any possible exposure to blood that may be infected with HIV requires....
Antiretroviral therapy regardless of HIV results
repaired cleft lip and
... [Show More] palate can increased the risk
velopharyngeal insufficiency, inability to properly close the velopharyngeal port separating the nasopharynx and the oropharynx during production of speech (whistling sound)
closed cervix and a pool of clear fluid in the vagina, complication?
preterm delivery
pts with SCD that present with pneumonia/ACS, next best step?
Blood culture then treat empirically
pt treated empirically and after results are in you must narrow down the abx for the correct tx
...
old man with hematuria with no pain or any sxs,
dx:
bladder cancer
dx: cystoscopy
recall bias similar to
differential bias
common in pts with smoking and may present as hoarseness, vocal changes, persistent cough, stridor or dysphagia
dx:
staging:
laryngeal carcinoma
dx: indirect laryngoscopy
staging: CT scan
the pt or the pts decision maker should be given the opportunity to update the pts code status during each hospitalization
...
development of colovesical fistula can be caused by
diverticular disease
pts with positive straight leg test no need to test further
lumbar disc herniation
PCOS dx
LH:FSH >2:1
pts presenting with RA should undergo ________ before surgery
XR of the cervical spine to reduce catastrophic neurologic damage in the setting of atlantoaxial instability
pt presenting with galactorrhea due to increased prolactin initial workup rule out
Hypothyroidism (increase TRH increases prolactin) and renal insufficiency as these causes can increase prolactin level
pt with recent MI with HTN should control the BP to reduce risk of cardiovascular disease
HCTZ
seborrheic keratosis does not indicate a diagnostic study
...
pt undergoing surgery, trauma or illness on glucocorticoids with hypotension, with hypotension refractory to fluid resuscitation
tx:
adrenal crisis
tx: hydrocortisone
pt with COPD with pulse ox <88% or <89% with Right HF or erythrocytosis
long term oxygen therapy
pts with cardiogenic shock require ........
Echo
- indicated to determine underlying cause
VSD can cause
growth restriction due to inadequate feeding
first step in management of asxs mild hyponatremia in the setting of excess free water intake
fluid restriction [Show Less]