Eye
Asian male with sudden onset severe eye pain + nausea and vomiting following nasal decongestant use
Acute Angle Closure Glaucoma
(Alpha one agonist - phenylephrine will cause mydriasis)
#1 RF for shoulder dystocia
fetal macrosomia
Tx for UTI in pregnant woman
Nitrofurantoin or Fosfomycin
2 days of severe R eye pain + blurry vision + sinusitis taking Benadryl + pain with eye movement and 20/200 vision and difficulty moving extra-ocular movements
orbital cellulitis
#1 RF for endometritis
C section
Female has off-white/gray vaginal discharge with fishy odor Dx? pH?
Gardnerella vaginosis
pH > 4.5
12 day old newborn with “watery” discharge conjunctivitis and eyelid swelling. Tx?
ORAL erythromycin
RF for Asherman’s syndrome
history of uterine curettage
21 yo F has RUQ pain + history of PID
Perihepatitis aka Fitz-Hugh-Curtis syndrome
Painless loss of vision, fundoscopic exam shows optic DISC swelling, diffuse retinal hemorrhages with marked venous engorgement, cotton wool spots, hard exudates
central retinal vein occlusion
#1 RF for endometritis
#1 RF for chorioamnionitis
C-section
Prolonged rupture of membranes
Tx for Chorioamnionitis
Ampicillin (cover Listeria) + Gentamicin
“CAG” = Chorioamnionitis tx with Ampicillin + Gentamicin
Which lysosomal storage disorder present with cherry red spot on fundoscopy
Tay-sachs (hexosaminidase A deficiency)
Niemann-pick (sphingomyelinase deficiency) - similar to Tay Sachs but with hepatosplenomegaly
Highest risk factor for ovarian torsion
pre-existing anatomic abnormality (cyst or mass)
A 30-year-old man presents to the emergency department after experiencing a generalized tonic-clonic seizure. His wife reports that he had shaking of all limbs for approximately 2 minutes, followed by confusion and drowsiness for 20 minutes. He has no prior history of seizures.
He recently immigrated from Guatemala and reports progressive headaches, nausea, and intermittent dizziness over the past several months. He denies fever, weight loss, or recent illnesses.
On examination, he is alert but mildly confused. There are no focal neurological deficits.
A non-contrast CT of the head shows multiple cystic and calcified lesions in the parenchyma, with perilesional edema.
A) Toxoplasma gondii
B) Taenia solium
C) Trypanosoma brucei
D) Naegleria fowleri
E) Cryptococcus neoformans
Also give me the treatment for this patient :)
Phenytoin (i.e. anti-epileptics)
Do NOT give anti-helminth drugs b/c they will cause a fatal inflammatory response