sep 2022 Flashcards
(22 cards)
mycoplasma genitalum
Dx ?
Rx ?
NAAT
Pt = Chlamydia/gonococcus (–)
STD
urethral discharge
…………………………
Rx - Doxy 7days or Azithro stat
inguinal surgery repair
insulin plan ?
omit insulin on the morning of surgery
“B/L” loss of color vision
h/o limb weakness in past
myelin oligodandrocyte glycoprotein Ab-associated Dz
DI
next best step ?
low sodium diet
Argyl-Robertson pupil
Dx ?
small, irregular contracted pupil
barely react to light
accomodate (+)
Marcus-Gunn Pupil
Dx ?
Relative afferent pupillary defect
………………………………….
pupil dilate rather than contract when light is shone on it during swinging torch test
Holmes-Adie pupil
Dx ?
Usually U/L
Dilated and constricts slowly in the presence of bright light
+ absence of DTR
tertiary hyperparathyroidism
not fit for surgery
Rx ?
cinacalcet
radiologically inserted gastrostomy
MND pt high risk of aspiration pneumonia
cabergoline S/E
excessive gambling
carotid bruit, jaw claudication, difference in BP b/w arms, CRP 55.
Dx ?
takayasu arteritis
h/o pituitary adenoma removal surgery 3months back.
TSH < 0.1, T3/T4 normal range. little tired.
next step ?
reassurance
A-flutter Rx ?
plan DC cardioversion after anti-coagulate with apiban/rivaroxaban .
no beta-blockers
coronary artery vasospasm
Dx ?
chest pain - typical - 3 episodes in 4 months. trop (N), ECG - lateral T wave inversion. angiogram (N)
paramyxovirus infection (mumps)
B/L parotid gland swelling
elevated amylase, diarrhea
CRP 55
fever
neck stiffness
ketoacidosis
drug cause ?
Empa use
trigeminal neuralgia pain
2-3min severe U/L severe stabbing pain
Rx ?
carbamazepine
cluster headache
verapamil
young boy, fever, salmon colored rash, joints pain B/L wrists knees, high CRP, Anemia
Dx ?
Next best step ?
still’s Dz
auto-antibodies (usually negative)
Pregnancy
pylonephritis
Rx ?
cephalaxin
Trimethoprim (if allergic to penicillin/cephalosporin)
Trimethoprim Use ?
Non-pregnant with lower UTI
HSV infection ? genital
CMV infection ? eye
Aciclovir
ganciclovir
