pregnant with active HBV
tx newborn with HBIG and HBV vaccine
Beck's triad for tamponade
hypotension, JVD, muffled heart sounds (also pulsus paradoxus). Electrical alternans
00:05
01:15
subarachno
...
pregnant with active HBV
tx newborn with HBIG and HBV vaccine
Beck's triad for tamponade
hypotension, JVD, muffled heart sounds (also pulsus paradoxus). Electrical alternans
00:05
01:15
subarachnoid hemorrhage
increased ADH and BNP --> hyponatremia. Tx - water restriction
coccidioidomycosis
SW US, central/south America. Pulm infection - dry cough, weight loss, pleuritic chest pain, erythema multiforme/nodosum, arthralgias
histoplasmosis
SE US, mid Atlantic, central US, caves. Acute PNA, but usually asymptomatic. HIV disseminated infection- hilar LAD, pneumonitis, pancytopenia, hepatosplenomegaly, palatal ulcers. tx- IV amphotericin B followed by lifelong itraconazole.
Blastomycosis
central US (most in Wisconsin). Often asymptomatic or flu-like Sx. Systemic disease- lytic bone lesions, pulmonary infection, skin lesions. Dx- broad-based budding yeast. Tx- itraconazole, amphotericin B
aspergillosis
invasive in IMCD. CXR - cavitary lesions. CT - pulm nodules, halo sign, air crescent
sporotrichosis
subcutaneous infection. Gardeners. Travel up lymphatics for nodules on forearms
cryptococcus
pulm infection often asymptomatic. Usually meningoencephalitis in HIV with CD4<200
hemochromatosis infections
Listeria monocytogenes, Yersinia enterocolitica, septicemia - Vibrio vulnificus
Narcolepsy treatment
methyldphenidate, modafinil, antidepressants (for cataplexy)
galactorrhea
test B-HCG, prolactin, TSH
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