Term
What is the differential for HIV diarrhea? |
|
Definition
1) Cryptosporidium: watery with acid-fast + oocytes - Supportive and HAART
2) MAC: watery, high fever, CD4 < 50
3) CMV: Bloody diarrhea
4) Microsporidium: Afebrile, watery |
|
|
Term
What are STI screening recommendations for pregnant women? |
|
Definition
1) 21-24 or high risk, get GC/Chlamydia 2) All need HIV, Syphillis, Hep B 3) HIV or high risk: HCV |
|
|
Term
Menstrual bleeding, pressure symptoms, dysmenorrhea, worsened in pregnancy
D/x and T/x? |
|
Definition
Fibroids
Dx: Ultrasound Tx: Observation or OCPs, embolization or surgery |
|
|
Term
What is the differential for hyper-androgenism in pregnancy? |
|
Definition
1) TL cysts: bilateral, associated with molar and multiple gestation 2) Luteoma: yellow mass, solid on US. fetal risk high 3) Krukenberg: bilateral solid masses, mets from primary GI. 4) Ovarian malignancy |
|
|
Term
Pulsus paradoxes with mid-diastolic "knock" sound. |
|
Definition
Constrictive pericarditis leading to RHF
Viral, prior surgery, radiation, TB |
|
|
Term
Infant with FTT, bilateral cataracts, hypoglycemia, jaundice
D/x and T/x? |
|
Definition
1) Galactosemia: Galactose-1 phosphate UT deficiency
2) Eliminate galactose |
|
|
Term
Rapid onset hemarthrosis after knee injury. |
|
Definition
ACL tear.
Will need surgery (vs. PCL). Get MRI |
|
|
Term
Classic signs of referring syndrome? |
|
Definition
Insulin increase leads to low K, Mg, Phos, Thiamine
Wernicke Korsakoff, Seizures and Arrhythmia |
|
|
Term
HIV drug reactions
1) Didanosine 2) Indinavir 3) Abacavir 4) NRTI 5) NNRTI 6) Nevirapine |
|
Definition
1) Pancreatitis 2) Crystal nephropathy 3) Hypersensitivity 4) Lactic acidosis 5) SJS 6) Liver failure |
|
|
Term
Workup for suspected epithelial ovarian cancer |
|
Definition
1) Pelvic US followed by CA-125 (then CT or exploratory surgery)
2) Ex-lap is definitive treatment with adjuvant chemo.
3) DO NOT perform biopsy because could spread the cancer |
|
|
Term
Classic signs of Digeorge |
|
Definition
Get Echo and Calcium level
1) Cardiac 2) Abnormal facies 3) Thymic aplasia 4) Cleft palate 5) Hypercalcemia |
|
|
Term
Painful vaginal bleeding and firm tender uterus in pregnant woman with abdominal and/or back pain
What are the Res? |
|
Definition
Placental Abruption
Smoking, HTN, Cocaine, Pre-ecclampsia |
|
|
Term
Differentiate between placenta previa and vasa previa |
|
Definition
Both are painless vaginal bleeding in pregnancy
Placenta has normal FH tracing. Vasa previa with have abnormal tracings (deceleration). |
|
|
Term
Gestational maternal virilization with virilized fetus with ambiguous external genitalia, but normal internal genitalia |
|
Definition
|
|
Term
Polymyositis vs. Dermatomyositis |
|
Definition
1) Polymyosis: biopsy with mononuclear infiltrate and necrotic/regenerating fibers.
2) Dermatomyositis: biopsy with - Anti-jo antibodies - Gottron papules |
|
|
Term
Erythematous patches and plaques with yellow, oily scales. Usually on scalp.
D/x and T/x |
|
Definition
Seborrheic Dermatitis: M. furfur (fungus)
Emolients and shampoos |
|
|
Term
Hair loss, abnormal taste, bullous lesions and poor wound healing in patient on TPN |
|
Definition
|
|
Term
Absent lymphoid tissue (tonsils, LNs) in child with recurrent infections.
