UW 7 Flashcards by Nadia Mahmud

Most common source of symptomatic pulmonary emobolism

Proximal deep veins - iliac, femoral, popliteal

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When is dystonia seen with AP tx?

4 hours - 4 days

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What is dystonia?

Muscle spasms or stiffness
Tongue protrusion/twisting
opisthotonus/oculogyric crisis

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Tx for dystonia?

Diphenhydramine

Benztropine

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Tx for Slipped capital femoral epiphysis

Surgical Pinning of slipped epiphysis

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Placental abruptio Management

2 large bore IV lines
Urethral catheter
Ensure blood products available
Proceed with vaginal delivery if both mother and fetus are stable

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MCC of acute unilateral cervical lymphadenitis in children

Staph aureus

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Mallory-Weiss is rupture of?

Submucosal arteries of distal esophagus and proximal stomatch

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Esophageal varices

Dilated submucosal veins at GE Junction that can rupture

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Common cause of non traumatic avascular necrosis of femoral head

Chronic steroid use

- Progressive hip or groin pain w/out ROM, normal films

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Dx test for avascular necrosis of hip

MRI

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Acute onset dyspnea w wheezing and prolonged expiration

Bronchoconstriction

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Triggers for bronchoconstriction in asthma patient

ASA

Beta Blocker

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Complication of compartment syndrome?

Volkmann’s ischemic contracture

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What is Volkmann’s contracture?

dead muscle has been replaced with fibrous tissue

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Dull tympanic membrane that is hypomobile in an HIV pt?

Non-infectious effusion

serous OM
auditory tube dysfunction from HIV LA or lymphoma
Conductive hearing loss

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Otosclerosis

Conductive hearing loss
bony overgrowth of stapes
Middle aged individuals

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Cherry red macula

Neimann Picks

Tay Sachs

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Neimann-Pick’s Presentation

Deficiency

Hypotonia
HSM
Cervical LA
Protruding abdomen
Cherry red spot
Def of spingomyelinase

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Tay Sachs Presentation

Deficiency

Hyperacusis
Mental retardation 
Seizures
Cherry red macula 
NO HSM or Cervical LA
Def - Hexosaminidase A

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Gaucher’s Presentation?

Deficiency

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HSM
Anemia
Leucopenia
Thrombocytopenia
Def in glucocerebrosidase

Krabbe’s Presentation

Deficiency

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Hyperacusis
Irritability
Seizures
Def galactocerebrosidase

GBS PPX for unknown GBS status

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Delivery < 37 weeks
Duration of membrane rupture > 18 hours
Prior Hx of delivery of infant w GBS sepsis

Best next step if decreased fetal movements?

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Non-stress test

Suspect fetal compromise

When is NST done in pregnancy?

High-risk pregnancies starting at 32-34 weeks | Loss of perception of fetal movements in any pregnancy

What is a reactive NST?

``` In 20 minutes - at least 2 accelerations of fetal HR - at least 15 beats/min above baseline - Lasting 15 secs each 20-2-15-15 ```

MCC of non reactive NST

Fetal sleep cycle

Next step if non reactive NST

Vibroacoustic stimulation

Next step if late deceleration on each contraction in contraction stress test

Delivery

What is Intrauterine fetal demise?

Death of fetus in utero after 20 weeks gestation and before onset of labor

IUFD presentation

Disappearance of fetal movements Decrease/stagnation in uterine size Fetal heart sounds not heard

Next step in management if IUFD suspected

Real Time US | Coagulation studies

Causes of IUFD

``` Hypertensive disorders DM Placental/cord complications Antiphospholipid syndrome Congenital anomalies Fetal Infxn - TORCH, Listeria ```

When do we do serial b-HCG monitoring

Molar Pregnancy

What should be done in stillbirths?

Autopsy of fetus and placenta w/parental permission

Trichomonas v. Bacterial vaginosis

Trich - green/yellow d/c and pH > 4.5, vaginal and vulvar inflammation BV - off white d/c w/fishy odor pH > 4.5, absent vaginal inflammation Candida - thick cottage cheese dc, vaginal inflammation Normal pH 3.8-4.2

Enoxaparin (LMW Heparin), fondaparinux, Rivaroxaban CI in what group?

Renal Insufficiency (GFR < 30mL/min/1.73m2)

Which pts should metformin be avoided in and why?

Acute renal failure Hepatic failure Sepsis Increase risk of developing lactic acidosis

MCC of Infective endocarditis in IVDA

Staph aureus

MCC of infective endocarditis in prosthetic valves, intravascular shunts, prosthetic joints

Staph epidermidis

Red eye with leukocytes in anterior chamber

Anterior uveitis

Child abuse management

1. Complete exam w/ removal of clothes 2. Secure child's safety - hospitalization 3. Report to child protective services

Eikenella corrodens Presentation

Gram - anaerobe Normal human oral flora IE w/poor dentition/periodontal

Streptococcus gallolyticus

Strep bovis biotype I | Colonic neoplasia and IE

Enterococcus faecalis

IE w/ nosocomial UTIs

Mets to brain - Incidence

``` LBMC Lung Breast Melanoma Colon ```

Multiple brain lesions in both hemispheres with edema surrounding

Mets to brain from Lung Melanoma

Brain mets that present w solitary lesion

Breast Colon Renal cell

Presentation of Gliobastoma multiforme

Solitary mass w central necrosis and vasogenic edema | Arises from w/in brain parenchyma

When is atheroembolism commonly seen

Complication of cardiac cath and other vascular procedures

MC complication of atheroembolism

Skin - Blue toe syndrome - Livedo reticularis - Gangrene, ulcers

UW 7 Flashcards

(51 cards)