Hormone that is seen elevated when on menopause (HAVOC)
Digoxin Intoxicty seen with what effects?
anoxeria, N/V, diahrea and bradycardia. KEY SEEN WITH Yellow green distrubances and arrthymias like paroxysmal atrial tachycardia with a 2:1 block
Immigrant who comes in with abdominal pain then seen with seizures and along with 3 hypodensities in the brain in a straight line pattern. What is the bug?
It was a due to a Cysterocosis--- (tinea solenia species) STRAIGHT LINE HYPODENSITIES (calcifications there)... It is an intestinal tapeworm that is seen in undercook meat.
Immunodeficient patient seen with ring enhancing lesion
Patient is seen with elevated AST and ALT, low hemoglobin and decreased platelets in pregnant lady. What is disease and what is treatment?
HEELP Give Mag sulfate
Differ btwn 2 types of esophageal cancer
Squamous cell occurs in the upper part of the esophagus and is a proliferation of squamous cells Barretts or esophageal adenocarcinoma is a change form squamous cells to columnar cells in distal 1/3 seen with GERD and alcohol abuse
Loss of vibration, touch, pressure, and propioception is a lesion where? and where does it dessicusate?
Dorsal columns and decussates in the medial leminiscus
Patient who comes in with a rad rash on the skin after being prescibed with an antiobitic and has a renal failure with INCREASED EOSINOPHILS???
ACUTE INTERSTIAL NEPHRITIS--- eosinophils give this disease away---- the elevation of them--- commonly seen due to an allergic reaction with an antibiotic
What is the disease seen with this EKG?
Premature ventricular contractions.
There are no p waves seen
Patient comes in complaining of hallucinations after smoking an unknown substance. What neurotransmitter is seen effected
Commonly seen side effects on substances and receptors effected
PCP effects what receptor with what symptoms
Effects the NMDA
Symptoms: agitation, beligerance, ataxia, hyperthermia, and psychosis
Patient complains of loss of temperature sensation and pain. What tract is effected and where does it decussate?
Anterior spinothalmic tract
Seen with sringomyelia, and decussates at the anterior white commisure
Patient who is coughing up blood and blood in stool with nausea and depression. Has overdosed on what medication and what is the treatment
Tx: is the deferoxosome
Other common overdoses
How do you calculate absolute bioavailability
Pt. who has to pee multiple times at night but with decreased skin tugor, and is resistant to anti adh and water restriction
Lithium induced nephrogenic diabetes insipidus
What are the drugs seen with TB?
What are the side effects of them?
Rifampin (revs up p450 so his the liver- orange red urine, and hits rna polymerase
Isonizid-- blocks bacteria fatty acid synthesis-- big thing seen with it is liver toxicity and peripheral neuropathy due to B6 deficiency
Ethambutol (red green color blindness)
Causes of RTA
Type 1-- due to decreased hydrogen reabsortpion--- hypercalcemia, and calcium stones, normal ph and K levels
Type 2--- due to decreased bicarbonate reabsorption--- decreased ph but normal K levels
Type 4-- due to aldosterone reabsorbtion issue--- seen with massive hyperkalemia--- with hypercholermia
Signs of parkinsons?
resting tremor (pill rolling), with shuffling gait, bradykinesia or slowness and HYPOSMIA (Lack of smell)
HOW TO DIFFER BETWEEN PBC and autoimminue hepatitis
Both seen with elevated ALT AND AST in autoimmune patient
PBC--- seen with + AMA
autoimmune hepatitis seen with +ANA
What is the most common nephrotic syndrome seen with IV drug abuse and HIV, and sickle cell???
Focal Segmental Glomepheritis
Common signs of other types of glomeronephritis
What is seen in goodpasture syndrome
Pt complains of lung and renal issues.
Typically seen with glomeronephritis, hemopytisis, and renal failure.
Typically seen with TYPE 4 collagen of the BASEMENT MEMBRANE
Differs from GPA (wegner's) bc wegner's also hits the throat and has C-anca seen with it!!!!
Test of choice when some presents with an enlarged prostate and elevated PSA?
Transrectal ultrasound with biopsy
Differ btwn case-control, cross sectional, and cohort studies
Drug of choice in patient with type 1 diabetes and effects?
Prevents gluconeogeneis, glycogenolysis, and increases uptake in cell
Other durgs and ways they work in diabetes
Bone mass comes from what 2 cells?
bone mineralization is due to what?
Mass is due to osteoclasts and blast? Blast build and clast destroy
Mineralization is due to phosphate and vit D--- taken out by PTH
HORMONES OF THE POSTERIOR PITUITARY
Post: oxytocin and vasopressin
ANterior-- fsh, lh, tsh, prolactin, ACTH, trh
How to dianosis scolosis? Treatment
Side higher is dextro for R and levo for L
Mild- 0-20 and do OMM and orthostatics and possilbly braces
Moderate- 20-45 same as mild
Severe is above 45 and given surgery
What is the nerves of the eye
Sensation of the eye is V1--- opthalmic nerve
pain and tears is done by facial
LR4SO6 and movement is oculomotor is CN3
CN 3 --- causing myhdryosis and closing pupil