Osteoarthritis
The leading cause of physical disability in industrialized countries?
Osteoarthritis
Screening age to start OP screening for post menopauseal females?
Age 65.
What percentage of potassium is intracellular?
98%
ANEMIA: Low MCV, High RDW
Iron Deficiency
Home ported at NAS North Island, this Nuclear Powered Aircraft Carrier goes by call sign "Rough Rider" and is know as "The Big Stick" (CVN-71).
USS Theodore Roosevelt
Predisposing factors leading to early osteoarthritis
Trauma
T score below which Osteoporosis is diagnosed?
Less than -2.5.
6 Treatment options for hyperkalemia?
Calcium Gluconate (1-3 minutes), Insulin (30 min), Albuterol (30 minutes), Kayexalate (1-2 hours), Lasix (2-4 hours? Guessing here), Dialysis (Immediate)
Serum test useful in confirming Cobalamin deficiency when elevated.
Serum Methylmalonic Acid (Elevated in B12 Def).
(Need: School and Base)
Type of pain: Morning stiffness lasting >60 minutes, better with activity.
Inflammatory Arhtritis
Time past which a drug holiday should be considered for oral and for IV bisphosphonate therapy?
5 year for oral, 3 year for IV.
22 yo M with hypertension, hypokalemia and a bicarbonate of 34.
Liddle syndrome (he's got a "Liddle" bit of everything--Thanks Dan!)
Low MCV, Normal RDW. Normal Iron Panel.
Alphal Thal
Known as the Silent Service, this San Diego Park houses a memorial to the 52 "boats" lost during World War II.
(Need 2 answers: Service and park in San Diego)
Submarine Service, Liberty Station
Diagnosis: Hook or beak shaped osteophytes affecting the second and third metacarpal heads?
Hemochromatosis
Factors for which you would continue bisphosphonate therapy after 5 years?
Patients who remain high risk (T score less than -2.5, Frax hip >3%, Any osteoporotic >20%)
Residents have previously been warned about using this fluid in patients with hyperkalemia ______. How much of this fluid would you have to give to equal a 40meq dose of oral potassium?
LR, 10L
Alpha Thal
This hall of fame baseball player has his own beer called .394 IPA. Ill bet he wishes he could call it .400
Tony Gwenn
Diagnosis: Confluent flowing ossification of at least 4 contiguous vertebral levels, more commonly seen on the right side of the spine?
Diffuse idiopathic skeletal hyperostosis (DISH)
Briefly explain the available data guiding treatment decisions after 5-10 years of bisphosphonate therapy. (Dr. Pribich excluded from answering).
Its complicated and incomplete.
(Melanie's team gets credit too)
Describe progression of EKG Changes with hyperkalemia?
6-7= Peaked T waves
7-8= Flattened P waves, prolonged PR, ST Depression, Peaked T waves
8-9Atrial Stand still, >9 Sine Wave
An Index, Defined as the MCV/RBC count, that, when greater than 13 can help differentiate Iron Deficiency Anemia from Alphal Thalassemia
Mentzer Indez
>13= IDA, <13=Alpha Thal
Currently a registered historic land mark, this location on Naval Base Point Loma was a prior site where whaling ships would burn their whale blubber and is now the name for a popular San Diego Brewery?
Ballast Point