Flashcards in More GI Deck (19)
What is the single most accurate test for chronic pancreatitis?
secretin stimulation test
What is a normal result of the secretin test?
bicarb released by pancreas
What is the tx for diverticulitis?
cipro + metro, or cefotetan, or amoxicillin/clav. acid
What are the 3 major issues that must be addressed in atrial fibrillation?
rate control, rhythm control, and anti-coagulation
In a tachycardic pt w/ A-fib, which is greater priority: rate or rhythm control?
What agents should be used for rate control in A-fib?
β-blockers (esmolol, metoprolol) or cardioselective Ca++ channel blockers (verapimil, diltiazem)
What cardiac defect would cause a soft systolic murmur heard best at the upper left sternal border and wide, fixed splitting of the S2?
What causes the murmur in ASD?
increased, turbulent flow across the PULMONIC VALVE
Where would you best hear the murmur of hypertrophic cardiomyopathy?
lower left sternal border
Which 2 murmurs increase w/ Valsalva maneuver?
hypertrophic cardiomyopathy and mitral valve prolapse
What part of the nephron is most commonly damaged in multiple myeloma?
The vaginal pH in _______ is usu. elevated, and pts typically have malodorous, green, frothy discharge.
How many alpha globin genes does a person normally have?
4 (two on each ch. 16)
How many alpha-globin genes are mutated in a person w/ alpha-thalassemia minor?
2 (cis- or trans-)
What are the clinical features of alpha-thalassemia minor?
no Sx or mild chronic anemia
What do blood studies, including smear, show in alpha-thalassemia minor?
microcytic, hypochromic anemia; target cells
How many alpha-globin genes are mutated in a person w/ alpha-thalassemia minima?
What is the genetic defect in Hemoglobin H disease?
3 mutated alpha-globin genes