache
  • Pulmonary hypertension and Eisenmenger syndrome
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3
Q

Clinical features of CVID (common variable immune deficiency)

A
  • Recurrent infections (rhinosinusitis, pneumonia, conjunctivitis)
  • Chronic lung disease (bronchiectasis)
  • Autoimmune disorders (vitiligo, RA, thyroid)
  • GI disorders (IBS, malabsorption)
  • Granulomatous dz
  • Increase risk of malignancy (lymphoma, gastric CA)
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4
Q

Diagnosis of CVID (common variable immune deficiency)

A

Extremely persistent low IgG levels
Low IgA and/or IgM levels
No response to vaccinations
Exclusion of other immunodeficiency disorders

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5
Q

Treatment of CVID (common variable immune deficiency)

A

Immunoglobulin replacement therapy
Age-appropriate cancer screening
Monitoring for lymphoma

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6
Q

Adult CF

A

Mild respiratory infections, GI disease (recurrent pancreatitis, biliary cirrhosis, portal HTN), abnormal reproductive function

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7
Q

Myeloperoxidase deficiency

A

Asymptomatic or recurrent Candida infections

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8
Q

Primary ciliary dyskinesia

A

Nasal polyposis, otitis, recurrent respiratory infections, situs inversus (50% of pts), infertility

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9
Q

Onychomycosis diagnosis

A

KOH (potassium hydroxide) preparation from nail scrapings

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