Term
|
Definition
| CNS stimulation (HA< insomnia), GI, cardiac tox (arrhythmia) |
|
|
Term
| RQ close to 1.0 indicates predominant oxication of what? |
|
Definition
|
|
Term
| AFP and B-HCG tumor markers |
|
Definition
| Nonseminomatous germ cell tumor |
|
|
Term
| If patient has pneumonia and laid on that side with happens? |
|
Definition
| Increase in right to left shunt. |
|
|
Term
| Exudative vs. transudative criteria |
|
Definition
Pleural fluid protein/serum >0.5
Pleural fluid LDH/serum >0.6
Pleural LDH > 2/3 upper limit nl serum |
|
|
Term
|
Definition
Acute onset of resp distress in the setting of predisposing condition
PaO2/FiO2 <200
bil infiltrates
normal PCWP |
|
|
Term
| New clubbing in patients with COPD |
|
Definition
|
|
Term
| Next step with undiagnosed pleural effusion? |
|
Definition
|
|
Term
| Recurrent pneumonia in same anatomic region of the lung suggest what? next step? |
|
Definition
| Bronchial obstruction. Get CT |
|
|
Term
| Legionella dx and treatment |
|
Definition
| Cough, fever >39, GI, confusion. Confirm with urine antigen testing. Treat with azithromycin or levofloxacin |
|
|
Term
| Chemo and radiation for Hidgkin's... watch for what down the road |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Adult patient with recurrent bacterial infections |
|
Definition
| Humor immunity deficiciency. Quantitiate sermi Ig levels. |
|
|
Term
| What nueromuscular blocking agent can be used with liver and renal failure? |
|
Definition
|
|
Term
|
Definition
Aspirin given to children. Fatty liver with encephalopathy. Diffuse mitochondrial injury. Eleveated serum aminotransfereases, elevated ammonia, PT prolongation, hypoglycemia, acidosis.
Treat with glucose, FFP, manitol |
|
|
Term
| Liver finding: balloon degeneration with polymorphic cellular infiltrates |
|
Definition
| Acute alcoholic hepatitis. |
|
|
Term
| Panlobular mononuclear infiltration with hepatic cell necrosis |
|
Definition
| Acute vital hepatitis. Bridging necrosis. |
|
|
Term
| Portal necrosis with piecemeal necrosis and or bridging fibrosis. |
|
Definition
|
|
Term
| Alpha 1 antitrypsin deficiency stain |
|
Definition
|
|
Term
|
Definition
RUQ pain
Fever
Leukocytosis
IV antibiotics, NPO, analgesics |
|
|
Term
|
Definition
Defect hepatic storage of conjugated bilirubin. Leaking in plasma and urine.
No Tx necessary.
Conjugated bilirubin is water soluble, will appear in urine! |
|
|
Term
|
Definition
| Unconjugated hyperbilirubinemia. Some icterus. non-specific complaints like malaise, fatigue, abdomnminal discomfort. Hemolysis, fasting, physical exertion, stress trigger. |
|
|
Term
| Acute cholangitis treatment no working. Next step? |
|
Definition
|
|
Term
Eye findings:
1) neovascularizatoin
2) dendritic ulcer |
|
Definition
1) Chlamydia
2) Herpes simplex keratitis |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Infection of the lacrimal sac. Sudden onset pain/redness of the medial canthal region. Give systemic antibiotics. |
|
|
Term
| Anorexia nervosa associated with what pregnancy complication |
|
Definition
| Small for gestational age. Also risk for miscarriage, hyperemesis, post partum depression. |
|
|
Term
| Most common cause painless hematuria in adults |
|
Definition
1) Bladder mass.
