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kafopaci2016's version from 2016-06-15 23:29

Section 1

Question Answer
pt with hx of ingesting material resulted in flank pain and hematuria. the material is ethylene glycol
pt with ingesting material resulted in visual disturbances. material is?methanol intoxication
ethylene glycol intoxication ABG is ?anion gap metabolic acidosis. LOW PH , LOW HCO3.
aminioinfusion indicationvariable declaration due to cord compression during contractions
painless for ulcer with black center in immunecomprimised pt. dx?causative organism?ttt?ecthyma gangrenosum, Psudomonus, antipsudomonla penicillin.
Viral Myocarditis VS Viral Pericarditis ?Pluses paradoxes with Pericarditis
pluses paradoxes demonstrated clinical as loss of palpable radial pulse during inspiration
in herpes encephalitis location of abnormalities by CT,MRI & EEG IS ?fronto temporal
CSF in herpes encephalitis?lymphocytic plecytosis, increased protein, elevated RBCs, normal glucose
reason of elevated RBCs in CSF of herpes encephalitis is?destruction of front temporal lobes.
what kind of hormones is ACTH ?Polypeptide
1ry cushing VS Paraneoplastic Cushing ?why?hyperpigmentation in Paraneoplastic cushing cuz ACTH is low in 1ry cushing but high in paraneoplastic cushing.
what kind of hormones produced in pheo & carcinoid ?amino acid derived :carcinoid ( serotonin), pheo(nor epinephrin, epinephrin).
plural effusion of TB VS empyema?GLUCOSE LEVEL IS THE CLUE. VERY LOW with EMPYEMA BUT MILDLY LOW IN TB . 2- LYMPHOYTIC LEUKOCYTOSIS with TB.
pt with dx small cell lung cancer headaches when leaning forward. dx ?ttt?SVC syndrom. Radiation therapy.
pericardial effusion VS SVC syndrome clinically ?peripheral edema with pericardial effusion but no peripheral edema with SVC syndrome
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Section 2

Question Answer
pt with liver cirrhosis & and tenderness think of?NEXT STEP ?SBP. paracentesis.
SBP TTT?3rd generation cephalosporin. floropuinolone, extended spectrum penicillin.
pemphigus VulgarisV is <_> angles of mouth. mouth is superficial .so oral involvement and intraepidermal antibodies against Desmosomes. dezzoh 3ala fammoh.
Viral hepatitis VS polymyositis ?how to tell them apart?creatine kinase high, normal total bilirubin in polymyositis. (creatine kinase is a muscle enzyme)
atrophied hand musculature indicates?LMN
LMN hallmarks?fasciculation's + atrophy.
pt with both UMNL & LMNL is hallmark of ?ALS
blank staring followed by confusion & leg dragging . DX?why?how to dx?complex partial seizures caused by temporal lobe epilepsy diagnosed by MRI or EEG.
LEG DRAGGING AFTER SEIZURES IS CALLED?INDICATES?TODD'S PARALYSIS. COMPLEX PARTIAL SEIZURES.
automatism examples?indicates?lip smacking, chewing. indicates->complex partial seizures
sarcoidosis typical presentationhilar lymphadenopathy, pulm. reticular opacities,uvitis)
stable pt with V tach.next step?BP 90/60 is stable :-0Amiodarone IV
thin shiny hairless skin of lower extremity indicates?prephral vasculer disease
chlorthalidone isthiazide
electrolytes SE in K of thiazide is ?hypOkalemia
if high aldosterone?low K & low H+
primary hyperaldosterone causes?managment?1-unilatra; adrenal adenoma ttt(adrenalectomy) 2-adrenal bilateral hyperplasia.ttt(aldosterone antagonist:spironolactone,eleprenon)
level of PTH in hypercalcemia of malignancy is ?LOW
gastric bypass surgery complication and prophylaxis?symptomatic gallstone.prophylaxis: ursodeoxycholic acid.
proteinuria suggests what kind of pathology?glomuruler. even if less than nephrotic range
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Section 3

Question Answer
ch kidney disease effect on phosphate, calcium, PTH ?low calcium, high phosphate, high PTH ->2ry hyperparathyroidism
in ch kidney disease with 2ry hyperparathyroidism histopathological abnormalities underlying it are?parathyroid glandular hyperplasia
in 1ry hyperparathyroidism calcium & phosphate level will be ?calcium high. phosphate low.
DM pt on insulin and engaged in excersice must ?adjust insulin dose to avoid hypoglycemia
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