Vol. 4 Flashcards by Carl Carlson

B2 deficiency sxs

Angular cheilosis, stomatitis, glossitis, normocytic anemia, seborrheic dermatitis

How well did you know this?

Not at all

Perfectly

Hairy cell leukemia pathology

Dry tap, TRAP stain +,

How well did you know this?

Not at all

Perfectly

Hairy cell tx

Cladribine

How well did you know this?

Not at all

Perfectly

BUN/Cr ratio increased by what

Dehydration, GI bleed, steroid use

How well did you know this?

Not at all

Perfectly

Rubella classic triad

Cataracts, PDA, Hearing loss

How well did you know this?

Not at all

Perfectly

valproate contraindication

liver disease

How well did you know this?

Not at all

Perfectly

FTA-ABS

syphilis confirmatory test

How well did you know this?

Not at all

Perfectly

Acute Liver failure definition

Severe liver injury with encephalopathy and impaired synthetic function (INR>1.5) in a pt without cirrhosis

How well did you know this?

Not at all

Perfectly

Amebic liver abscess cause

Entamoeba histolytica, in Mexico

How well did you know this?

Not at all

Perfectly

Cerebellar dysfunction in alcoholism

Gait instability, truncal ataxia, dysdiadochokinesia, hypotonia, intention tremor

How well did you know this?

Not at all

Perfectly

Most common nephropathy associated with HIV

focal segmental glomerulosclerosis

How well did you know this?

Not at all

Perfectly

tick-borne paralysis

they release a neurotoxin that causes an ascending flaccid paralysis with no autonomic or CSF changes

How well did you know this?

Not at all

Perfectly

Treating carcinoid

Octreotide, surgery for liver mets

How well did you know this?

Not at all

Perfectly

TTP and HUS symptoms

????

How well did you know this?

Not at all

Perfectly

Ulnar nerve entrapment

Leaning on elbows

How well did you know this?

Not at all

Perfectly

Membranoproliferative glomerulonephritis histology

dense intramembranous deposits that stain for C3 (dense deposit disease). Persistent activation of complement leading to renal disease.

How well did you know this?

Not at all

Perfectly

saline responsive met. alkalosis examples

Vomiting, diuretics, laxatives

How well did you know this?

Not at all

Perfectly

tx saline responsive met. alk.

NS infusion to increase volume and stop maintenance phase.

How well did you know this?

Not at all

Perfectly

Waterhouse-Friderichsen syndrome

Meningococcemia + sudden petechiae and vasomotor collapse from Adrenal hemorrhage

How well did you know this?

Not at all

Perfectly

Friedreich ataxia progression

neurological (dysarthria, ataxia) in young individual with scoliosis, feet deformities who dies from cardiomyopathy

How well did you know this?

Not at all

Perfectly

Squamous cell lung cancer paraneoplastic

PTH-rP

How well did you know this?

Not at all

Perfectly

1st and 2nd most common sites of arterial aneurysms

Popliteal 2. Femoral

How well did you know this?

Not at all

Perfectly

can alzheimer’s have gait impairment?

Yes, NPH will have gait impairment as a prominent symptom early on

How well did you know this?

Not at all

Perfectly

Phenytoin and vitamin relationship

Leads to low Folate

How well did you know this?

Not at all

Perfectly

When to screen for Hep C in people

IVDU and Blood transfusion before 1992

Cause of malignant otitis externa

Pseudomonas

Which side adnexal torsion more common

Right side

Describe Patau's appearance

Cleft lip, polydactyly, hypotelorism, visceral and genital anomalies

Describe Edward's appearance

Low birth weight, closed fists with fingers overlapping, microcephaly, prominent occiput, micrognathia, Rocker-Bottom feet

Hereditary Spherocytosis triad

Hemolytic anemia, jaundice, splenomegaly

tx for RSV bronchiolitis

palivizumab

When to treat FLu with oseltamavir

Within 48 hrs of symptoms

McCune-Albright appearance

Precocious puberty, cafe-au-lait spots, bone defects (polyostotic fibrous dysplasia)

McCune-Albright mnemonic

3 Ps: Precocious puberty, Pigmentation, Polyostotic fibrous dysplasia

Migratory thrombophlebitis

Trousseau sign, sign of pancreatic cancer

Pancreatic CA presentation

Constant and gnawing epigastric pain worse at night, anorexia with weight loss, jaundice

