Term
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Definition
| Mechanically induced degernerative neuropathy seen in runners. Pain between 3rd/4th toes, reproducible w/ a clicking sensation while palpating and squeezing metatarsals. Treat with shoes inserts. |
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Term
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Definition
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Term
| Most common cause endometritis postpartum? |
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Definition
| Polymicrobial. Treat with Clindamycin and gentamicin. |
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Term
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Definition
| Ceftriaxone and azithromycin |
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Term
| What vitamin should be given to people with measles? |
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Definition
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Term
| Newborn at 2 days presents with rash. Non-toxic neonate with erythematous papules/vesicles surrounded by erythema. +Eosinophils. |
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Definition
| Erythema Toxicum. Self-limited. Looks like a really mild chicken pox. |
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Term
| Turner's syndrome at risk for what bone problems? |
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Definition
| Osteoporosis due to low estrogen levels |
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Term
| Low back pain worse in the morning improves during the day. |
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Definition
| Ankylosing spondylitis. Seronegative spondyloarthropathy. Men <40. Xray changes in sacroiliac joint (sacroiliitis). +ESR, = rheumatoid |
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Term
| Pseudomonas treatment in pulm. infection of CF pt |
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Definition
| Piperacillin and tobramycin. (antipsuedomonal penicillin w/ aminoglycoside) |
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Term
| SVT EKG signs and treatment |
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Definition
| Narrow QRS, regular, no P waves. Give adenosine. |
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Term
| Bug and treatment for intubation associated pneumonia |
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Definition
| Psuedomonas. Cefepime or piperacillin-tazobactam |
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Term
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Definition
| Sandpaper like. erythematous papules w/ central scale. |
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Term
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Definition
| Elderly. Deeply pigmented or flesh colored lesions with velvety or greasy surface |
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Term
| Elderly with bone pain, renal failure, hypercalcemia |
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Definition
| MM until proven otherwise. Bence Jones proteins |
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Term
1) Calcium Oxalate stones
2) Calcium phosphate stones |
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Definition
1) Most common. Give calcium citrate if <5mm
2) Sign of primary hyperparathyroidism and rta |
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Term
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Definition
Pansystolic murmur loudest at the left lower sternal border.
May also have diastolic murmur at the apex |
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Term
Histoplasmosis test
Treatment? |
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Definition
Urine antigen
Itraconazole |
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Term
| Squamous cell carcinoma diagnostic findings |
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Definition
| Invasive cords of squamous cells with keratin pearls. Look on vermillion borer lower lip |
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Term
| Pellegra (niacin deficiency) Sx |
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Definition
| Three Ds: Diarrhea, dermatitis, dementia |
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Term
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Definition
Usually don't produce both sensory and motor deficits.
Pure motor hemiparesis, pure sensory stroke, dysarthria, ataxic hemiparesis |
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Term
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Definition
Short term: Haloperidol
Long term: Lithium, lamotrigine, olanzapine, quetiapine |
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Term
| Levodopa/carbidopa early side effects? |
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Definition
| Hallucinations, dizziness, headache, agitation |
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Term
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Definition
| Picks (frontotemporal) will have bhavioral and personality changes. Disinhibition. |
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Term
| Lymphoblasts without peroxidase positive granules but PAS+ material. TdT positive immunostaning |
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Definition
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Term
| One week after penicillin use pt develops drug-induced reaction consisting of?: |
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Definition
| Fever, urticarial rash, polyarthralgia, lymphadenopathy. |
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Term
| 1st trimerster syphillis infection who is allergic to penicilin |
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Definition
| Desensitize. Can't give tetracycline, erythromycin doesn't cross placement. Cipro ineffective/ no use in pregnancy. |
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Term
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Definition
Can happen with UC, often first presentation. Need xray
3+ of: Fever >38
HR >120
Neutrophilic leukocytosis >10,500
Anemia
Plus volume depletion, altered sensorium, electrolytes, or hypotension |
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Term
| Fragmented red blood cells, hemolytic anemia, thrombocytopenia in a patient with renal failure and neuro signs of HA/confusion |
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Definition
| Idiopathic TTP-HUS. Accumulation of large vWf multimers. Do plasma exchange (plasmapheresis) |
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Term
| Pericarditis in setting of renal failure. |
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Definition
| Uremic pericarditis. Dialysis. |
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Term
| Forward slip of vertebrae in preadolescent children. Back pain, neuro dysfunction, palpable step off. |
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Definition
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Term
| Paget's disease serum Ca, serum P, alk phos, urinary hydroxyproline |
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Definition
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Term
| Disseminated hisoplasmosis |
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Definition
| Palatal ulcers, hepatosplenomegaly, pancytopenia |
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Term
| Firm solitary lymph nodes. Older patient with smoking history. Non-tender. |
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Definition
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Term
| How do you evaluate uric acid stones? |
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Definition
| Radiolucent. Get CT or IVP. Needle shaped crystals. |
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Term
| Angioedema is due to deficiency in what? |
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Definition
| C1 esterase inhibiter wwhich causes increased C2b and bradykinin. |
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Term
| 25 y/o pt, Michael Weaver, can't get erection. 15lb weight loss. Right sided gynecomastia, small testes. Decreased TSH, t3, t4 |
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Definition
| Chronic liver disease causing hyperestrogenism. |
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Term
| Breast biopsy showing foamy macrophages and fat globules. Mammogram shows 3x3cm spiculated mass, calcifications. US shows hypoechoic |
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Definition
| Fat necrosis. Who cares, do nothing. |
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Term
| Anemia, renal failure, hypercalcemia in elderly patient |
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Definition
| Multiple myeloma. Serum immunoelectrophoresis before bone marrow biopsy. |
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Term
| Marfan's features + MR + thromboembolic + downward disclocation of lens |
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Definition
Homocystinuria. Autosomal recessive, cystathionine synthase deficiency.
