UW3 (19 Misc) Flashcards

1
Q
  • High risk wound type? 3

* Management? 2

A
  • Animal
  • Human
  • Wound > 12h
  • If open wound  2° healing
  • If face < 2h  suture
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2
Q

MetoClopramide Dystonia

Treatment? 2

A
  • DiphenHydramine

* Benztropine

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3
Q

NeuroFibromatosis 1

  • Eye findings? 3
  • Management?
A
  • Iris hamartoma
  • L+R optic glioma
  • Vision loss

• Opthalmo eval

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4
Q

NeuroFibromatosis 2

Findings?

A

• L+R acoustic neuroma (deaf)

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5
Q

Sarcoidosis

  • Labs result? 2
  • X-ray finding?
  • Biopsy?
A
  • Ca ↑ (serum + urine)
  • ACE ↑
  • L+R hilar lymphadenopathy
  • Pulmonary reticular infiltration

• Biopsy = noncaseating granuloma

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6
Q

Mech: Inflammation @ iris / ciliary body
Erythema @ corneal Scleral junction
Symptom: Pupil constriction / Blurry vision / Eye pain

Diagnosis?

A

Anterior Uveitis

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7
Q

AutoImmune Hepatitis

Lab results? 4 + 2

A
  • AST ↑ / ALT ↑ / ALP n↑
  • Bilin = n
  • ANA / Smith Ab
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8
Q

Resp distress / Cough

  • Onset after 1-5 days aspiration? Treatment?
  • Onset 2-5h after aspiration?
A
  • Aspiration Pneumonia
  • Clindamycin

• Aspiration Pneumonitis

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9
Q

SLE

CV complications?

A
  • Accelerated atherosclerosis

* CAD / MI

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10
Q

AKI

  • Pre-renal indications? 3
  • ATN indications? 4
A
  • BUN/Cr > 20
  • FENa < 1%
  • Uosm > 500
  • BUN/Cr 10-15
  • FENa > 2%
  • Uosm > 300
  • Muddy brown cast
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11
Q

ParaThyroidectomy (indication) 6

A
  • Ca > 10.5
  • PO4 ↑
  • PTH > 800
  • Calcification (soft tissue / valve)
  • Calciphylaxis (skin necrosis)
  • Bone pain / Pruritus
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12
Q

DMD

  • Association? 4
  • Treatment?
A
  • Dilated cardiomyopathy
  • Scoliosis
  • Intellectual disability
  • Developmental delay

• Steroids

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13
Q

Turner syndrome
Check & r/o

  • Echo? 4
  • Screen? 2
  • US kidney? 1
  • TSH? 1
A
  • Aortic coarctation
  • Bicuspid AV
  • MV prolapse
  • Hyperplastic heart
  • Vision / Hearing
  • Horseshoe kidney
  • Hyperthyroidism
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14
Q

Macule / Erythematous / Non blaching / Non pruritic / Coalse to palpable purpura
Arthritis / Arthralgia
Nephropathy

  • Diagnosis?
  • Lab results?6
  • UA results? 4
A
  • HSP = IgA Vasculitis
  • IgA / C3 / Fibrin deposit
  • Neutrophil & Monocyte vasculitis
  • Plt n / Coag n
  • WBC ↑
  • ESR ↑ / CRP ↑
  • Cr n↑
  • UA
  • Blood
  • WBC
  • Protein
  • Cast
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15
Q

Medication induced Lupus? 6

A
  • Procainamide
  • Hydralazine
  • MinoCycline
  • TNF inhibitor
  • Etanercept
  • Infleximab
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16
Q

Amiodarone Toxicity

  • Common symptoms & presentation?
  • Treatment?
A
  • Chronic interstitial pneumonitis (most common)
  • Dry cough / pleural CP
  • Dyspnea @ exertion
  • Fever / Weight ↓
  • Interstitial opacity
  • Stop medication
  • Steroids