April Showers
Bring May Flowers
Out Like a L-ION
In Like a LAMb
Medical Malodies
100

The antibody associated with membranous nephropathy

Anti-phospholipase A2 receptor

100

The name for this discoloration


Allergic Shiner

100

The equation to calculate an anION gap

Na - (Cl + HCO3)

100

In half of patients with LAMbert-Eaton myasthenic syndrome, malignancy is found, especially this cancer.

small cell lung cancer

100

Gotta fix that calendar I have that's marked July 15th

"So Sick" by Ne-Yo

200

Amyloidosis pathology findings

Stains apple green with congo red stain

200
Diagnosis of allergic rhinitis is based on this.

history (confirmed with empiric treatment) only if empiric treatment fails do you do diagnostic allergy testing

200
In the movie lION, who is the lead actor

<3 Dev Patel <3

200

This finding may occur in patients with this deficiency


cobaLAMin deficiency (B12)

200

Between the lines of fear and blame

You begin to wonder why you came

Where did I go wrong? I lost a friend

"How to save a life" by The Fray

300

A medication for ADPKD that has showed a reduction the rate of increase in kidney size and loss of GFR, but poor tolerance, hepatotoxicity, and expense limit its use


Tolvaptan

300

This disease is commonly associated with dysphagia and food bolus obstruction and patients often have asthma, dermatitis, and seasonal/food allergies.

Eosinophilic esophagitis

300

The reason you should not give a Ca+ channel blocker in a patient with aortic dissection without beta blockade

Without beta blockade vasodilatory therapy induces reflex activation of the sympathetic nervous system resulting in tachycardia and enhanced ventricular contraction, which increases aortic wall sheer stress

300

This infLAMmatory dermatosis is T-cell mediated and presents as pruritic, flat-topped, violaceous papules, often on the ankles and wrists and mucous membranes


Lichen Planus

300

How could you be so, cold as the winter wind when it breeze, yo

Just remember that you talkin' to me though

You need to watch the way you talkin' to me, yo

"Heartless" by Kanye West

400

Medical expulsive therapy for nephrolithiasis for:

1. Stones < 5mm

2. Stones >5 and <10mm

3. Stones >10mm

1. Stones < 5mm

- No medical expulsive therapy indicated

2. Stones >5 and <10mm

- Tamsulosin for 4 weeks (if unavailable, use alpha blocker)

3. Stones >10mm

- Refer to urology for intervention

400

Treatment for acute sinusitis with persistent symptoms of >10 days duration

First Line: Amoxicillin-clavulanate or amoxicillin

Second Line: doxycycline, Levofloxacin or moxifloxacin, clindamycin

400

This medication, that blocks epithelial Na channels in the collecting tubule is the treatment for a patient who recently started lithium for bipolar disorder now presents with polyuria and nocturia. Na is 145 and Uosm is 200. 

Na high, urine dilute - diagnosis is arginine vasopressin deficiency (aka CDI) - treat with amiloride because it blocks epithelial Na channels in the collecting tubule and prevents the uptake of lithium by these cells
400

This medication started after this many weeks of pregnancy reduces rates of preeLAMpsia in women who are high risk.

Low dose ASA (81mg) after 12 weeks

400

But how do you expect me

To live alone with just me?

'Cause my world revolves around you

It's so hard for me to breathe

"No Air" by Jordan Sparks

500

A malignancy in post-transplant patient that is caused by uncontrolled B-lymphocyte proliferation associated with Epstein-Barr virus infection and impaired T-cell surveillance

Posttransplant lymphoproliferative disorders

500

Patients with this disease often have comorbid allergies or asthma, organ enlargement, and storiform fibrosis on biopsy. 

IgG4 related disease

500

In patients with MS and ambulatory dysfunction, this medication can improve gait speed and endurance. It is an oral voltage-gated K+ channel antagonist.

Dalfampridine

500

This skin condition under Wood LAMp reveals coral red fluorescence 


Erythasma

500

Where I'm weak? Baby, I couldn't breathe

And rub it in so deep

Salt in the wound like you're laughing right at me

"Bad Blood" by Taylor Swift

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