Tues Thur Sat Morning Flashcards
(23 cards)
Intracerebral vs. subarachnoid hemorrhage
ICH: bleeding w/in brain parenchyma (thalamus): HTN, smoke, obese, DM. Control BP & manage airway.
SAH: trauma/aneurysm; severe HA, photophobia, neck stiffness; do non-contrast CT. Medical + surgical management.
Pap smear: atypical squamous cells of unknown significance ASCUS. HPV 16 positive (or have lesion).
Next step?
Colposcopy:
- visualize cervical lesions (applied acetic acid to cervix)
- then colposcopy directed punch biopsies
Identify presence and degree of cervical intraepithelial neoplasia
What does H. flu cause?
- tx?
Epiglottitis
- drooling, stridor, dyspnea, high fever
- lump in throat; sore throat
Humidified O2, intubation as needed, 3rd gen Cephalosporin
How treat pleomorphic adenoma of parotid gland? Why?
Superficial parotidectomy
- most common benign tumor of salivary gland
- facial fullness/painless mass in front of ear
Malignant otitis externa / necrotizing otitis externa
- test? why?
Do CT scan of head looking for osteomyelitis
- often caused by Pseudomonas aeruginosa
Black/brown granulation tissue on floor of ext auditory canal + hearing gloss + pus
Can be complication of external otitis
Widespread rash involving oral mucosa.
- possible and not possible?
SJS 30% (mucus likely, eyes, oral)
Staph aureus scalded no mucus membrane involvement + newborns + kids
Treat vWF disease?
Desmopressin DDAVP
Possible cryoprecipitate
Hyperemic nasal mucosa
Crushing Chest pain
Think cocaine induced MI
- give aspirin, nitrate, morphine, O2
- due to cocaine give BDZ (diazepam) to decrease BP & HR
- don’t use labetalol in cochin-induced MI
DO percutaneous intervention if ST elevation even if labs are not back
Painless rectal bleeding in infant/toddler?
- diagnose with?
- treatment?
Meckel’s diverticulum
- failure omphalomesenteric duct to close
- has gastric mucosa, produces acid, bleed
Dx: technetium-99 scan
Tx: surgical resection
How treat nose bleed?
- steps?
- ) Compression of nares
- ) If fail, examine ant/post nasal cavity
- ) Packing or cocaine
- ) Last: Cauterize
How treat Chlamydia?
Ceftriaxone + Doxy
How treat Pseudomonas?
-floxacin (cipro/levo)
Three lines of treatment for back pain due to B27?
- ) NSAID
- ) TNF alpha inhibitor
- ) Sulfasalazine
DON’T give oral steroids
2nd most common bone injured on FOOSH injury?
- on ulnar side…
Triquetrum #1 is Scaphoid but that’s on radial side
Hit head, blood behind ear & around eyes
- Scan?
- if CSF from ear? from nose?
Basilar skull fracture - periorbital ecchymosis - retroarticular ecchymosis Blood behind tympanic membrane Do non-contrast CT scan Observation - fine if from ear, surgery if from nose NO abx
Rash + flatulence + foul smelling stools + fatigue
- why fatigue?
Celiac disease
- megaloblastic anemia due to poor B12 & folate absorption
HA, blurry vision, worse in morning
Afebrile, normotensive, no reported stiff neck
Dx? Tx?
Brain tumor
- MRI gives best picture
Early satiety
Succession splash
Pt w/ CMV and DM and ???
Dx? Tx?
Gastroparesis
- risks: DM, viral, surgery, meds, Autoimmune
Dx: scintigraphic emptying study
How approach solid mass in testicle?
Assume it’s testicular cancer
- NO percutaneous biopsy = seeding of tumor
- excisional biopsy + chemo
Diverticulitis vs. Infectious Colitis?
Diverticulitis: LLQ pain + fever — do CT scan
Inf. Col: add diarrhea, +/- N/V
Initial test and Gold standard for diagnosing Meniscal tears?
MRI - initial
Arthroscopy - gold standard
- endoscope inserted into joint
Screening recommendations for female 50-74
Mammogram every 1-2 years
Pap smear: every 5 years
Colonoscopy: every 10 years if no famhx
Dexa scan: 65+
Insomnia, restlessness, agitation
Anxiety, tremors, anorexia
Nausea, vomiting, diaphoresis, palpitations
Classic symptoms of alcohol withdrawal
- treat w/ BDZ: diazepam or lorazepam
