Term
| trichinosis is an infectino with what? |
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Definition
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Term
| how do you get trichinosis |
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Definition
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Term
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Definition
1. first week of infection and larvae invade gi wall: abdo pain, NVD
2. second week there is local and systemic hypersensitivity rxn = splinter hemorrhages, conjunctival and retinal hemorrhage, periorbital edema, chemosis
3. larva enter mm --> mm pain and weakness and swelling |
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Term
| what test is used to determine if a pt has a boerhaave syndrome? |
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Definition
| gastrografin esophagography |
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Term
| signs of venous insufficiency |
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Definition
lower extremity pitting edema
varicose veins
venous ulcers |
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Term
| what improves pain associated with venous insufficiency |
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Definition
| walking and elevation anc compression |
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Term
Rotor syndrome
vs Dubin Johnson |
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Definition
BOTH:
-benign condition
-defect in hepatic storage of conjugated bilirubin
-conjugated bilirubin spills into plood
-LFT normal
-both conjugated and unconjugated bilirubinemia
Dubin Johnson has pigment on biopsy and Rotor is normal on biopsy |
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Term
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Definition
| inhibits intracellular synthesis pathway (HMG CoA reductase inhibitor) |
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Term
| drug induced idiosyncratic rxn |
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Definition
aka NMS
-dirphoresis
-rigid abdo mm
-lead pipe rigidity of extremities
- tremor
-fever |
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Term
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Definition
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Term
| who is at high risk for vertebrbral osteomyelitis |
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Definition
IVDA
sickle cell anemia
IC pt |
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Term
| most important clue to vertebral osteomyelitis |
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Definition
| tenderness to gentle percussion |
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Term
| labs in vertebral osteomyelitis |
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Definition
hi platelets
normal or hi wbc
hi ESR |
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Term
| best test for vertebral osteomyelitis |
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Definition
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Term
| tx of vertebral osteomyelitis |
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Definition
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Term
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Definition
glu >250
pH <7.3
bcab < 15-20
plasma ketones + |
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Term
| bp difference in R v L arm |
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Definition
aortic insuf
aortic regurg
aortic dissection |
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Term
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Definition
| diastolic decresendo at LSB |
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Term
| what drug can cause bladder cancer |
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Definition
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Term
| longterm tx of hypercalcemia of malignancy |
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Definition
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Term
| tx svered symptomatic hypercalcemia |
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Definition
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Term
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Definition
control ventricular arryhtmias
dec risk of v fib |
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Term
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Definition
asystole
DO NOT USE IN ACUTE CORONARY SYNDOMES |
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Term
| tx for 3rd degree hear block |
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Definition
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Term
| major risk of untreated 3rd deg heart block |
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Definition
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Term
| major features of polymyositis |
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Definition
slow progressive proximal weakness
probs with stairs and brushing hairsyst
abnormal mm biopsy |
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Term
| how do we determine where to do mm biopsy in pt withs suspected polymyosistis |
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Definition
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Term
| major diff twix polymyositis and PMR |
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Definition
PMR is more pain
polymyo is more weakness |
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Term
| what murmur disappears on squatting |
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Definition
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Term
| systemic features of mitral stenosis |
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Definition
hemoptosis
nocturnal cough
exertional dyspnea
risk for stroke |
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Term
bone pain
renal failture
hypercalcemia |
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Definition
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Term
| what does matching do to a study |
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Definition
| eliminate confounding factors |
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Term
| what is unique about cocain associated chest pain |
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Definition
dilated pupils
atrophic nasal mucosa
normal CK and troponin |
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Term
| manage cocaine chest pain |
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Definition
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Term
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Definition
expected decrease in pCO2 in metabolic acidosis
pCO2 = 1.5(HCO3) +8 |
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Term
| what type of hypersensitivity is aspirin |
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Definition
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Term
| major features of aspirin hypersensitivity |
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Definition
1. nsaid/asa use
2. nasal blockage
3. bronchoconstriction episodes |
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Term
| duodenal vs gastric ulcers and pain time |
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Definition
duodenal ulcer pain improves with food
gastric ulcers pain worsens with food |
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Term
| tx of hyperkalemia EKG changes |
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Definition
ca gluconate
inulin, sodium polystyrene sulfonate |
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