UWORLD Flashcards by JD Castre

intial treatment for SIADH

fluid restriction

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ischemi hepatic injury

in a setting of hypotension and hemorragic shock

BRUTAL INCREASE IN TRANSAMINASES

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msot common casue of infertility in women in the fourth decade of life , and still have menstrual period

decrease in ovarian reserve

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shoulder damage in trauma , what does it means?

chemical peritonitis, (blood , urine, pancreatic enzimes)

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acute diskinesia treatmen

anticholinergic(benztropin) or antihistaminics(diphenhydramine)

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causes of intosuception in younger and older boys

young= peyer partches
older= mercket diverticulum

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first consideration in miopathy( unexplained elevation in CPK )

hypothyrodism or hyperthyrodisim

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PCP treatment and dexametazone indication

TMP-SMX

O2 When PaO235

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msot reliable predictic sign of opiod intoxication

decrease in respiratory rate

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complications of primary billiary cholangitis

metabolic bone disease,malabsorption,hepatobiliary malignancy

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leading cause of cerebral palsy

prematuriry

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weight loss
behavioral changes
erythema of de nasal turbines

cocaine abuse

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O2 indication in patients with COPD

PaO255%) and PH can be started at PaO2

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second generation antypsychotids

risperidone
olanzapine
quetiapine
clozapine
aripriprazole
ziprazidone
paliperidone

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msot common cause of urinary retention in elderly man

BPH

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neonate with

hopnatremia/hypernatremia
poor feeding
irritability or letargy
jaundice

DX and Tx

SEPSIS

Rx: ampi and genta

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Crying infant arching of the back during or after feeding

sandifer Sx( GERD)

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elevated pulmonary pressure
elevated righ atrial pressure
normla capillary wedge pressure

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asymptomatic elevation of AKP in elderly patient

paget disease of the bone

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total loss of motor function below the lession and bilateral lost of pain and temperature uppon burst fracture of a vertebre

anterior cord Sx

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burning pain and paralysis of upper paralysis with relative sparing of lower extremitis uppon hyperxtension lession

central cord SX

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Tx for brain mets
solitaty:
multiple:

solitary: Cx
multiple: radiation of the head

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fever
leukocytosis
left upper cuadrant pain

splenic abscess most commonly associated with endocarditys (S.aureus)

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first line treatment for idiopathyc intracraneal hypertension

acetazolamide +/- fusosemide

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digitais most common arrythmia

atrial tachycardia with AV block

breastfeeding failure jaundice

jaundice, dehydratation,

nephrotic syndrome in afro and latinos

focal segmental | HIV and obesity related

nephrotic syndrome in white patinets

membranous | Hep B retaled

acute onset back pain and shock symtomps

rupture of a AAA

mewtabolic acidosis abdominal pain hematemesis

iron overdose

Acalculous cholecistitis

in severe ill patients with cholestasis

look for Hep C in..

patients tranfused before 1992

multiple system atrophy(shy-Drager syndrome)

- parkinsonism - autonomi dysfunction - widespred neurologycal sign

Riley-Day syndrome(familiar disautonomia) | autosomic ressesive

gross disfunction of autonomic nervious system ande severe orthostatic hypotention.

chron disease antibodies

ASCA

fanconis anemia

aplasic anemia abnormla thumbs hypogonadism hypo/hyperpigmentation

most common cause of sepsis in sickle cell anemia

S.pneumonie

Patient with down syndrome and UPN synptoms

atlantoaxial instability

mini mental value sugestive of dementia

less than 24

CURB 65

``` confusion Uremia(BUN >30) RR(>30 or pO2 less than 60, ph65 0-1 points:HOME 2 or more:admission ```

O2 indication for pt with PCP

pO2

suggest empyema(need chest tube)

HAP(24 h after admission or after 90 hospitalization in the last 90 days) tx

cover for gram negative bacili - cefepime or ceftazidime - piperacillin - imipenem,meropenem, or doripenem

Ventilator associated pneumonia RX

``` 1-.antpseudomol -cefepime or ceftazidime -piper -imipenem,meropenem,doripene,m PLUS 2-.secodun antipseudomnola -aminoglucposide or fluroquinolone PLUS 3-.methicillin-resistant antistaphylococcal agent -vanco or linezolid ```

lung abscess Rx

clindamycin or penicillin

PCP first,second and third line treatment

1-.TMP/SMX 2-.clinda and primaquine 3-.pentamidine

HS pupura biopsy finding

leukocytoclastic vasculitis

distributive shock causes(VASODILATION) warm extremities

- sespsis - anaphylaxis - adrenal insufficiency - drugs reaction - CNS injury

carpal tunnel syndrome, substance acumulation and associations - RA - Hypothyroidism - Pregnancy

- RA(tenosynovial inframation) - Hypothyroidism(matrix susbstances like mucin or mucopolysaccharides) - Pregnancy(fluid acumulation)

unique cloranphenicol indication

H-flu meningitis in scholars.

acute hep C treatmetn

interferon,ribavirin and boceprevir or telaprevir

hypertention,hyperglycemia and wieght gain(obesity)

cushing syndrome

only antipsychotic in pregnancy

Lurasidone

fanconis anemia

pancitopenia + NO thumbs,horseshoe kidene

pure red cell aplasia with three falanges thumb

Diamont-Blackfan anemia

infection of submandibular and sublingual glands

ludwings angina | -most common cause of death Aphixia

alcohol liver dease

AST/ALT>2 | trasminases elevated but

seminoma

NO AFP elevation

chronic diarrhea hypokalemia hypocloremia mass on pancreas

VIPOMA

specific therapy for angioedema

ecallantide

steroid indication in PCP

PO2 less than 70 | A-a gradient above than 35

epididimitis treatment

antibiotics and testicular elvation

most common cause of early functional deterioration in liver transplan

technical problems | do a biliary ultrasound and doppler of the vascular anastomosed vessels

testicular tumor with elevetad AFP

- yolk sac(looks like glomeruli) | - embrional carcinoma(higly indiferenciated)

testicular tumor with elevated ALP

seminoma

testicular tumor with elevated B-hCg

- choriocarcinoma | - teratoma

follicular carcinoma of teh thyroid treatment

-total thyroidectomy + postoperative radioactive iodine

drowning treatmetn

ABC, oxigen, intubation (if needed) and CPAP

treatment of choice for patients with amiodarone-induced hypothyroidism

levothyroidism supplementatio

best initial therapy for CLL

fludarabine ( on stage II,III and IV) | stage (0 and 1) DO NOT TREAT

most common infection causing stevens-johnson syndrome

mycoplasma Pneumoniae

next step in a patient with raynaud phenomenon

Nail-fold microspcopy if enlarged,distorted or paucity of capillary loops,ITS A SECONDARY CAUSE, most commonly mixed connective tissue disorder

UWORLD Flashcards

(72 cards)