two Flashcards
who gets polmyalgia rheumatic, where does it hurt, and what do you expect for ESR and CK
elevated ESR. women over 50. pelvic girdle and neck pain
inflammatory myopathy- what do you expect for ESR and CK
normal ESR, elevated CK
steroid induced myopathy what do you expect for ESR and CK
normal both
hypothyroid myopathy what do you expect for ESR and CK
normal ESR< high CK
polymyositis- what hurts and who gets it
women 40-60, proximal muscles
P in mud piles is
phenytoin
I in mudpiles is
isoniazid and iron
what causes a metabolic acidosis and respiratory alkalosis
aspirin
how to distinguish ASA from methanol ingestion
aspirin will have an abnormal winters where methanol will compensate . methanol will also cause blurry vision and ultimately blindness while aspirin will cause an increased RR< temperature, tinnitus, nausea, and vomiting
what is antifreeze
ethylene glycol
what do you expect int he vignette for ethylene glycol poisoning
flank pain, CN palsy, calcium oxalate crystals that are envelope shaped
triad of fat embolism
low oxygen, neuro changes, petechial rash
how long after insult do you get fat emboli
24-72 hours
what causes a tuboovarian abscess
PID
abdominal pain received by vomiting is
obstruction
epigastric pain that radiates to the back
aortic dissection/rupture or pancreatitis
what serum test helps with pancreatitis
amylase (or lipase)
3 electrolyte changes that can cause PVC
HIGH calcium, LOW K and LOW mg
how can dig cause arrhytmias
fucks with low k
how does dig change calcium
more intracellular (so low serum calcium)
effect of ahminoglycosides on the kidney
ATN
name 5 things that can cause ATN
aminoglycosides, iodine-contrast, lead, cisplatin, crush injury
name 4 thing that can cause AIN
diuretics, penicillin, PPIs, rifampin
what symptom do you expect in AIN that you don’t get in ATN
fever in AIN
