med 2 Flashcards by Tolga Hanhan

differentiating between crigler-najar type 1 and type 2 (besides ++bili in type 1)

type 2 is reduced in response to phenobarbital

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treatment of TTP-HUS

plasmaphoresis

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lung compliance in COPD

increased

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test for lactase deficiency

hydrogen breath test

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calcium, phos levels in Paget dz

normal!

alk phos, urine hydroxyproline are high

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dx of SBP

> 250 neutrophils in pericentesis

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THE ONLY 2 murmurs that get LOUDER with decreased venous return

MVP and HCM

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appearance of CMV esophogitis

deep linear ulcers in distal esophogus

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NNT=

1/ARR

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small red spots on adults

cherry angiomas

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pH of pleural exudate (empyema)

acid (

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dry and rough skin w/horny plates (lizard skin) slowly progressive into adulthood - worse when dry

ichtyosis vulgaris

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glomerulonephritis after an infection

1st week, 10+ days

1st = IgA nephropathy

10 days and up = Postinfectious GN

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ulcerative colitis w/signs of infection, sepsis

toxic megacolon (seen on AXR)

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dz associated with mixed essential cryoglobulinemia

hep C

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nephrotic syndrome associated with:

1) carcinoma
2) lymphoma

1) membranous

2) minimal change dz

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drug to implement in AIDS with CD4 count below 50

azithromycin for MAC prophylaxis

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tx for SIADH

demeclocycline

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tx for central cs nephrogenic Diabetes insipidus

central = desmopressin
nephrogenic = HTZ

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management of nephrotic syndrome with kid under 10

steroids (likely minimal change dz)

do biopsy if older or unresponsive

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overdose

CNS depression, hyperthermia, ileus, dry MM, dilated pupils, QRS prolongation

TCA overdose

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differentiating left vs right murmurs

All right are increased on inspiration (increased RA return)

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tx of cat scratch fever

macrolides

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pt ate fish
wheezing, flushing, rash
dx and tx?

scombroid

antihistamines

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tx of chancroid

azithromycin

tx of lymphogranuloma venereum

doxy

recurrent genital and oral ulcers uveitis skin lesions

Behcet syndrome

schedule for vaccinations pre AND post splenectomy

14 days before | 14 days after

size concerning for solitary pulmonary nodule (PET or excision)

greater than .8 cm

cafe au lait spots bone lesions precocious puberty MEN neoplasms

McCune-Albright Syndrome PPP precocious puberty pigmentation polyostotic fibrous dysplasia

Von Recklinghausen dz

NF1 (cafe au lait and dermatic neurofibromas)

raised skin nodule w/buttonhole sign (umbilication when squeezed)

dermatofibroma

prolactin stimulated by (2)

serotonin and TRH

elevated DHEA-S

adrenal androgen tumors only

risk of AIDS at 200 100 50

PCP toxo MAC

tx for AIDS prophlaxis of MAC

azithromycin

1sr, 2nd, 3rd line prophylaxis for PCP w/AIDS

TMP-SMX dapsone atovoquone

criteria for sputum culture (2)

less than 12 squams | more than 25 polies

HAP (2) vs CAP

HAP no hosp w/in 90 days hosp less than 48 hours

path of TTP (beside -ADAMST17)

hyalin clots

tx of TTP

exchange transfusion

tx of ITP (4 lines of tx)

steroids IVIG splenectomy rituximab

tx for early PBC

ursodeoxycholic acid

tx for dermatitis herpetiformis (besides gluten-free diet)

dapsone

blood complication of mono

AIHA

most common thyroid cancer

papillary

L/S ratio cutoff for lung maturity?

over 2 = mature

tx of beta blocker overdose

glucagon

age range for screening mammographies (USPSTF)

50-74

anasarca

generalized edema

artery for STEMI of II,III,aVF

RCA

tx for actinomyces

penicillin

the only condition that increases fremitus

consolidation

mobitz type I vs II heart blocks

wenckebach is 1 | 2 has randomly dropped beats

mutation in Marfan's

fibrillin-1

test to distinguish leukemoid rxn from CML

LAP is REDUCED in CML

tx for paget's dz

bisphosphonates

treatment for variceal bleeding: prophylaxis active bleeding

Beta Blockers for prophylaxis | octeotride for active bleeding

calculate an anion gap

na - (Cl+HCO3)

diarrhea flushing R. heart murmur

carcinoid syndrome (5-HT)

effect of +pH (alkalosis) on Ca

more binds to albumin | (ionized (the active form) is reduced

hepatolenticular degeneration aka

Wilson's dz

damage of methanol vs ethylene glycol

methanol damages eyes | ethylene glycol damages kidneys

nephrotic syndrome in a fat black man who uses heroin, has HIV

FSGS

nephrotic syndrome in woman with SLE, breast cancer

membranous

MEN1 (3)

pituitary parathyroid pancreas

MEN2a (3)

medulary thyroid Ca parathyroid pheochromocytoma

MEN2b (3)

medullary thyroid Ca mucosal (oral) pheo marfan's

medical (rx) tx of acromegaly

octreotide

concerning size for incidentiloma of adrenal

4 cm

confirmation of primary aldosterone tumor with aldo:renin ratio above 20) Test then after visual confirmation (1 each)

salt suppression test | adrenal vain sampling

inferior MI 2 drugs to NOT give

nitrates, diuretics | use IVF - don't reduce preload

tx for mucormycosis (rhizopus)

amphotericin

kussmaul's sign

paradoxical JVP rise on inspiration | RVF

acute tx of symptomatic hypercalcemia (2)

IVF first | calcitonin (if SUPER high) or bisphosphonates (preferred)

long term tx of hypercalcemia

bisphosphonates

patient w/hypercalcemia, hyperphos. and a granulomatous dz. what test?

1,25 Vit D

FiO2 range to maintain during intubation

below 40%

sequence (2) of salicylate toxicity

respiratory alkalosis metabolic acidosis near normal pH!

approach to suspected renal cell carcinoma

nephrectomy | NOT bx

Sx of retinal detachment vs central arterial occlusion

Curtain falling down. Permanent is retinal detachment. Coming and going is amarosis faugaux (artery occlusion)

osteitis deformans

Paget's dz of bone

low T3 | someone who is very sick

sick euthyroid syndrome

AIDS drug that induces liver failure

neviripine

NRTIs general side effect

lactic acidosis

3 tx for thyroid storm (besides cooling)

1. beta blockers 2. PTU/methimazole 3. IV steroids Iodine ablation or surgical removal is for long term therapy

risk of iodine ablation in graves | and what to do about it

worsening opthalmology | pre-treat w/steroids

D-xylose test is for | ingestion then measuring in urine

proximal small intestine dz | like celiac

2 further tests after dxing ITP

HIV, Hep C

Association of porphyria cutanea tarda

Hep c

diastolic murmur w/opening snap

mitral stenosis

initial tx of mitral stensosis

balloon valvuloplasty

leg lift during auscultation effect

increase preload (like squatting)

increased MCHC - 2 disorders

hereditary spherocytosis | sickle cell dz

IBD person in rough shape | test and condition to consider

AXR | toxic megacolon

hepatorenal syndrome

renal failure secondary to liver dz

tx for hepatorenal syndrome (3)

pressors w/albumin (acute) OR | midodrine, octreotide, albumin

a marble-like breast mass in a young woman that DOES NOT change with the menstrual cycle

fibroadenoma

vaginal pH dx cutoff for premenopausal woman

4.5 greater = infection (BV or trich) less= candidiasis or healthy

med 2 Flashcards

(99 cards)