Miscellaneous Flashcards
Drugs associated with increased risk of CAP in elderly?
Atypical antipsychotics (ie quetiapine)
Normal platelet level?
150,000 to 450,000
Normal K level?
3.5-5.2
Diagnosis for a guy who moves into a new apartment building
with a hot tub and gets bilateral chest infection
inhalation of fumes with
Mycobacterium avium complex (MAC) = hot tub lung
Lithium toxicity presents with what syptoms
Neurologic (AMS, tremor, seizures, fasciculations)
And
GI (vomitting, diarrhea)
Lithium toxicity is treated with
Hemodialysis
Side effects of benzos in the elderly
Cognitive impairment
Falls
Paradoxical agitation
Drowned patient often require respiratory support to correct hypoxia. Under what circumstances is endotracheal intubation (intubation with mechanical ventilation) required
Patient unable to protect their airway or hypoxic despite supplemental oxygen
Innocent cardiac murmurs (resulting from physiologic blood flow across structurally normal heart) present as
Grade 1-2 in intensity
Vibratory or musical in quality
Early or midsystolic
What is Stills murmurs and how is it treated?
Innocent, vibratory systolic ejection murmur
Treatment is reassurance
Drugs that can cause urinary retention?
Those with anticholinergic properties, such as TCAs (ie Amitriptyline)
Treatment for drug-induced urinary retention?
Urinary catherization plus discontinue drug
What is a venous hum?
A murmur in the neck that abates when the kid is laid supine and the neck is rotated.
It is typically a benign finding.
How does a venous hum change with position?
It abates when the child is laid supine and the neck is rotated.
This positional change is key to identifying the murmur as a venous hum.
Treatment for a venous hum?
No, it is benign and does not require treatment.
Understanding that it is a benign condition helps in managing parental concerns.
Acanthosis nigricans presents as
Velvety, symmetrical, hyperpigmented plaques in neck, groin, axilla
Acanthosis nigricans association in younger patients?
Insulin-resistant states (DM, obesity, PCOS)
Acanthosis nigricans association in older patients?
Gastrointestinal malignancy
A-a oxygen gradient in PE
High alveolar-arterial oxygen gradient
Cycle vomiting syndrome presentation
In children, recurrent self-limiting episodes of profuse vomiting or nausea without an apparent cause
Cycle vomiting syndrome key historical factors
Identifiable trigger (stress, infection)
Personal/family history of migraine
