Flashcards in Set 1 Deck (50)
DA agonist (pramipexole, ropinerole) or Levadopa
DDx low calcium AND low phopshate (3)
Vit D deficiency, malabsorption, pancreatitis
3 causes HIV retinitis, differences
CMV= painLESS, no conjunctivitis or keratitis
HSV/VZV= retinal necrosis, pain, keratitis/uveitis
skin AND organ lesions with hemorrhage in HIV patient? Dx, Tx?
Bacillary angiomatosis (Bartonella)
Dx careful bx
Tx oral erythromycin
Screening and Confirmation of acute cholycystitis
screening = US, labs
confirm = ERCP/HIDA
Causes of Erythema Nodosum (6)
Infxn = strep, TB, histoplasmosis
systemic d/s= sarcoidosis, IBD, Behcet's
Oral ulcers, genital ulcers AND uveitis
Behcet's vasculitis (+ erythema nodosum and other SYSTEMIC sx)
atypical lymphocytes but NEGATIVE heterophile antibody test
Infertility, recurrent URI/sinusitis +/- situs inversus
Kartagener's Syndrome (immotile cilia 2/2 dynein arm defect)
ABRUPT fever with AMS and + babinski? Dx, Tx?
HSV encephalitis (temporal lobes)
FIRST start IV acyclovir if high suspicion
THEN dx with CSF PCR (not cx)
Northeastern tick-borne disease with fever AND hemolytic anemia? Tx?
Babesiosis, Tx quinine
hemoptysis and normal CXR in young, non-smoker? MCC?
Acute bronchitis. MCC viral > bacterial
non-smokers = MYCOPLASMA
smokers = pneumococcus or H. influ
Anti-smooth muscle Ab's
Mother F-ing AI Hepatitis
If COPD patient is hypercapnic after initiating tx for acute exacerbation, tx?
NIPPV if ~stable, otherwise intubate
1. Calcium gluconate (stabilizes membranes)
2. Insulin AND glucose (drive K+ intracellularly)
3. Na polysterene sulfonate (kayexalate)
Electrolyte disturbance caused by multiple blood transfusions
hypocalcemia (ionized) 2/2 binding with citrate
Generalizability (to other studies/populations)
Nausea, dizziness, HA, polycythemia
HIGH suspicion of CO poisoning
complication of cardiac catheterization? S/s?
cholesterol emboli (any organ, BLUE TOE syndrome, livedo reticularis*)
labs = eosinophils, decreased complement levels
patient with acute exacerbation of COPD develops AMS or seizures? Tx?
hypercapnia / CO2 narcosis; can be induced by TOO MUCH O2 (decreases body endogenous response to hypoxia, decreased affinity of Hb for O2 in acute-on-chronic COPD).
Tx = O2 sat b/w 90-94%
softening of tissues
4 causes of osteomalacia
Vit D def, Ca2+ def, hypophosphatemia/hyperPTH, RTA
non-resolving pneumonia with hyponatremia and GI symptoms? Dx, Tx?
Legionella (+/- elevated LFTs)
Dx = urine antigen test + cx
Tx = fluoroquinolone or macrolide
clindamycin, ofloxacin, gatifloxacin
erythromycin, azithromycin, clarithromycin
doughy, sweaty hands, carpel tunnel syndrome, HTN, skin tags? Dx, Tx?
Acromegaly 2/2 elevated GH --> IGF-1
screening = IGF-1 (indirect GH measure)
Dx = GH after ORAL GLUCOSE LOAD + MRI
Tx= pituitary tumor removal +/- octreotide
abnormally enlarged uterus 3mo post-partum with lung sx / findings on CXR? Dx?
choriocarcinoma (either after normal or molar preg)
dx = quantitative BhCG and imaging?
#1 RF for stroke
HTN >> smoking or DM
2 conditions associated with episcleritis
RA and IBD