GI
This procedure removes a portion of the stomach, thus placing the patient at risk for vitamin B12 deficiency.
What is gastrectomy
In dementia with lewy bodies these group of medications can worsen visual hallucinations and can lead to balance impairment and falls
What are antipsychotics?
This diagnosis is confirmed by bone marrow aspiration showing >20% myeloblasts
What is acute myelogenous leukemia?
This disease has positive anti U1 RNP antibodies
What is mixed connective tissue disease?
This insulin is ideal for steroid-induced hyperglycemia
Recurrent pancreatitis + elevated IgG4 + "sausage shaped" pancreas on CT
What is autoimmune pancreatitis
Sac-like structure protrudes through a vertebral defect containing meninges, spinal cord, and CFS
What is meningomyelocele?
This common agent used in breast cancer treatment causes reversible non-dose related heart failure
These are 3 indications to initiate Allopurinol for Gout prophylaxis
What is
1) Disabling and frequent gout attacks (2 or more - although based on discussion can initiate at lower)
2) Tophi and structure joint damage
3) Gout with renal insufficiency
What is exogenous steroids?
(Look out for oral, injectable and inhaled steroids)
Barrett's esophagus is characterized by this type of change.
What is columnar epithelium replaces the stratified squamous epithelium that normally lines the distal esophagus
Unilateral facial weakness, facial droop and diminished eye blink
What is Bell's Palsy?
Once a colonoscopy is done, these 2 tests are further required to stage colorectal cancer?
This is the serum uric acid goal for patients receiving urate-lowering therapy in gout
What is <6 mg/dL
(Extra: <5 mg/dL with tophi)
This is the first line treatment for acromegaly secondary to a GH-secreting pituitary adenoma
What is surgery?
Celiac disease is associated with these two HLA variants.
What are HLA DQ1 and DQ8
What breathing pattern is expected with damage to the cortex?
What is Cheynes-Stokes respirations?
Daily Double!
Capecitabine (Xeloda) is an oral prodrug of 5-FU which is used in the treatment of colon cancer and can cause this obscure cutaneous reaction that could impair criminal investigation
What is loss of fingerprints?
JAMA Oncology says temporary, returns 2-4 weeks after cessation of drug
34F history of SLE on HCQ, mycophenolate and prednisone who presents with 6-month history of gradually increasing pain in the left groin with some radiation to the left buttock, particularly with stair climbing
What is glucocorticoid-induced osteonecrosis?
SLE + steroids are risk factors
Present with groin pain radiating to the buttocks which worsens with ambulation
50M with history of colonic polyps, pre-diabetes, HTN presents with facial pain, fatigue and low libido
What is acromegaly?
Sitophobia + weight loss + epigastric bruit
What is median arcuate ligament syndrome
In patients with gastric by-pass surgery this element deficiency can lead to progressive myelopathy similar to VIT B12 deficiency
What is copper?
Patients with Stage III rectal cancer should be given this treatment modality which would not be given to patients with Stage III colon cancer
What is radiotherapy?
Daily Double!
Match the following antibodies to their conditions
Anti-Jo1
Anti-histone
Anti-centromere
Anti-Sm
(Not an antibody) HLA-B27
Anti-Jo1 > poly/dermatomyositis
Anti-histone > drug-induced lupus
Anti-centromere > CREST syndrome
Anti-Sm > SLE
HLA-B27 > strong association with ankylosing spondylitis, weaker with psoriatic arthritis (either is acceptable)
You follow up with patient 1 year post transsphenoidal resection of pituitary mass and IGF level remains elevated, next step therapeutically?
What is a Somatostatin analogue?
+ practically might repeat brain MRI and repeat resection...