UW 15 Flashcards by Nadia Mahmud

Complication w bronchiectasis

Hemoptysis

- If massive, bronchial arter embolization

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Presentation of duodenal hematoma

Post BAT
Children
Epigastric pain and vomiting

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Duodenal hematoma management

NG suction

Parenteral nutrition

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Presentation of dactylitis

Hand foot pain and symmetric swelling

6 mos - 2 yrs

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Presentation of laryngomalacia

Inspiratory stridor - exacerbated by exertion/distress

Sx’s in first few wks of life

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Presentation of MCA Occlusion

Contralateral somatosensory and motor - Face, Arm, Leg
Conjugate eye deviation TWD infarct
Homonymous hemianopia
Aphasia = dominant
Hemineglct = non-dominant

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Presentation of ACA Occlusion

Contralateral somatosensory and motor deficit - LE
Abulia - lack of will
Dyspraxia, urinary incontience
Emotional changes

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Pt presents with Right sided hemiplegia, lower facial paresis and intact sensory - where is stroke?

Pure motor lacunar stroke in posterior limb of internal capsule

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Arrhythmia responsible for sudden cardiac arrest most frequently

V Fib

- 50% within 1st hour

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Lung Dz with Ankylosing Spondylitis

Fusion of costovertebral joints result in chest wall motion restriction and restrictive patten on PFTs
Normal or Hi FRC

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Liver findings in Reye Syndrome

Microvesicular fatty infiltration

Hepatic mitochondrial dysfnc

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Lab findings in Reye syndrome

Increased ALT, AST
INcreased PT, INR, PTT
Increased ammonia

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Polycythemia Vera findings

Serum EPO Low
JAK2 mutation
Pruritis, HA, dizziness, visual changes
Hyperviscosity

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Labs in Polycythemia Vera

High Hg/Hct, platelets, WBC count

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Presentation of toxic megacolon

Fever
HR > 120
Neutrophilic leukocytosis
Anemia
Volume depletion
Altered sensorium
Electrolyte changes
HypoTN

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Initial test of choice for toxic megacolon

Abd Xray

- confirm dilated colon > 6 cm

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TX for Adjustment disorder

Psychotherapy

CBT

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MCC of bacterial pneumonia in young children with CF

Staph Aureus - esp with influenza

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TX for severe pneumonia in CF child

Vanco

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MCC macrocytic anemia in sickle cell

Folate deficiency

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What do needle shaped crystal on UA indicate

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Uric Acid stones - radiolucent

Imaging modality for Radiolucent stones

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CT or IV pyelography

What tests for left sided GI pathology

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Barium enema

Sigmoidscopy

Labs in Conn’s syndrome

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HTN
Hypernatremia (mild)
Hypokalemia
Metabolic Alkalosis 
Low Renin
High serum Aldosterone
High serum Bicarb

Management in pt with high calcium on labs

1. Recheck w second serum Ca | 2. Serum PTH

TX for actinomycosis

PCN

TX for Nocardia

TMP SMX

How long for Major Depression Dx

2 weeks

Adjustment disorder timeline

Within 3 months of exposure to stressor and lasts up to 6 months after stressor ends

Modifications for controlling HTN - most to least effective

1. Weight Loss 2. DASH diet 3. Exercise 4. Dietary Sodium 5. Alcohol

Vit D Deficiency Rickets Risk Factors

Increased skin pigmentation Exclusive breastfeeding Lack of sun exposure Maternal Vit D def

Vit D Def Rickets Presentation

Craniotabes Delayed fontanel closure Enlarged skull, costochondral joints, long bone joints Genu Varum = femoral and tibial bowing

Risk Factors for Nasopharyngeal Carcinoma

Mediterranean/Far East descent Recurrent otitis media Recurrent epistaxis, nasal obstruction Smoking, Nitrosamine

What titers are strongly ass'd with nasopharyngeal ca?

EBV | Used to track progress for TX

What does tamoxifen increase risk of? Why

Endometrial cancer Acts as partial agonist of estrogen on endometrium Acts as estrogen antagonist on breast tissue

Effect of tamoxifen on osteoclasts

Estrogen receptor agonist on osteoclasts - inhibits bone turnover -> decreases risk of osteoporosis

IDA labs

Only TIBC Hi | Low MCV, Iron, Ferritin, Transferrin

ACD labs

Only Ferritin Hi

Endometriosis

1. Dysmenorrhea 2. Dyspareunia 3. Infertility Pain is 1-2 wks prior to menses, peaks before menstruation

Presentation of pelvic congestion

Dull, ill-defined pelvic ache Worsens prior to menstruation or w standing for long periods of time Relieved by menses

Cause of Howell-Jolly bodies

Nuclear remnants w/in RBCs normally removed by spleen | - Physical abuse of spleen, splenectomy

Heinz bodies cause

Hemoglobin precipitation (G6PD)

How to differentiate Preseptal cellulitis and Orbital Cellulitis

``` Orbital - Ophthalmoplegia - Pain w EOM - Proptosis - Vision impaired NOT seen in Preseptal Preseptal - oral Abx Orbital - IV Abx ```

CF GI features

``` Obstruction - Meconium ileus - Distal intestinal obstruction syndrome Pancreatic dz - Exocrine pancreatic insufficiency - CF diabetes ```

CF Repro feature

Infertility - congenital BL absence of vas deferens

CF Musculoskeletal features

Osteopenia = Fx Kyphoscoliosis Digital Clubbing

Complications of AAA repair

Bowel ischemia | - bloody diarrhea and abd pain

Sickle cell - cause of macrocytic anemia

Folate deficiency

Rubella v Measles

Rubella - Pink maculopapular exanthem face to body < 3 days, low grade fever, tender LA Measles - Fever > 104, coryza, malaise, rash spreads faster and is darker

Low LH + advanced bone age + coarse axillary/pubic hair + severe cystic acne

Nonclassic CAH by 21-OH deficiency

UW 15 Flashcards

(50 cards)