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Flashcards in Deck 1 Deck (9)
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1

Clinical clues for ASD

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

2

Important ASD complications

- Atrial arrhythmias (Afib and flutter)
- Stroke due to paradoxical embolization
- Migraine headache
- Pulmonary hypertension and Eisenmenger syndrome

3

Clinical features of CVID (common variable immune deficiency)

- 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)

4

Diagnosis of CVID (common variable immune deficiency)

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

5

Treatment of CVID (common variable immune deficiency)

Immunoglobulin replacement therapy
Age-appropriate cancer screening
Monitoring for lymphoma

6

Adult CF

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

7

Myeloperoxidase deficiency

Asymptomatic or recurrent Candida infections

8

Primary ciliary dyskinesia

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

9

Onychomycosis diagnosis

KOH (potassium hydroxide) preparation from nail scrapings