D/x and T/x |
|
Definition
Bruton's Agammaglobulinemia
- No immunoglobulins, but normal number of B cells - XLR disorder - TMP/SMX, Itraconazole ppx |
|
|
Term
Palpable purpura (non-blanching), hematuria, abdominal pain, arthralgias, scrotal swelling
D/x and T/x |
|
Definition
HSP: IgA vasculitis
Ill-Ill Intussusception is risk: needs surgery
Give hydration, NSAIDs and steroids |
|
|
Term
P. vulgaris vs. Bullous pemphigoid |
|
Definition
1) P. vulgaris - Antibody against Desmoglein - Positive Nikoslky - Netlike intercellular IgG on biopsy - Systemic steroids and wound care
2) B. pemphigoid - Antibodies against hemidesmosomes - Negative nikolsky - Linear IgG deposits and C3 on BM - Topical GC (Clobestasol) |
|
|
Term
Metabolic alkalosis
1) High urine chloride, saline non-responsive 2) Low urine chloride, saline responsive |
|
Definition
1) Hyper-aldosteronism, Cushings, etc
2) Diuretics or Vomitting |
|
|
Term
Autosomal Dominant expansion of CTG in DMPK gene presenting with balding, cataracts and testicular atrophy common |
|
Definition
Myotonic Muscular dystrophy |
|
|
Term
Dysmenorrhea differential
1) normal exam and crampy pain. NSAIDS and OCPs 1st line
2) dyspareunia, and dyschezia, as well as infertility risk
3) heavy menses with clots, constipation, urinary frequency, enlarged uterus on exam
4) Pelvic pain, menorrhagia, bulky, globular and tender uterus
5) Dull and ill-defined pelvic ache worse with standing |
|
Definition
1) Primary: normal exam and crampy pain. NSAIDS and OCPs 1st line
2) Endometriosis: pain before menses (dysmenorrhea), dyspareunia, and dyschezia, as well as infertility.
3) Fibroids: heavy menses with clots, constipation, urinary frequency, enlarged uterus on exam
4) Adenomyosis: Pelvic pain, menorrhagia, bulky, globular and tender uterus. Endometrium in myometrium
5) Pelvic congestion: dull and ill-defined pelvic ache worse with standing |
|
|
Term
XLR disease with pulmonary (abscess) and cutaneous infections w/ catalase-positive organisms.
Also organism filled PMNs typical
D/x and T/x? |
|
Definition
CGD
1) Dihydrohodamine 123 test or Nitroblue tetrazolium test
2) Antimicrobial PPX with Bactrim and Itraconazole and IFN-y to boost intracellular killing. |
|
|
Term
Eczema, thrombocytopenia and recurrent infections |
|
Definition
WAS: XLR disease. Microtubule disorder |
|
|
Term
EBV DNA in CSF of HIV positive patient |
|
Definition
|
|
Term
Arrythmia Foci Locations
1) A fib 2) A flutter |
|
Definition
1) Pulmonary veins
2) Tricuspid annulus |
|
|
Term
Why/when use CS in treatment of PCP pneumonia? |
|
Definition
Minimize antibiotic-induced worsening of respiratory function |
|
|
Term
|
Definition
1) IgA: 5d of URI, normal Complement and mesangial IgA deposits on biopsy
2) PSGN: 10-21d after URI, has Low C3, elevated anti-streptolysin O or anti-DNAse B with Kidney biopsy showing sub-epithelial humps of C3. |
|
|
Term
|
Definition
Treat with MgSO4 if HDS or if HD unstable, immediate defibrillation. |
|
|
Term
|
Definition
Anorexia, N/V/AP, Hyperkalemia, color vision alterations
Atrial tachycardia with AV block (increased ectopy and vagal tone) |
|
|
Term
Joint Fluid Characteristics for Normal, OA, Inflammatory and Septic joints? |
|
Definition
1) Normal: Clear, <200 WWBC, <25% PMNs
2) OA: Clear, 200-2000 WBC, 25% PMN
3) Inflammatory (crystals, RA): Translucent or Opaque, 2k-100k WBC, >50% PMNs
4) Septic: Opaque, 50-150k WBC, 80-90% PMNs |
|
|
Term
Differential for Hyperandrogenism in females |
|
Definition
1) PCOS: oligo-ovulation, polycystic ovaries on imaging
2) Nonclassic CAH: oligo-ovulation, increased 17-OH-progesterone
3) Ovarian/Adrenal Tumor
4) Hyperprolactinemia: Amenorrhea, galactorrhea, high prolactin
5) Cushing’s’: Nonsuppressible dexamethasone suppression test, |
|
|
Term
Workup for hypotension with hypokalemia |
|
Definition
Primary Hyper-aldosteronism
1) Aldosterone/renin ratio (>20?).
