deck 20 Flashcards
(47 cards)
FH of sudden death + recurrent syncope suggests…
long-QT syndrome
Long-QT syndrome diagnosis
resting EKG
other thing to think about with young people and sudden death
long-QT syndrome
long-QT syndrome management
beta-blockers, implantable ICD, no participation in competitive sports
supplement that can reduce symptoms + possibly slow disease progression in patients with knee OA
glucosamine sulfate
atypical antipsychotic associated with least amount of weight gain
aripiprazole
MM confirmatory diagnosis
- bone marrow exam showing greater than 10% of plasma cells
management of small spontaneous pneumothorax
outpatient management with analgesics + followup within 72 hours.
pain reduced when abdominal muscles are tightened suggests..
Garnett’s sign –> abdominal wall pathology such as a hematoma in abdominal wall musculature
current exercise recommendations to delay onset of heart disease and HTN
- 30 minutes of accumulated moderate-intensity exercise 5 or more days per week
diastolic dysfunction pathophys
chronic systolic HTN –> LVH –> limited output
NNT
1/absolute risk reduction
other high risk group that should receive pneumovax
1) all smokers between ages of 19 and 64
2) one-time revaccination after 5 years for patients with chronic renal failure, asplenia.
diverticulitis abx
1) metronidazole
2) amoxicillin/clavulante
common cause of fecal incontinence in institutionalized elderly
Overflow incontinence (due to constipating meds)
cause of fecal incontinece in IBD
reduced storage capacity
cause of fecal incontinence in women
- puborectalis and internal sphincter weakness from vaginal delivery
slipped capital femoral epiphysis pathognomic exam finding
limited internal rotation of flexed hip
campylobacter gastroenteritis
- common in elderly and very young
- very common
- more common during summer
- more common in males
- mostly diarrhea with less N/V
guidelines for BP control in stroke patients
Monitoring with no additional treatment for patients with a systolic blood pressure <220 mm Hg or a diastolic blood pressure <120 mm Hg. The elevated blood pressure is thought to be a protective mechanism that increases cerebral perfusion, and lowering the blood pressure may increase morbidity.
most common cause of constant unilateral nasal obstruction
septal deviation
initial management of hypercalcemic crisis
Volume repletion and hydration. The combination of inadequate fluid intake and the inability of hypercalcemic patients to conserve free water can lead to calcium levels over 14–15 mg/dL. Because patients often have a fluid deficiency of 4–5 liters, delivering 1000 mL of normal saline during the first hour, followed by 250–300 mL/hour, may decrease the hypercalcemia to less than critical levels (<13 mg/dL).
muscle relaxant to avoid
carisoprodol (metabolized to meprobamate, which is a class III controlled substance0
lab finding with very high PPV for acute gallstone pancreatittis
threefold or greater elevation in alkaline transaminase
