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Flashcards in UW 15 Deck (50):
1

Complication w bronchiectasis

Hemoptysis
- If massive, bronchial arter embolization

2

Presentation of duodenal hematoma

Post BAT
Children
Epigastric pain and vomiting

3

Duodenal hematoma management

NG suction
Parenteral nutrition

4

Presentation of dactylitis

Hand foot pain and symmetric swelling
6 mos - 2 yrs

5

Presentation of laryngomalacia

Inspiratory stridor - exacerbated by exertion/distress
Sx's in first few wks of life

6

Presentation of MCA Occlusion

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

7

Presentation of ACA Occlusion

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

8

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

9

Arrhythmia responsible for sudden cardiac arrest most frequently

V Fib
- 50% within 1st hour

10

Lung Dz with Ankylosing Spondylitis

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

11

Liver findings in Reye Syndrome

Microvesicular fatty infiltration
Hepatic mitochondrial dysfnc

12

Lab findings in Reye syndrome

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

13

Polycythemia Vera findings

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

14

Labs in Polycythemia Vera

High Hg/Hct, platelets, WBC count

15

Presentation of toxic megacolon

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

16

Initial test of choice for toxic megacolon

Abd Xray
- confirm dilated colon > 6 cm

17

TX for Adjustment disorder

Psychotherapy
CBT

18

MCC of bacterial pneumonia in young children with CF

Staph Aureus - esp with influenza

19

TX for severe pneumonia in CF child

Vanco

20

MCC macrocytic anemia in sickle cell

Folate deficiency

21

What do needle shaped crystal on UA indicate

Uric Acid stones - radiolucent

22

Imaging modality for Radiolucent stones

CT or IV pyelography

23

What tests for left sided GI pathology

Barium enema
Sigmoidscopy

24

Labs in Conn's syndrome

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

25

Management in pt with high calcium on labs

1. Recheck w second serum Ca
2. Serum PTH

26

TX for actinomycosis

PCN

27

TX for Nocardia

TMP SMX

28

How long for Major Depression Dx

2 weeks

29

Adjustment disorder timeline

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

30

Modifications for controlling HTN - most to least effective

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

31

Vit D Deficiency Rickets Risk Factors

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

32

Vit D Def Rickets Presentation

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

33

Risk Factors for Nasopharyngeal Carcinoma

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

34

What titers are strongly ass'd with nasopharyngeal ca?

EBV
Used to track progress for TX

35

What does tamoxifen increase risk of? Why

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

36

Effect of tamoxifen on osteoclasts

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

37

IDA labs

Only TIBC Hi
Low MCV, Iron, Ferritin, Transferrin

38

ACD labs

Only Ferritin Hi

39

Endometriosis

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

40

Presentation of pelvic congestion

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

41

Cause of Howell-Jolly bodies

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

42

Heinz bodies cause

Hemoglobin precipitation (G6PD)

43

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

44

CF GI features

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

45

CF Repro feature

Infertility - congenital BL absence of vas deferens

46

CF Musculoskeletal features

Osteopenia = Fx
Kyphoscoliosis
Digital Clubbing

47

Complications of AAA repair

Bowel ischemia
- bloody diarrhea and abd pain

48

Sickle cell - cause of macrocytic anemia

Folate deficiency

49

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

50

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

Nonclassic CAH by 21-OH deficiency