2) If elevated, try adrenal suppression testing (salt loading)
3) If Suppression testing is positive, get CT - Unilateral hyperplasia gets surgery. Bilateral gets medical |
|
|
Term
What is pathophysiology of hyperthyroid bone disease? |
|
Definition
1) Increases osteoclast activity leading to hypercalcemia
2) Hypercalcemia drives down PTH, which decreases cacium reabsorption, leads to hypercalciuria and calcium wasting. |
|
|
Term
RF, specific signs and treatment for Uterine Rupture |
|
Definition
1) Prior uterine surgery (cesariean)
2) Intense abdominal pain, loss of fetal station (pathognomonic)
3) Urgent Ex Lap |
|
|
Term
Management of Chorioamnionitis |
|
Definition
1) IV antibiotics and give Oxytocin to promote delivery.
2) NOT an indicator for cesarean. |
|
|
Term
What is risk of using Erythromycin in infants? |
|
Definition
Hypertrophic pyloric stenosis |
|
|
Term
HIV positive patient develops hemiparesis, speech disturbances and CN deficits
MRI shows multiple demyelinating, non-enhancing lesions without mass effects |
|
Definition
Progressive multifocal leukoencephalopathy (PML)
Infection caused by JC virus, a polyomavirus. No effective treatment |
|
|
Term
How can you lower risk of edema when using Dihydropyridine CCBs like Amlodipine? |
|
Definition
|
|
Term
Anti-Malarial Chemoprophylaxis
1) Chloroquine-resistant P. falciparum (Africa, Southern and SE Asia)
2) Chloroquine-susceptible
3) Areas without P. falciaparum (South America, Mexico, Korea) |
|
Definition
1) - Mefloquine: Neuropsychiatric, but best in pregnancy - Atovaquone prograunil: GI disturbances, expensive - Doxycycline: cheep, but GI disturbance and teratogen
2) Chloroquine/Hydroxychloroquine: 1-2 weeks in advance
3) Primaquine: G6PD hemolysis |
|
|
Term
Differential for tall patients with joint hyperlaxity and ectopic lentis |
|
Definition
Marfinoid
1) Homocystinuria - Elevated homocysteine and methionine levels due to cystathione synthase deficiency. - Fair hair and eyes, AR inheritance, developmental delay and CVA. - Give B6, folate, B 12 and anticoagulation (CVA)
2) Marfan’s: Aortic root dilation, AD inheritance, normal intellect. |
|
|
Term
Painless blisters, skin fragility on dorsal surface of hands, hyperpigmentation in patient with HCV. Symptoms developed after drinking alcohol. |
|
Definition
Porph CT
- Deficiency of uroporphyrinogen decarboxylase (heme synthesis)
- Dx: elevated urinary porphyrin levels
- Tx: Phlebotomy or hydroxychloroquine, or interferon alpha (if also have HCV) |
|
|
Term
Breastfeeding is recommended exclusive feeding <6m
What are absolute contraindications? |
|
Definition
1) Maternal Contraindications: Active substance abuse, active untreated TB, HIV - HBV and HCV are NOT.
2) Infant Contraindications: Galactosemia |
|
|
Term
Valgus (abduction) pain after knee trauma with clicking sound |
|
Definition
MCL. Get MRI. Usually RICE management. |
|
|
Term
Chemo-induced nausea. how do you manage? What about chemo-induced anorexia? What about pain? |
|
Definition
1) Nausea: First line is Serotonin receptor antagonists (Ondansetron) that target 5HT3 receptor
2) Anorexia: Progestins
3) Pain: Short-acting opioids |
|
|
Term
ypopigmented, hyperpigmented or mildly erythematous lesions |
|
Definition
Tinea Versicolor, Malasthesia Globosa
Diagnosis: KOH prep showing hyphae and yeast cells (Spaghetti and meat balls)
Tx: Topical Ketoconazole, Terbinafine or Selenium Sulfide |
|
|
Term
Management of childhood lead poisoning |
|
Definition
- 1st step draw venous lead level (sometimes capillary finger stick for screening)
1) If mild (4-44) no meds, repeat in 1month 2) If moderate (45-69): give DMSA 3) If severe (>70): Give Dimercaprol (British Anti-Lewisite) + EDTA |
|
|
Term
Workup for precocious puberty
< 8 in girls and < 9 in boys |
|
Definition
1) Determine bone age. If advanced, get basal LH level.
