week of 5/10 Flashcards by Dylan Bergstedt

Patient’s Cirrhosis screening tests.

RUQ every 6 months to check for cancer and thrombus

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which metarsal stress fracture needs casting or internal fixation

5th, rest just need rest and pain control

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which quadrant has pain most commonly in. diverticulitis

LLQ

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What animal gives you echinococcus

🐶 ususally dog got it from 🐑

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echinococcus cyst charactristics and tx

large liver cyst with a daughter cyst inside,

tx: albendazole, percuatenous drainage if >5cm, surgery if rupture

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hereditary spherocytocis clinical presentation

hemolytic anemia
jaundice
splenomegaly

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heriditary spherocytocis tx

folic acid

blood transfusion

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type 4 hypersensitivity reactions are ____ mediated

T cell

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type 2 hypersensitivity reactions are ____ mediated

IgG, IgM

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type 3 hypersensitivity reactions are ____ mediated

antibody-antigen complex deposition

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examples of type 2 hypersensitivity

autoimmune hemolytic anemia

goodpasture’s

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examples of type 3 hypersensitivity reactions

serum sickness
poststrep glomerulonephritis
lupus nephritis

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criteria for complicated empyema (only need 1 i think)

pH < 7.2
Glucose < 60
WBC> 50,000

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what age group most often gets staph scalded skin syndrome

infants and young children

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why do patients with crowns get nephrolithiasis

increased absorption of oxalate. This is because of fat malabsorption

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massive blood transfusion electrolyte abnormality

hypocalcemia, citrate in transfused blood binds ionized calcium. if patient has impaired liver function this is more likely to happen

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Recommendations to decrease VAP

head of bed 30-45 degrees
Continuous or intermittent suction of subglottic secretions
mimimize transport
limit PPI and other antacid use.

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Reye syndrome pathology

microvascular fatty infiltration

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Rickets clinical manifestations

craniotabes(pingpong ball skull)
widening of wrists
delayed frontal closure
frontal bossing
hypertrophy of costochonral joints
female and tibial bowing once weight bearing

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Glucose-6-phosphatase deficiency (type 1 glycogen storage disease, von Gierke disease) pathphys

impaired glycogen to glucose conversions

Glucose-6-phosphatase deficiency (type 1 glycogen storage disease, von Gierke disease) features

hypoglycemia
lactic acidosis
hyperurecemia
hyperlipidemia
doll-like face
thin extremities
short stature
big abdomen from hepatomegaly

massive bleeding 5 days after liver biopsy.

hemophilia

test for esophageal perch

water soluble contrast esophagography

Aortoiliac occlusion(Leriche syndrome) triad

Bilateral hip pain
thigh and butt claudication
impotence
often absent femoral pules also

most common cause of macrocytic anemia in sickle cell patient

folate deficiency

niacin triad

diarrhea dermatitis(photosensitivity) dementia DEATH sometimes

what kind of acidosis does iron toxicity cause

metabolic, anion gap

capillary test pos for leD NEXT step

venous draw (cap has false positive)

lead levels for chelation therapy

>45

lead levels 45-69 what med tx

dimercaptosuccinic acid(succimer

lead levels over 70 or acute encephalopathy meds

EDTA or dimercaprol

HSP path

IgA vasculitis

HSP sx

palpable purpura on lower extremities, arthralgia, abdominal pain, renal disease/hematuria

skin conditions associated with hep c

porphyria cutanea tarda | cutaneous leukocytoclatic vasculitits (palpable purpura) secondary to cryoglobulinemia

skin condition associated with HIV

sudden severe psoriasis recurrent herpes zoster disseminated molluscum contagiosum severe seborrheic dermatitis

skin condition associated with HIV and PArkinsons

sever seborrheic dematitis

skin condition associated with GI malignancy

seborrheic keratosis. sever, out of nowhere

IBD skin association

pyoderma gangrenosum

features of glucagonoma

Weight loss necrolytic migratory erythema Diabetes GI sx

antibody in PBC

antimitochodiral

first line med restless leg syndrome

dopamine agoinsit like pramipexole, | sencond line is gabapentin

tuberous sclerosis cancers

cardiac rhabdomyomas | subependymal nodules

myotonic dystrophy inheritance

Pityriasis rosea sx

viral prodrome, then big red spot, then s,all red spots.

what causes failure to thrive in CF

pancreatic insufficiency, | recurrent infections also

What type of stridor does laryngomalecia have

inspiratory

what posiition improves laryngomalacia

prone

time to onset and MOA of drug induced immune mediatred hemolytic anemia

acute, hapten mediated hemolysis

baby that was born normal now has apathy, weakness ssm hypotonia, large tongue, abdominal bloating, and umbilical hernia, dx?

hypothyroidism