Rheum
B/l pain+stiffness of shoulders and pelvic girdle. Elevated ESR/CRP?
Explain different presentations of Upper vs Lower GI bleed
Upper: melena, hemoptysis (if severe/significant flow could still consider hematochezia)
Lower: hematochezia
What is new chest pain that persists, low troponin, no ST changes?
Unstable angina
Define COPDE
Increased cough, sputum production, shortness of breath
Define AKI
Cr increase ≥0.3 mg/dL within 48 hours; increase in Cr ≥1.5 times baseline within 7 days; or urine volume <0.5 mL/kg/h for 6 hours
Start steroids for GCA
How do you diagnose pancreatitis?
At least 2 of the 3:
1. Pain (epigastric)
2. Labs (>3 x normal lipase)
3. Imaging (Generally CT)
Define A fib with RVR
Afib with rate >110
What would you treat a personal hospitalized for CAP with? Not immunosuppressed.
Ceftriaxone + azithromycin or doxycycline
Indications for HD
A, E, I, O, U
Leading cause of death in RA patients?
Cardiovascular
Gold standard for cirrhosis diagnosis?
Biopsy
What rhythm is this? Unchanged PR interval. Every third beat is dropped. P waves present throughout.
2nd degree AV Block type II
What is triple therapy for COPD?
Define Nephrotic Syndrome
Proteinuria>3.5 g/24 h; hypoalbuminemia (serum albumin ≤2.5), and edema
Steroid dosing for GCA with vision loss
IV methylpred 500–1000 mg daily
When do you start getting colonoscopies following IBD diagnosis?
Screening cscope to start at a max 8 years s/p diagnosis
How to manage STEMI?
Nitro, aspirin load, +/-clopidogrel, beta blocker, statin, heparin
Define empeyema or complicated parapneumonic effusion.
Empyema: pus, positive Gram stain/culture, or pleural fluid pH <7.2
Complicated parapneumonic effusion: high LDH, low glucose, loculation
Hyponatremia: Goal sodium correction in 24 hours
No more than 8
Dx? Flushing, diarrhea, hypotension, syncope, wheezing, dyspnea
Mast cell activation syndrome: All 3 below
1. Episdoic symptoms, at least 2 organ systems
2. Increased mast cell mediators during episodes
3. Clinical improvement with mediator-targeted therapy
Elevated LFTs in setting of IBD, one should consider...
PSC in addition to general hepatobiliary issues
Echo finding seen in cardiac tamponade?
Diastolic collapse of the RV
Indications for a chest tube?
Clinically significant pneumothorax, hemothorax, empyema, and large or symptomatic pleural effusions
Name a type of vasculitis with renal involvement
IgA, ANCA associated (GPA, microscopic polyangiitis, eosinophilic granulomatosis with polyangiitis), hypocomplimenteric urticarial