2) Low LH, get GnRH stimulation test - If high (central) - if low (peripheral)
3) If normal bone age, think isolated breast (thelarche) or public hair (adrenarche) |
|
|
Term
Management of suspected malignant OME |
|
Definition
IV ciprofloxacin empirically |
|
|
Term
Differential for neonatal respiratory distress |
|
Definition
1) Transient tachypnea: poor alveolar fluid clearance leads to mild pulmonary edema shortly after birth with resolution by day 2 - Bilateral perihilar linear streaking
2) RDS: Surfactant deficiency leads to alveolar collapse and diffuse atelectasis - Diffuse reticulogranular (ground-glass) appearance with low lung volumes i- Maternal antenatal glucocorticoids and continuous PAP ventilation after birth.
3) Persistent pulmonary HTN: High pulmonary vascular resistance leading to R-L shunting and hypoxia. See Tachypnea and cyanosis - Clear lungs with decreased pulmonary vascularity. |
|
|
Term
Tick bite leading to hemolytic anemia, renal failure, NO rash |
|
Definition
Babesiosis: Ixodes tick
- Dx: Giemsa-stained thick and thin blood smear - Tx: Quinine-clindamycin and Atovaquone-Azithromycin |
|
|
Term
Nerve-arm injury
1) Midshaft humerus 2) Supracondylar 3) Surgical neck 4) Medial epicondyle |
|
Definition
1) Radial, axillary artery 2) Median nerve, brachial artery 3) Axillary nerve 4) Ulnar nerve |
|
|
Term
Abnormal Uterine Bleeding in adolescent with no other abnormalities |
|
Definition
1) Immature HPO axis leading to anovulatory cycles (but still evaluate for pregnancy)
2) Tx: First line is high-dose IV or oral estrogen (Conjugated equine estrokgen) combined with high-dose combined OCPs) |
|
|
Term
Approach to Adult Cardiac Arrest |
|
Definition
1) Vfib/or pulseless VT: Shock then CPR x 2min
2) Asystole/PEA: CPR x 2 min and Epi every 3-5 min. No role for defibrillation or cardioversion (QRS synchronized) |
|
|
Term
Autoimmune HA: Warm vs. Cold |
|
Definition
1) Warm agglutinin: - Direct coombs + with anti-IgG, anti-C3 or both - Tx: steroids and splenectomy for refractory - Complications: VTE, lymphoproliferative
2) Cold agglutinin - Direct coombs + with anti-IgM or anti-C3 - Avoid cold. Ritxumab. - Complications: Ischemia, lymphoproliferative |
|
|
Term
How is Pes anserinus different from MCL tear in presentation? |
|
Definition
Both have medial knee pain and focal tenderness.
PA, however, is Not aggravated by valgus stress test |
|
|
Term
First steps in evaluating infertility |
|
Definition
1) Functional: - Early follicular phase FSH level, Clomiphene challenge, or Inhibin-B level
3) Anatomical - Hysterosalpingogram. |
|
|
Term
Best intervention to prevent diabetic nephropathy |
|
Definition
|
|
Term
Medically stabilize bony metastatic lesions |
|
Definition
|
|
Term
Surveillance tests in Cirrhosis |
|
Definition
1) All need Endoscopy to evaluate for esophageal varices.
2) 6 month US for HCC |
|
|
Term
Bronchogenic Carcinoma vs. Mesothelioma is Asbestos exposure |
|
Definition
1) Bronchogenic - bibasilar reticulonodular infiltrates, honeycombing, pleural plaques
2) Mesothelioma - unilateral pleural abnormality with large effusion. |
|
|
Term
Young adults of Turkish, ME or Asian descent with recurrent painful oral ulcers, genital ulcers, eye lesions (Uveitis), skin lesions.
Major cause of morbidity? |
|
Definition
Behchet's. Thrombosis
Dx: Pathergy (exaggerated skin ulceration with minor trauma) and Biopsy (Non-specific vasculitis of different-sized vessels |
|
|
Term
Management of Congenital QT |
|
Definition
Beta blockers and pacemaker to prevent Cardiac Arrest |
|
|
Term
Types of Nephrotic Syndrome |
|
Definition
1) Membranous glomerulopathy: most commonly see renal vein thrombosis (abdominal pain, fever and gross hematuria). Associated with malignancies (solid cancers) and HBV
2) MPGN: HBV, HCV, Lipodystrophy
3) FSGS: AA and Hispanic, obesity, HIV and heroin
4) Minimal change: Tx is steroids. Only biopsy if treatment fails. Associated with NSAIDs and lymphoma
5) Amyloidosis: associated with MM, Waldenstrom macroglobulinemia, RA, IBD |
|
|
Term
T/x of umbilical chord compression |
|
Definition
1) Variable decelerations
2) 1st line Tx for persistent decellerations (>50% of time) is Maternal repositioning
3) 2nd line is amnioinfusion |
|
|
Term
Benign bone-forming tumor of adolescence affecting proximal femur. Worse at night without relation to activity |
|
Definition
Osteogenic Osteoma: can present like growing pains
Give NSAIDs (serial X rays) |
|
|
Term
PNA types in CF in children and adults |
|
Definition
1) Staph aureus is most common in children: give Vancomycin
2) Pseudomonas is most common in adults |
|
|
Term
|
Definition
1) CO: carboxyhemoglobin, 100% O2 via re-breather
2) HCN: Hydroxycobalamin, sodium thiosulfate, or induce Methemoglbinemia with Nitrates |
|
|
Term
Diagnosing HIV in newborns |
|
Definition
PCR to diagnose HIV in newborn up to 18 months b/c of maternal transferanse of antibodies.
