What do pirmented granular "muddy" casts indicate in the setting of oliguria?
Acute tubular necrosis
How can hyperphosphatemia be
... [Show More] treated?
aluminum hydroxide
What is the genetic basis for a patient with disproportionately small legs and arms, frontal bossing and mindfacial hypoplasia?
autosomal recessive
Besides extreme growth what other symptoms can a patient with acromegaly have?
headaches, visual field defects, weakness, soft doughy hands, and amenorrhea
**kids have giganticism
What is the cause of acromegaly?
Excess growth hormone
How should X-rays be done to diagnosis SCFE (slipped femoral epiphysis)?
Frog leg position
What are the personality characterisitics of schizoid personality disorder?
restricted range of emotion, being a loner, chosing solitary activities
What drugs are used to help treat the bradykinesia of Parkinson's?
amantadine, levodopa, selective MOAis
How do anticholinergics help treat Parkinson's?
they help treat the tremor and rigidity
What are the findings associated with intussusception?
presents 6-18 months of age
drawing up of the knees
currant jelly stool
sausage-shaped mass in upper abdomen
Wha tis the most common cause of subacute endocarditis
Strep. viridans
In adults without significant risk factors how often should fasting lipid profiles be obtained?
every 5 years
How is Raynaud's disease treated?
CCBs
What are Janeway's lesions?
small hemorrhagic lesions on the skin seen in endocarditis
What are Osler's nodes?
painful red, raised lesion seen in endocardititis
What are Roth's spots?
exudative retinal lesions seen in endocarditis
A pancytopenia with circulating blasts is characteristic of______________
acute leukemia
How is acute myeloid leukemia differentiated from lymphoblastic leukemia?
Auer's rods or myeloid enzymes like peroxidase are seen in AML
What geene is associated with chronic myeloid leukemia?
bcr/abl gene and phildelphia chromosome
What are the treatments of acute-closure glaucoma?
IV acetazolamide, possibly mannitol if very severe, later topical pilocarpine can be used to reverse underlying angle closure and later surgery iridotomy/iridectomy
How does IgA nephropathy present?
usually after URI and presents with hematuria and proteinuria
Dorsal angulation of the wrist is commonly seen in___________
Colle's fracture
What drugs should be avoided in patients with G6PD deficiency?
sufa-containing drugs like Bactrim, nirtorfurantoin, because they can cause hemolytic crisis
What infection is associated with Guillan Barre?
Campylobacter
What causes molluscum contagiosum?
poxvirus
Posterior cerebral artery occlusion can cause what neurological manifestation?
Alexia- inability to understand written words
Middle cerebral artery occlusion can cause what neurological manifestation?
homonymous hemianopia
Horner's syndrome is associated with what cerebral artery occlusion?
Posterior inferior artery occlusion
What is a physical exam test used to help diagnosis thoracic outlet syndrome?
Elevated stress test: arm exteneded and externally rotated with the patient opening and closing hands for 3 min
When is transphenoidal surgery indicated for a prolactinoma?
When the adenoma is >3cm, otherwise Bromocriptine a dopamine agonist is the treatment of choice [Show Less]