Flashcards in Set 7 Deck (50)
IBD, hypotension, tachycardia, leukocytosis, fever? Dx?
MC toxic megacolon (vs. abscess but no cardio sx)
Dx = abd xray
8 drugs that cause HYPERkalemia
nonselective BB, ACEI/ARB, Spironolactone, cyclosporine, digoxin, NSAIDs, heparin, succinylcholine
painful eye, erythema, visual disturbances, severe HA, b/l periorbital edema and cranial nerve deficits (ocular)
cavernous vein thrombosis (2/2 orbital cellulitis)
UTI in indwelling catheter with ALKALINE urine pH
alkaline, think proteus mirabilus (produces urease)
start ASA +/- dipyridamole
immediate complication (w/in 3days) of SAH, Tx?
vasospasm --> tx = dihydropyridine CCB
palatal ulcers, HSM, pancytopenia in patient from missouri
50 yo w/ dysphagia and neck mass when eating? Tx?
zenker's diverticulum (above UES)
tx = excision and cricopharyngeal myotomy
D-xylose test used for...(2), how to differentiate
tests for intactness of GI mucosa --> Celiac d/s and bacterial overgrowth. If pt improves after abx, then it was bacterial overgrowth
fever + abrupt onset sharply demarcated w/ raised borders, red, edematous tender skin lesions?
erysipelas, MCC GAS > s aureus
group a strep =
inclusion bodies in hepatocytes, MCC alcoholic hepatitis >>> PBC, NASH, Wilsons and HCCA
SE cyclophosphamide (2)
hemorrhagic cystitis, bladder cancer
pleural effusion in cirrhotic ascites patient? Tx?
hepatic hydrothorax 2/2 small diaphragmatic defects
Tx = thorocentesis, salt restriction, diuretics, TIPS last resort
Best tx for young parkinson's patient with tremor as main sx
drugs precipitating G6PD deficiency hemolytic episode (6)
"hemolysis IS PAIN"
Isoniazid, Sulfonamides, Primaquine, Aspirin, Ibuprofen, Nitrofurantoin
Prussian blue detects... used often for...
detects iron, often used to dx hemolysis
E- abnormalities in alcoholics
low K, Mg, phos (low mg causes refractory low k)
management of cold hand without radial pulse
immediate heparin and sgy consult for embolectomy
pain b/w 3rd and 4th toes that is reproduced with palpation and makes a clicking sensation? Tx?
Morton neuroma = mechanically* induced degenerative neuropathy seen in runners
Tx = orthotics +/- steroid injections, last resort sgy
3 drugs for tx gastroparesis
metoclopramide (DA antagonist)
erythromycin (motilin inducer)
SE methotrexate (3), routine testing, prophylaxis
SE = mouth ulcers, hepatotoxic, myelosuppressive
CBC q3mo, prophylaxis = folate
PAS positive, 2 diseases?
whipple's = foamy macrophages in intestinal LP
alpha-1 AT deficiency = globules in liver
Tx heparin and warfarin reversal
heparin = protamine sulfate
warfarin = FFP 1st then vit K
no meconium in first 48 hrs, 2 ddx and ass. d/s?
hirschsprungs --> Downs
meconium ileus --> CF
5 dx criteria metabolic syndrome?
abd obesity (>40in or 35in)
fasting BG >100
HDL (<50 female)
AST and ALT in alcoholics
AST: ALT 2:1
40 yo with rash on palms, soles and trunk. 2 ddx, differentiate b/w them? Tx?
RMSF = periph-->central. Tx doxy or chloramphenicol in prengancy)
secondary syphilis = central-->periph. Tx IV benzathine PCN weekly x3
Causes of pancreatitis "get smashed"
Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune ds, Scorpion sting, Hypercalcemia/triglyceridemia, ERCP, Drugs