HAART should be started immediately |
|
|
Term
Treatment of Wilson's disease |
|
Definition
d-penicillamine or trientine and oral zinc (prevent Cu absorption). |
|
|
Term
AR degeneration of spinal tracts
Hypertrophic CM is commonly seen and patients die of cardiac complications. |
|
Definition
Friedreich ataxia (spinocerebellar ataxia) |
|
|
Term
Birth management of placenta previa |
|
Definition
C-section between 36-37 weeks. |
|
|
Term
|
Definition
Risperidone (b/c SE of Haloperidol and Pimozide) |
|
|
Term
Palpable purpura, proteinuria and hematuria, with Non-specific: arthralgias, HSM, peripheral neuropathy and hypocomplementenemia |
|
Definition
Mixed essential cryoglobulinemia: HCV association
Look for porphyria cutanea tarda on hands as evidence of HCV
Dx: circulating cryoglobulins. |
|
|
Term
|
Definition
1) >25% lymphoblasts in bone marrow diagnostic. TdT (Expressed in Pre-B and Pre-T) test positive and PAS+ material.
2) Lack peroxidase positive granules seen in AML |
|
|
Term
Strongest predictor of AAA expansion and rupture |
|
Definition
|
|
Term
Gene defect leading to failure of T cell development and B cell dysfunction due to absent T cells |
|
Definition
SCID
Tx: Stem cell transplant |
|
|
Term
Management of neonatal thyrotoxicosis |
|
Definition
self resolves in 3 months. Methimazole + Beta blocker |
|
|
Term
First step in w/u of virilizing neoplasm |
|
Definition
1st test is testosterone and DHEAS level |
|
|
Term
Normal T4 and TSH, elevated free T3 |
|
Definition
Euthroid Sick Syndrome
Decreased peripheral 5’-deioindation of T4, usually in acute, severe illness. |
|
|
Term
Prevention of contrast-induced nephropathy |
|
Definition
Prevent with IV hydration with isotonic bicarb or NS with administrating of acetylcysteine |
|
|
Term
Management of solid testicular mass |
|
Definition
Remove it and cord with radical orchiectomy (no FNA b/c risk of spillage). |
|
|
Term
Most common complication of sickle cell trait |
|
Definition
painless hematuria and isosthenuria (impaired concentration) |
|
|
Term
How do you diagnose condition associated with Hexagonal, radiopaque, hard crystals? |
|
Definition
Hereditary Cystinuria: Cyanide nitroprusside test. |
|
|
Term
Protozoal disease in latin America that causes megacolon and cardiac disease. |
|
Definition
|
|
Term
Management of cocaine toxicity and myocardial ischemia |
|
Definition
1) Supplemental oxygen and IV BDZ!
2) Don’t give beta blockers (worsen coronary vasoconstriction) |
|
|
Term
Acute unilateral lymphadenitis in child |
|
Definition
staph aureus (second is GAS) |
|
|
Term
|
Definition
Unfractionated Heparin
Cannot use LMW heparin, fondaparinux or rivaroxaban |
|
|
Term
Differential for gross hematuria |
|
Definition
1) Bladder (cystitis, cancer)
2) Renal (glomerulonephritis)
3) Ureteral (nephrolithiasis)
4) Prostate (BPH)
5) Sickle Cell Trait: Renal papillary necrosis (ischemic) |
|
|
Term
Toxicity of Trastuzumab for HER-2 + BC |
|
Definition
Cardiac toxicity is issue (get echo before starting to look for baseline low EF) |
|
|
Term
|
Definition
CM is symmetrical and UMN CES is asymmetrical and LMN
Both need emergency MRI, steroids and NS consult |
|
|
Term
Diagnostic test for Celiac Diseasse |
|
Definition
1) D-xylose test of proximal small intestinal absorption. Celiacs cannot aborb it and low levels end up in urine.
