Labs/tests
What is a normal albumin excretion in pts with diabetes mellitus
<30 mg/g
cat scratch dx has cutaneous lesion with
prominent , tender, regional lymphadenopathy and possible systemic spread
sporothrix sclernchi (?) is what kind of pathogen and is seen with what profession? tx?
fungus; landscapers; 3-6 mos of oral itraconazole
how does abuptio placentae present
presents with abdominal and or back pain, fetal heart abnormalities, and a variable amount of vaginal bleeding
arterial thrombosis
based on wells criteria, if pt has likely DVT greater or equal to 2 on clinical probability what is next best step of management? when can u use ampiric anticoagulation?
compression ultrasonography; if you suspect pulm embolism
bilateral acoustic neuromas are associated with what?
NF2
how is persistent complex bereaverent disorder characterized?
intense yearning for deceased that persists atleast 6 mos to a year
how does placenta previs present
common cause of 3rd trimester painless bleeding; no pain
what is best form of contraception for pts with breast cancer
copper IUD, all hormone containing contracep is CI in pts with BC
pts with NF1 are at greatest risk to develop what? whats the next step?
intracranial neoplasms; next step is to order MRI of brain and orbits
pts who have polymyalgia rheumatica and are taking glucocorticoids should receive what?
DXA as soon as initiating therapy due to glucocorticoid induced osteoporisis
diabetic nephropathy causes what type of kidney damage
microangiopathic glomerular process
which medication is CI in pregnant pts with MG
magnesium sulfate is CI bcuz it may trigger a myastonic crisis due to inhibition of acetylcholine release at neuromuscular jxn
ERCP use in acute pancreatitis
pts with gall stone pancreatistis complicatd by cholangitis
what are lab values of DIC
thrombocytopenia, increased PT/PTT and low fibrinogen
how do you tx mod to severe cases of inflamm acne
with topical retinoids and benzoyl peroxidase. mod/severe: add topical Abs
how do you treat empirically community acquired pneuomnia (in patient)
for a pt taking phenytoin and wants to discontinue for pregnancy. what do you do
slow taper as rapid withdrawal may result in seizure/recurrence
next best step for drug induced pancreatitis
remove offending agent
what is fetal tachycardia defined as? what are common causes?
greater than 160/mn; common causes are maternal fever, medication side effect, fetal hyperthyrprnd, and fetal tachyarrythmia
1st line of meds for preg women with HTN. which med to give is pulse is less than 60?
IV hydralazine, IV lebetalol, oral nifedepine; pulse <60? give IV hydralzline
carotid sinus hypersensivity presentation
exertional only
what is fetal tachycardia defined as? what are common causes?
> 160 /mn; common causes are maternal fever, medication side effect, fetal hyperth, fetal tachyarrythmias
greatest risk factor for intraventicular hemmorraheg
prematurity