deck 17 Flashcards
(51 cards)
antidepressant that can induce modest weight loss
bupropion
preventive measures paid for by medicare
pneumococcal vaccine, influenza vaccine, annual mammography, and a Papanicolaou test every 3 years.
conditions that produce a reactive lymphocytosis
- viral infections
- EBV, mono, CMV, HSV, HIV
movement type that increases pine from spinal stenosis
Extension that increases lumbar lordosis decreases the cross-sectional area of the spinal canal, thereby compressing the spinal cord further. Walking downhill can cause this. Spinal flexion that decreases lordosis has the opposite effect, and will usually improve the pain, as will sitting.
med contraindicated in cirrhotics
NSAIDS (can increase risk of bleeding by further impairing platelet function. ALSO decrease blood flow to the kidneys and can increase risk of renal failure in cirrhotics)
ASPIRIN is NOT AN NSAID
…
NSAIDS affect on the heart?
- can increase CV morbidity, worsen HF, increase BP, and increase ischemia/MI
best test for psychogenic seizures
vEEG
rosacea management
Management includes avoidance of precipitating factors and use of sunscreen. Oral metronidazole, doxycycline, or tetracycline also can be used, especially if there are ocular symptoms. These are often ineffective for the flushing, so low-dose clonidine or a nonselective β-blocker may be added.
prognostic factor that suggests no recovery in post-MI comatose patient
myoclonic status epilepticus at 24 hours
2 conditions that account for 90% of hypercalcemia
Primary hyperparathyroidism
Malignancy
familial hypocalciuric hypercalcemia labs
- moderate hypercalcemia + low urinary calcium excretion
- PTH can be normal or mildly elevated
drugs that can cause SJS
- Allopurinol
- antibiotics, antiepileptics, and NSAIDs. Of these, antibiotics are the most common alleged cause of
Stevens-Johnson syndrome.
acute adult asthma exacerbation albuterol method
MDI
conversion aphonia
voice hoarseness/lose of voice after stressful event
PFTs with vocal cord dysfunction
- Normal expiratory portion but a flattened inspiratory phase.
posterior tibial tendonopathy presentation
Pain + swelling posterior to medial malleolus + no injury + pain with inversion and plantar flexion
posterior tibial tendonopathy management
immobilization in a cast boot for 3 weeks
hiccups lasting more than a couple days management
- work up cause –>
feature of diverticular bleeding and angiodysplasia
PAINLESS
Ischemic colitis presentation
abdominal pain + CV RF’s + bloody diarrhea
Heparin-induced thrombocytopenia management
D/C heparin + start non-heparin anticoagulant such as argatroban or desirudin
lichen planus presentation
pruritic + symmetrically distributed papular lesions + violaceous flat-topped papules
lichen planus treatment
high-potency topical corticosteroids (clobetasol)
