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Flashcards in OME FC's Deck (19):
1

Infant male w/sinopulmonary infections:
? Dx
? Lab findings

X-linked Agammaglobulinemia (Bruton's)
Lab: Zero Ig's + BTK gene

2

Teen with sinopulm (sinusitis, otitis, pna) infections and zero Ig's?

CVID (common variable immunideficiency)

3

Anaphylaxis post transfusion

IgA deficiency

4

Low IgA, IgG
High IgM

Hyper IgM syndrome

5

? Ppx, tx and f/u for DiGeorges?

Ppx: TMP-SMX
Tx: IVIG --> tymic transplant
F/u: hypocalcemia (tetany and seizures)

6

Boy with eczema
Low plt
Normal infections

Wiskott-Aldrich

7

Ataxia
Telangiectasias

Pt is at risk for what?

Ataxia-telangiectasia
Risk of leuk/lymphoma

8

Infant w/"AIDS"
Tx

SCID
Tx: bone marrow transplant

9

Staph abscesses
?Dx and Test

CGD
Nitro blue is NEGATIVE

10

Fever
Elevated WBC
NO PUS
Delayed cord separation

LAD
Tx: BMT

11

Giant granules in neutrophiles

Chediak-Higashi

12

Non drug related angioedema

C1 esterase

13

Neisseria infections

C5-C9 deficiency

14

Mneumonic for causes of secondary HTN?

Tripple HART(P) CO.

Hyper aldo
Hyper Ca
Hyper thyroid
Aorta - coarctation
Renal
(T) Pheo
Cuhings
OSA

15

Who must be on a statin?
Which statins should they be on?

1. Vascular dz
2. LDL > 190
3. DM (and age 40-75)
4. + Calculated risk

EVERYONE should be on HIGH intensity (unless CI)
Atorvastatin 40, 80
Rosuvastain 20, 40

CI - intolerance, age > 75, Liver or Renal Dz

16

Symptoms of Serotonin Syndrome:

Agitation, AMS
Ataxia
Diaphoresis
Diarrhea
Hyperreflexia
Myoclonus
Tremor
Shivering
Hyperthermia

(*did not recently start a neuroleptic med)

17

Lights criteria that indicates an exudate on plural effusion:

LDHf > 2/3 ULN (OR)

LDHf:LDHs >0.6 (OR)

TPf:TPs >0.5

18

When do you not tap a plural effusion?

Too small < 1cm
its CHF
Its Loculated

19

Low blood cell counts
Joint pain
Splenomegaly

Felty's Syndrome (autoimmune do)
- RA
- neutropenia
- splenomegaly