Mi Corazon
Holosystolic Murmur, Intensity Increases with handgrip, can be acute or chronic
Mitral Regurgitation
Preferred treatment for IBS-Constipation
SSRI
Fisherman with nonhealing hand wound, biopsy shows granulomas
Mycobacterium Marinum
Repeated UTIs, high urine pH with stones is caused by which organism?
Proteus
Pancytopenia, macrocytosis, hyper-segmented neutrophils
Vitamin b12 deficiency/Folate deficiency
Short PR interval, symptomatic AVRT, can be antegrade or retrograde, txn procainamide
WPW
42yo M treated with PPI, Amox, Clarithro for H Pylori + duodenal ulcer. He returns 9 weeks after txn for recurrent symptoms. What do you do next?
Order urea breath test
Tick Bite, fevers, headache, myalgias, leukopenia, thrombocytopenia, elevated transaminases, txn is doxy
Ehrlichiosis/Anaplasmosis
Severe increased AG metabolic acidosis and acute visual symptoms or severe abdominal pain
Methanol
Name one hypertensive drug that can be used in pregnancy
Methyldopa/Labetalol/CCB
Name 2 sudden death risk factors for HCM
Previous cardiac arrest, spontaneous sustained VT, FH of sudden death, unexplained syncope, LV wall thickness > 30mm, nonsustained spontaneous VT, HF that has progressed to dilated CM + LVEF <30%
Women 40-60yrs, cholestatic liver disease of small bile ducts, positive anti-mitochondrial antibody titer
Primary Biliary Cirrhosis
Txn for prosthetic valve infective endocarditis
Vancomycin + gentamicin + rifampin
Normal AG, hypokalemia, urine pH <5.5, serum bicarb 16-18
Proximal (Type 2) RTA
Muscle Cramping, Nocturia, normal physical exam, hypokalemia, elevated aldosterone to plasma renin ratio
Primary Hyperaldosteronism
MRI showing increased pericardial thickness, Echo: Accentuated drop in LV filling during inspiration, BNP <100
Constrictive Cardiomyopathy
Interpretation of Hep B serologies: Anti-HBs +, IgG anti-HBc +
Resolved Prior Infection
Therapy for Mycobacteria avium in light of Opportunistic Infection
Ethambutol + Clarithromycin
55yo F with chronic LBP and chronic polyuria and nocturia found to have CKD. UA shows no protein or erythocytes, 5-10 leukocytes hpf, no casts. UCx shows no growth. Kidney US shows only papillary necrosis. What is the diagnosis?
Tubulointerstitial Disease
Unexplained falls (typically backward), inability to move eyes vertically, and parkinsonian symptoms
Progressive Supranuclear Palsy
The criteria to diagnose peripartum cardiomyopathy
Presence of HF with LVEF <45% diagnosed between 1mo before and 5 months after delivery
Impacted gallstone in cystic duct, jaundice, and dilated common bile duct caused by extrinsic compression
Mirizzi Syndrome
Overwhelming sepsis following dog bite in a patient with prior splenectomy
Capnocytophaga Canimorsus
Most commonly presents as asymptomatic microscopic hematuria or episodic gross hematuria following a URI
IgA Nephropathy
2.5cm