Treat with high doses vit B6 (pyridoxal phosphate) |
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Term
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Definition
Absence phenylalanine hydroxlase. Build up in phenylalanine.
MR, fair complex, blue eyes, eczema, musty body odor. |
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Term
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Definition
Spingolipidosis, deficiency in beta- galactosidase. No myelin!
MR, blindness, deaf, paralysis, peripheral moto and sensory neuropathy. |
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Term
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Definition
Another sphingolipidosis, beta-hexosiminidase A.
MR, blind, cherry-red macula, weak, seizures. |
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Term
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Definition
Sphingolipidosis, alpha-galactosidase deficiency.
Angiokeratomas, peripheral neuropathy, asymptomatic corneal dystrophy. Kedney, heart failure. Thromboembolic events. |
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Term
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Definition
Most common cause glomerulonephritis in adults.
Recurrent episodes gross hematuria, ~5 days after URI. Normal serum complement levels |
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Term
| Post-strep glomerulonephritis |
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Definition
Average 10 days for pharyngitis, 21 for impetigo.
Low serum complement levels! |
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Term
| Bite cells, RBC inclusions |
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Definition
G6PD w/ Heinz bodies.
X-linked recessive. Hemoglobin oxidizes and becomes heinz bodies. Denatured hgb interrupts membrane and causes hemolysis. Caused by drugs, inf, fava beans. |
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Term
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Definition
| B-thalassemia minor, asymptomatic |
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Term
| Spherocytosis w/ increased reticulocytes |
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Definition
| Hereditary spherocytosis. Spectrin disorder. RBC not deformable, gets trapped in fenestrations of spleen's red pulp. |
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Term
| Low grade fever, sore throat, malaise, skin rash on palms/soles. Hx international travel. Superficial scaling and lymphadenopathy. |
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Definition
Spirochete, secondary syphilis.
3 doses benzathine penacillin given each week |
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Term
| Maculopapular eruption wrist and ankles that spreads to trunk, extremities, palms, soles around day 5. HA, myalgias. |
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Definition
RMSF, rickettsial infection.
Doxycycline |
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Term
| What medication is commonly associated with acquired angioedema |
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Definition
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Term
| HIV pt with painless retinitis. Fluffy or granular rentinal lesions near retinal vessels w/hemorrhages. No conjunctivitis |
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Definition
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Term
| Acute retinal necrosis with pain, keratitis, uveitis, funduscopic findings of peripheral pale lesions and central retinal necrosis. |
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Definition
| HSV retinitis. Can be severe, common cause of blindness. |
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Term
| Bone conduction greater than air conduction |
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Definition
| Conductive hearing loss. Likely otosclerosis. |
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Term
| Palpitations. Mechanical valve. Schistocytes, increased LDH. |
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Definition
| Microangiopathic hemolytic anemia. Look for schistocytes. |
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Term
| Why does pancytopenia occur in patients with SLE |
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Definition
| formation of autoantibodies against blood cells, type 2 hypersensitivity. |
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Term
| BLurred vision, moderate pain, conjunctival injuection, constricted pupil. |
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Definition
Uveitis
Associated with HLA-B27 conditions (ankyndo) |
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Term
| Swollen eyelid, edematous conjunctiva, exudates in anterior chamber |
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Definition
| Postoperative endopthamitis. Within 6 weeks. Pain, decreased vision. |
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Term
| Hypertriglyceridemia when levers are over 1000 |
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Definition
| Can lead to acute pancreatitis without gallstone or alcohol use. Look for eriptive xanthomas. Get fasting lipid profile |
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