Dr. Hogan Bedside Tut #5 Flashcards Preview

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Flashcards in Dr. Hogan Bedside Tut #5 Deck (23)
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1

petechiae, purpura and ecchymoses is caused by what blood dysfunction?

Thrombocytopenia or other platelet dysfunction

2

what is “spoon-shaped” nails called? why happens?

koilonychia

3

what is shifting dullness test?

percussing abdomen in supine to find fluid line
then side-lying: percuss again to find the dullness has shifted indicating there is indeed ascites

4

which fingers usually indicate Dupeytron's contractures? name 4 other causes:

3,4,5
Trauma
DM2
HIV
phenytoin with epilepsy

5

5 causes of hypoalbuminaemia:

kwashiorkor
leukonycia
enteropathy (protein losing)
nephrotic syndrome
burns

6

how to identify direction of vein flow in abdomen?

compress veins with 2 fingers, release one and if it flows towards umbilicus it is caput medusae

7

chronic alcoholic looks for what 2 things in the pubic area?

testicular atrophy
change in escutcheon pubic hair

8

what does splenomegaly do to platelets?

thrombocytopenia from trapped platelets in spleen

9

why do you get splenomegaly in chronic liver disease?

portal hypertension: backflow into spleen

10

what are 6 Vitamin K dependent clotting factors?

2,7,9,10, protein C, S

11

4 areas of arterial-venous anastomoses?

lower esophagus
umbilicus
lower rectum
hypophyseal portal system

12

danger of splenomegaly?

massive bleeding from accidental trauma

13

5 causes of massive splenomegaly?

CML
Malaria
myelofibrosis
tropical kalar azar
hairy cell leukaemia

14

what kinds of ophthalmoscopic problems in chronic alcohol consumption?

intranuclear ophthalmoplegia

15

cause of intranuclear ophthalmoplegia ?

degenerating mammillary bodies

16

3 things in Wernicke Encephalopathy?

triad of acute mental confusion, ataxia, and ophthalmoplegia

17

3 main features of Korsakoff psychosis?

confabulation
decreased short term memory
difficulty learning new information

18

3 reasons why HIV people get anaemia?

1. HAART treatment
2. anaemia of chronic inflammation
3. warm autoimmune haemolytic anaemia

19

3 viral causes of warm autoimmune haemolytic anaemia?

HIV
EBV
CMV

20

what do you suspect in anyone with pure right heart failure with little hx of pulmonary fibrosis or lung dysfunction?

IVDU/endocarditis

21

why kind of murmur in tricuspid regurg?

systolic

22

An ostium primum atrial septal defect (ASD) is what? what conditions do you see it with?

located in the most anterior and inferior aspect of the atrial septum. It is the simplest form of atrioventricular (AV) canal or AV septal defect. These defects are often associated with trisomy 21.

23

An ostium secundum atrial septal defect is what?

an abnormally large opening in the atrial septum at the site of the foramen ovale and the ostium secundum.