pt with positive PPD test, asymptomatic and negative chest xray. next step?
isoniazid and vit B6
pt with diarrhea for 3 days. Has jaundice, high indirect and total bilirubin, normal LFTs.?
Gilbert syndrome
defi
...
pt with positive PPD test, asymptomatic and negative chest xray. next step?
isoniazid and vit B6
pt with diarrhea for 3 days. Has jaundice, high indirect and total bilirubin, normal LFTs.?
Gilbert syndrome
deficiency of glucuronosyltransferase
provoked by stress, illness, fasting, dehydration, exercise, menstruation, surgery
Difference between SIADH and primary polydipsia labs?
PP: hyponatremia, low urine osmolality (dilute urine)
SIADH: hyponatremia, high urine osmolality (can't dilute urine)
triad for cardiac tamponade
JVD, hypotension, muffled/diminished heart sounds, pulsus paradoxus (drom in systolic pressure during inspiration d/t decreased intrathoracic pressure and increased venous return to RV)
manifestations of acute liver transplant
fever, RUQ pain, high LFTs
pathogenesis of c diff
toxin-induced inflammation of colonic mucosa
diagnostic step for lambert eaton?
repetitive nerve stimulation on electromyography
lymphangitis
red streaks radiating from skin lesion in direction of lymphatic vessels
pathogenesis of organophosphate poisoning
irreversibly inhibit acetylcholinesterase-> overstimulation of muscarinic and nicotinic receptors
tx for baby with chorioamnionitis post delivery
ampicillin and gentamicin
7 year old boy fell and nose won't stop bleeding; has happened before. Pt and bleeding time are normal. PTT prolonged and corrects with 1:1 mixture with plasm
MOST LIKELY hemophilia A: factor VIII deficiency
could also be hemophilia B: factor IX deficiency
4 month old has failure to thrive; turns blue with crying, and feeding
tetralogy of fallot
transposition of the great vessels distinguishing factors
early cyanosis, egg on a string on chest xray
truncus arteriosus distinguishing factors
ECG with left axis deviation and left ventricular hypertrophy
Has concurrent ASD and VSD
asthma PFTs
FEV1/FVC<70% that increases at least 12% w/ beta agonist
decreased FEV1, normal FVC, increased Total lung capacity
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