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fam med cases
16
Medical
Graduate
01/27/2011

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Term
Acute PE can lead to new onset CHF but will not cause _______
Definition
pulm edema, and assoc lung findings. It leads to pure RHF
Term
Kerley B lines
Definition
Represent interstitial fluid in the lungs
Term
How do you differentiate non cardiac dyspnea from Heart failure?
Definition
BNP
Term
Thiozoladinediones (TZD) are _________ in heart failure
Definition
Contraindicated
Term
Calcium channel blockers are _______ in heart failure
Definition
contraindicated-- they increase peripheral edema
Term
Studies in CAD w intermediate pretest probability
Definition
1) EKG stress test
2) exercise treadmill test
3) nuclear imaging
Term
Risk factors for Dysmenorrhea
Definition
Smoking and Depression/anxiety

Early menarche, decreased parity
Term
Mildly tender ovaries, nabothian cysts on cervix, vaginal discharge are ________ clinical findings
Definition
not necessarily abnormal
Term
Ddx of dysmeorrhea after pregnancy
Definition
Adenomyosis
Fibroids
ovarian cysts
PID
Endometriosis
Cervical Stenosis
Term
Rx of fibroids (dysmenorrhea)
Definition
Mirena IUD.
Hysterectomy is reserved for women who dont want children
Paragard leads to increased dysmenorrhea
Term
PMS Rx
Definition
Danozol (androgen w progesterone fx) and OCP
Term
Children over 2 years w uncomplicated otitis media ______ antibiotics
Definition
Do not need
Term
chacteristic symptoms of seasonal flu
Definition
Fever, cough, myalgias, sorethroat, (NOT SOB)
Term
Three categories of dizziness
Definition
1.Presyncope (light headed, no faint): inadeq perfusion: MI, afib, thyroid storm
2. disequilibrium (off balance): alcoholic cerebral degeneration, diabetic neuropathy
3. vertigo (room is spinning): aminoglycoside toxicity (also hearing loss)
Term
DDx of Vertigo
Definition
Benign parox positional vertigo
cerebellar stroke
TIA
Meniere's disease (Vertigo, tinnitus and hearing loss)
Vestibular Migraine
Vestibular Neuritis(peripheral lesion)
Occasionally Otitis Media
Term
Unilateral Nystagmus that is inhibited by fixation suggests
Definition
Peripheral Vertigo.

It is a central lesion if nystagmus is not inhibited by fixation
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