TearDrop Cells
How do you treat TTP if you are not at a PLEX centre?
FFP and high dose steroids
What are the 3 common tumour types in MEN 1?
Parathyroid adenoma
Pancreatic Neuroendocrine
Name class I surgical indications for aortic stenosis
1. Severe, symptomatic
2. Severe, asymptomatic, EF <50%
3. Severe, asymptomatic undergoing other CVSx
4. *Low flow low gradient
What are the components of the Child-Pugh score?
Ascites
Bili
Coagulopathy
Albumin
Encephalopathy
What are the 3 features of Felty's syndrome?
RA, neutropenia, splenomegaly
What score can you use to determine risk of recurrence for unprovoked clots?
HERDOO
What is the eGFR cut off for bisphosphonates?
<30-35
What happens to an AR murmur with increased preload?
Louder
What is the Maddrey score cut off for alc hep?
>/= 32
Which infection is PAN associated with?
Hep B
What is the typical chemo regimen for HL?
ABVD (adriamycin, bleomycin, vinblastine, decarbazine)
What are the 2 major adverse side effects of anti-thyroid medications?
Hepatitis
Agranulocytosis
In what condition would you see dome-shaped ST elevation in V1 and V2?
Type I Brugada
Which serology should be sent for suspected celiac if the patient is on a gluten free diet?
HLA DQ2/DQ8
What does VEXAS stand for? LOL
Vacoules
E1 enzyme
X-linked
Autoinflammatory
Somatic acquired mutation
What is the mutation for APL and location/chromosome?
PML-RARA, t(15;17)
Which test should you do for primary adrenal insufficiency in males with negative anti-adrenal antibodies?
VLCFA (adrenal leukodystrophy)
How often would you do US on a man with a AAA of 4.5 cm?
q1year
How do you treat microscopic colitis?
Budesonide
A patient with pseudogout has acute upper neck pain and fever, what syndrome do they have?
Crowned Dens Syndrome
Respiratory organism that causes agglutination
What is the screening test for classic or non classic CAH?
17-OH progesterone
What best helps rule out AS?
Absence of radiation to the carotid
Name a first line regimen for H. pylori with duration
PBMT (panto, bismuth, metronidazole, tetracycline) x 14 days
What biologic is used to treat catastrophic APLA?
Eculuzumab