May 6th Flashcards
(25 cards)
What is appropriate ppx treatment for a cat bite?
Amoxicillin clavulanate, copious irrigation, tetanus booster as indicated (incompletely vaccinated children, last vax >5 years ago), avoid wound closure
What is the amsel criteria?
Used in dx of BV - vaginal pH > 4.5, amine odor with KOH (whiff test), and clue cells
How is bacterial vaginosis treated?
Metronidazole or clindamycin
What are the coagulation studies in HUS?
Usually normal; though have microangiopathic hemolytic anemia and thrombocytopenia
What is sialadenosis? What is it commonly associated with?
Enlargement of submandibular glands; found in advanced liver disease; can also be seen in patients with malnutrition
Patients with HIV and subacute-onset of low-grade fever, HA, and signs of increased ICP should be evaluated for what?
Cryptococcal meningitis
Enlarged lateral ventricles is commonly associated with what psychiatric illness?
Schizophrenia
Increased sensitivity to lactate infusion has been associated with what psychiatric illness?
Panic attacks
What are the indications for renal and bladder US in children?
Infants/children <24 months with first febrile UTI; recurrent UTIs, UTI in child with FH of renal or urologic disease, HTN or poor growth; not responsive to treatment
What are the clinical manifestations of serum sickness-like reaction?
Fever, urticaria, and polyarthralgia in a patient with a recent exposure ( antibiotic therapy)
Upper lung nodule with caviatry lesion, BAL reveals filamentous gram + rods that are weakly acid fast
Think nocardia - seen in immunocompromised
How is nocardiosis treated?
TMP-SMX; surgical drainage of abscess
The presence of what is associated with increased mortality in a PE?
RV dysfunction, along with elevated BNP and troponin levels
What are the renal complications of sickle cell trait?
Hematuria, renal medullary carcinoma, inability to concentrate the urine, distal RTA, and UTIs
What are the physiologic renal changes seen in pregnancy?
Increased renal blood flow, increased GFR, and increased renal basement membrane permeability
2 week old FTT, bilateral cataracts, jaundice, HSM and hypoglycemia
Think about galactosemia - caused by galactose-1-phosphate uridyl transferase def
How do patients with galactokinase def present?
Cataracts only
How does uridyl diphosphate galactose-4-epimerase def present?
Hypotonia, FTT, nerve deafness, cataracts, jaundice
How is impetigo treated?
Limited: topical antibiotics (eg mupirocin); extensive: oral antibiotics (eg cephalexin, dicloxacillin, clinda)
What is the pathogenesis of Henoch-Schonlein purpura?
IgA-mediated leukocytoclastic vasculitis
What are the clinical manifestations of Henoch-Schonlein purpura?
Purpura, arthritis/arthralgia, abdominal pain/intussusception, renal disease
What is the most common cause of spontaneous lobar hemorrhage?
Amyloid angiopathy; seen > 60 yo
What conditions is mixed cryoglobulinema syndrome associated with?
HCV, and SLE
How is hepatorenal syndrome diagnosed?
Renal hypoperfusion, FeNa <1% (or urine Na < 10), absence of tubular injury, no RBC, protein or granular casts in urine, no improvement in renal function with fluids