Also presenting: renal cell carcinoma |
|
|
Term
| Most common cause of nephrotic syndrome in adults? Important complication? |
|
Definition
| Membranous glomerulonephritis. Important complication of renal vein thrombosis because antithrombin III is lost in the urine. Sudden onset abdominal pain, hematuria, fever. |
|
|
Term
| Renal complication to Hodgkin's lymphoma |
|
Definition
| Nephrotic syndrome: Minimal change disease |
|
|
Term
| Most common glomerulopathy associated with HIV? |
|
Definition
| Focal and segmental glomerulosclerosis. |
|
|
Term
| What diabetes drug should be stopped in patients with ARF, hepatic failure, or sepsis. |
|
Definition
| Metformin. Increases the chance of developing lactic acidosis. |
|
|
Term
| Lots of NSAID uses does what damage to kidney. Woman with HAs for years. |
|
Definition
| Analgesic nephropathy, papillary necrosis because of chronic tubulointerstitial damage. Takes several years. |
|
|
Term
Muddy brown casts
RBC casts
WBC casts
Fatty casts
Broad/Waxy casts |
|
Definition
ATN
Glomerulonephritis
Interstitial nephritis and prelo
Nephrotic syndrome
Chronic renal failure |
|
|
Term
| What to do if patient doesn't respond to susceptible antibiotics for pyelo? |
|
Definition
| Rule our underlying pathologie like obstruction or complications. Get US |
|
|
Term
| What can acyclovir do to the kidneys? |
|
Definition
| Cystalluria with renal tubular obstruction. LOTS of hydration. |
|
|
Term
| Vaccines for chronic liver disease |
|
Definition
| Tdap/Td, influenza, pneumo q5y, hepA, hepB |
|
|
Term
|
Definition
| Palpapbe purpura, proteinuria, hematuria. Nonspecific systemic: arthralgias, hepatosplenomegaly, hypocomplementermia. Underlying HCV |
|
|
Term
| Frequent stones. Hexagonal crystals. +cyanide nitroprusside test |
|
Definition
| Cystinuria, impaired amino acid transport. Hard and radioopaque. |
|
|
Term
Most common nephrotic syndrome in children?
Most common in child with HepA? |
|
Definition
Minimal change disease
Membranous glomerulonephritis |
|
|
Term
| Aminoglycosides (gentamycin, amikacin) cause what |
|
Definition
| Hard to use in renal dysfunction, must be monitored closely. |
|
|
Term
|
Definition
| Dose-related diarrhea, leukopenia, hepatotoxicity |
|
|
Term
|
Definition
|
|
Term
|
Definition
Nephrotoxic, HTN, neurotox, glu intol, infection, malig, gigival hypertrophy/hirsutism
Tacrolium causes similar w/o hirsutism or gums |
|
|
Term
| Most common cause of glomerulonephritis in adults |
|
Definition
IgA nephropathy. Hematuria several days after URI. Normal complement.
(Post strep has decreased complement and takes 10+ days for pharyngitis) |
|
|
Term
| What requires emergency plasmapheresis? |
|
Definition
|
|
Term
| 45 y/o HA, n/v, no fever. CT shows butterfly appearance with central necrosis. |
|
Definition
|
|
Term
| Electrolyte abnormality with SAH |
|
Definition
| Hyponatremia due to SIADH |
|
|
Term
| Benign essential tremor treatment. |
|
Definition
Beta blockers (can't use in asthma/copd, bradycardia)
Primidone (watch for porphyria - abd pain, confusion, HA, halluc, dizzy) |
|
|
Term
| Benztropine and trihexyphenidyl side effects? |
|
Definition
| Anticholiner. Red as beet, dry as a bone, hot as a hare, blind as a bat, mad as a hatter, full as a flask. |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Wernicke's encephalopathy |
|
Definition
| Encephalopathy, oculomotor dysfunction, and gait ataxia. |
|
|
Term
|
Definition
| Long term disease modifying treatment for MS |
|
|
Term
|
Definition
| Lateral medulla lesion. Ipsilat horner's, loss pain/temp of face, weakness palate, pharynx, cords, cerebellar ataxia. Loss pain/temp contralateral body. |
|
|
Term
| Medial medullary syndrome |
|
Definition
| Contralateral spastic hemiplegia, contral vib/propioception loss, tongue deviation towards injured side. |
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