2) If malabsorption is due to enzyme deficiencies, they will have normal D-xylose test. |
|
|
Term
Severe blunt chest trauma with delayed respiratory failure that is worsened by IV expansion |
|
Definition
|
|
Term
Management of Preterm labor |
|
Definition
1) 34-36: betamethasone and PCN if GBS unknown
2) 32-34: betamethasone and tocolytics (indomethacin and nifedipine) and PCN if GBS unknown
3) < 32: betamethasone, tocolytics, MgSO4 and PCN if GBS unknown. |
|
|
Term
Cough coryza and conjunctivitis followed by exanthema sparing palms and soles. |
|
Definition
Measles: Vitamin A for support |
|
|
Term
Pathophysiology of esophageal defects of Systemic sclerosis |
|
Definition
smooth muscle atrophy and fibrosis |
|
|
Term
When are HJ bodies found? |
|
Definition
Remnants of RBCs processed by spleen. Seen in aslpenia (SCC common). |
|
|
Term
Pressure findings in Cor Pulmonale |
|
Definition
Increased PA systolic pressure, not PCWP |
|
|
Term
Diagnosis of Esophageal rupture |
|
Definition
Get water-soluble contrast esophogram (left sided pleural effusion) |
|
|
Term
Immunosuppresseur toxicity
1) Azathioprine 2) Cyclosporine 3) Tacrolimus 4) Myco Mofitil |
|
Definition
1) GI, liver, leukopenia 2) Gingival, hirsutism, nephropathy, hyperkalemia 3) Just nephropathy and hyperkalemia 4) bone marrow suppression |
|
|
Term
Complication of cardiac cath |
|
Definition
1) Retroperitoneal hematoma: sudden hemodynamic instability and flank/back pain. Get non-contrast CT to diagnose.
2) Also Choelsterol embolism |
|
|
Term
What can you use to prevent Uric Acid stones? |
|
Definition
Potassium citrate alkalinizes urine |
|
|
Term
Unimmunized mother with umbilical stump infection. Poor sucking, rigidity and spasticity. |
|
Definition
|
|
Term
Chondrocalcinosis and joint pain common in hereditary hemochromatosis |
|
Definition
Chondrocalcinosis and joint pain common in hereditary hemochromatosis |
|
|
Term
Cyanosis and loud single S2 in child |
|
Definition
|
|
Term
Persistent PTX after chest tube placement |
|
Definition
|
|
Term
Which cause of hyponatremia is worsened by volume expansion with NS? |
|
Definition
NS infusion in SIADH will worsen hyponatremia (think about in case of lung pathology). |
|
|
Term
Starts with abdominal pain, N/V, then has subungual splinter hemorrhoraages, periorbital edema and chemosis. Eosinophilia and myositis common |
|
Definition
|
|
Term
How can obesity cause amenorrhea? |
|
Definition
because of anovulation (FSH/LH should be normal, as opposed to elevations in premature ovarian failure). |
|
|
Term
How can Preeclampsia lead to IURG? |
|
Definition
UP insufficiency (late deceleration) |
|
|
Term
How do you treat ethylene glycol poisoning? |
|
Definition
Give fomepizole or ethanol to inhibit ADH, and NaHCO3 to alleviate acidosis |
|
|
Term
What neurological complication is associated with Mumps? |
|
Definition
Mumps associated with Aseptic Meningitis |
|
|
Term
Associated complications of PBC |
|
Definition
malabsorption, metabolic bone disease (osteoporosis, osteomalacia), and HCC |
|
|
Term
Pulmonary nodules with surrounding ground-glass opacity (halo sign) |
|
Definition
|
|
Term
Hematological findings of G6PD deficiency |
|
Definition
bite cells and Heinz bodies |
|
|
Term
Dietary recommendations for renal calculi |
|
Definition
increase fluids, decrease sodium, normal calcium |
|
|
Term
Brain and Liver (microvesicular fatty infiltration) in child starting new medication |
|
Definition
|
|
Term
Management of cough 2/2 PND |
|
Definition
start with first-generation antihistamine (chlorpheniramine) or combined antihistamine/decongestant |
|
|
Term
punched out erosions and hemorrhagic crusting in patient with atopic dermatitis |
|
Definition
|
|
Term
|
Definition
Fever and liver cyst: think Entamoeba. Otherwise think Echinococcus |
|
|