Deliberate burn injury signs

sharp demarcation, uniform burn depth, spared flexor surfaces

Wegener's is also called

Polyangiitis with granulomatosis

Wegener's Ab

C-ANCA

Wegener's triad

Systemic vasculitis, upper/lower airway disease, glomerulonephritis

wegener's treatment

cyclophosphamide

Carcinoid presentation

Flushing, telangiectasias, bronchospasm, and TR | Can see diarrhea

Carcinoid dx

Elevated 24 hr urinary 5-hydroxyindoleacetic acid

Isolated hyperCa followup

PTH level

Kallman syndrome presentation

Anosmia and no puberty, defect of migration of GnRH cells

Endometriosis 3 Ps

dyspareunia, dysmenorrhea, dyschezia

What to do with cat, dog, ferret bite for rabies concern

Quarantine animal and don't do PEP if animal is fine

FSGS assocations

african americans, hispanics, obesity, HIV, heroin use

Minimal change disease risk factors

NSAIDs, lymphoma

Membranoproliferative GN risk factors

Hepatitis B&C, lipodystrophy

Membranous GN

Adenocarcinoma (e.g. breast, lung); NSAIDs; hep B; SLE

Does placenta previa have pain?

difference between alzherimers and pseudodementia

Alzheimers arent bothered by the deficits, they confabulate

CF appearance

recurrent sinopulmonary infections, nasal polyps, digital clubbing

Precocious puberty ages

Girls

Chorioamnionitis diagnosis

Maternal fever and >1 of uterine tenderness, fetal or maternal tachy, malodorous amniotic fluid, purulent vaginal discharge

C section for chorioamnionitis?

NO, just expedite delibery and use broad spectrum abx

Ovarian torsion and bleeding?

Ovarian torsion vs. cyst rupture

Cyst rupture during rigorous coitus or exercise, NO N/V like in torsion

Osteitis fibrosa cystica

Caused by extremely high PTH (like from Cancer), affects upper extremities and skull, brown tumors

Unilateral cervical lymphadenitis tx

Clindamycin

Extrarenal manifestations of ADPKD

Berry aneurysms, hepatic cysts (Most common), valvular heart dz (MVP and AR), diverticulosis, abd. wall and inguinal hernia.

tumors of Beckwith-Wiedemann syndrome

Hepatoblastoma, Wilms tumor. Screen with AFP and u/s

What's inside amebic liver abscess

sterile, just treat with flagyl

post-flu PNA

staph aureus

ACA stroke sxs

motor weakness, LE > UE, sensory deficits, incontinence (this is a cortical sign)

Cat-scratch disease tx

azithromycin

cat-scratch dz hallmark

tender, regional LAD

Felty syndrome

long term, severe RA with neutropenia and splenomegaly

methotrexate adjunct to minimize side effects

folic acid

endocardial fibroelastosis

idiopathic, diffuse fibroelastic thickening of the LV endocardium, occurs in first 2 yrs of life, restrictive cardiomyopathy

hemochromatosis heart disease

dilated cardiomyopathy, HF, and conduction abnormalities (sick sinus syndrome)

COPD and oxygen patients

PaO2

When to suspect babesiosis

tick bite, with evidence of hemolysis in pt who is splenectomized

Complication of bronchiolitis

Order of dx for low back pain

observation/conservative for 4-6 wks, back Xrays and ESR, then MRI

Gonococcal vs. chlamydial conjunctivitis

Gonococccal is 2-5 days, Chlamydia is 5-14 days

erythromycin ointment for kids eyes

only prevents gonococcal conj.

Causes of normal to high PTH in hyperCA

primary & tertiary hyperPTH, familial hypercalcemic hypocalciuria, lithium-induced, teriparitide

MCC of hyperCa in ambulatory patients

primary hyperPTH

pathognomonic of Crohn's dz

non-caseating granulomas

Crohn's dz signs

transmural, skip lesions, cobblestone appearance to colon, creeping fatty appearance of mesentery, fistulas, fissures, and perianal disease

Characteristics of UC

Crypt abscesses

UC rectal involvement

ALWAYS

CRC and CD

NO, the association is with UC

How often to screen for CRC in CD

8 yrs after diagnosis and every year afterwards

Vol. 4 Flashcards

(86 cards)