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Flashcards in Things I need to know better...day 4 Deck (29):
1

What has to be done with a hydrocele?

Nothing...reassurance

2

How does thyroid toxicosis cause hypertension?

Increased cardiac contractility...increased sensitivity to catecholamines

3

A kid feels like he smelled something funny, then lost consciousness...he woke up and was really sore. What happened?

This is a partial seizure with secondary generalization

Aura --> partial
Tonic-clonic activity --> generalization

4

What should you do if you have clinically diagnosed myasthenia gravis?

Chest CT --> thymus issues

5

Patient has had some headaches and confusion...labs show anemia, thrombocytopenia, and renal failure...smear shows many fragmented red cells. What is going on? what should be done?

Consider TTP-HUS

Plasmapheresis

6

Patient has s/s of Raynaud's plus has tissue damage (ulcers) ...what is going on? What should be done?

Secondary Raynaud's...primary does NOT cause tissue damage

Evaluate and treat underlying cause

7

A patient is started on warfarin, and within days has necrotic skin lesions on breast, trunk, extremities and/or penis. What is causing this? How is ti treated?

Warfarin-Induced Necrosis...often secondary to protein C deficiency

Stop warfarin and give protein C

8

A person from Mississippi has a likely fungal infection, what should be considered? Where is this fungus common?

Histoplasmosis...rarely symptomatic

Mississippi and Ohio River valleys and Central America

9

A kid has headache and vomiting + on exam he has limited upward gaze, ptosis, and upper eyelid retraction. What could be going on? What else could be seen? What should be done?

Pinealoma

Precocious puberty

Get an MRI

10

What murmurs get louder with the valsalva maneuver? What is going on physiologically? What other maneuver does the same thing?

HOCM and MVP

Decreased venous return while straining

Standing

11

Cardio physiologically, what happens with squatting?

Increased venous return
Increased afterload
Increased regurgitant fraction

12

What murmurs get louder with squatting?

AR
MR
VSD

13

What murmurs get quieter with squatting?

HOCM
MVP

14

Cardio physiologically, what happens with hand gripping?

Increased afterload
Increased blood pressure
Increased regurgitant fraction

15

What murmurs get louder with hand gripping?

AR
MR
VSD

16

What murmurs get quieter with hand gripping?

HOCM
AS

17

What are some prophylactic meds that can be used for cluster headaches?

Verapamil
Lithium
Ergotamine

18

What kind of factors cause asymmetric growth restrictions?

Maternal factors: vascular disease, autoimmune, substance abuse (tobacco, alcohol, cocaine)

19

What kind of factors cause symmetric growth restrictions?

Fetal factors: chromosome abnormalities, congenital heart disease, intrauterine infection

20

Are immunizations given according to chronological age or gestational age for premies?

Chronological age

21

A 2-5yo child has s/s of a lymphoma/leukemia. What is most likely? How is it diagnosed?

Acute lymphoblastic leukemia (ALL)

Bone marrow biopsy

22

How is Duchenne's muscular dystrophy diagnosed?

Genetic testing (X-linked recessive)

23

Patient has a DVT and is found to have elevated homocysteine. Besides heparin and warfarin, what else should be given to this patient?

Pyridoxine (B6)

24

What can cause an older patient to look at a grid of straight horizontal and vertical lines, and see the vertical lines as being bent and wavy?

Macular degeneration

25

A patient has a burn wound that has mostly healed, but one spot that just won't. What is a concern? What other conditions are worrisome for this?

Squamous cell carcinoma

Osteomyelitis, radiation scars, venous ulcers

26

What is the big difference between anorexia nervosa and bulimia nervosa?

Anorexia BMI is LESS THAN 18.5
Bulimia BMI is GREATER THAN 18.5

27

Besides loss of vision, what is another possible complication of Giant Cell Arteritis?

Arteritis of aortic branches
Aortic aneurysm

28

Which medications can trigger acute angle-closure glaucoma?

Decongestants
Antiemetics
Anticholinergics

29

What medication can help with delayed gastric emptying?

Metoclopramide