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- findings in EBV infection?
- cervical LAD, pharyngitis, atypical lymphocytes
- anti-mitochondrial Ab
- primary biliary cirrhosis
-
anti-smooth muscle Ab
globulin gap
ANA + - auto-immune hepatitis
- Hep B is _________ transmitted
- sexually
- serum to ascites gradient > 1.1 is...
- ascites due to portal HTN
- HepBsAg positive in...
- acute AND CHRONIC infection
- alcoholic hepatitis is characterized by...
- fever
- normal transaminases and indirect hyperbilirubinemia?
- Gilbert's
- aphthous ulcers
-
IBD
HIV - what's a thyroid cause of hyperprolactinemia?
-
primary hypothyroid
TRH stimulates PRL - screening test for Cushings?
- 24-hour urine-free cortisol
- anti-transglutaminase Ab
- celiac sprue
- rx for tropical sprue?
-
folic acid
tetracycline - usual location of an anal fissure?
-
posterior midline
if not, colonoscopy! - sometimes, diverticula can cause...
- malabsorption 2/2 bacterial overgrowth
- low serum iron could be:
-
anemia of chronic disease
or
iron deficiency anemia.
Check a ferritin - rx for aplastic anemia?
- stem cell transplant
- rx for anemia 2/2 parvovirus?
- IVIG
- elevation in HbA2 associated with?
- beta thalassemia
- hypersegmented PMNs?
- vitamin B12 deficiency
- findings of myelodysplastic syndromes?
-
pancytopenia
dysplasia of lineages
elevated MCV - mutliple myeloma has unexplained anemia, hypercalcemia, and _______
- renal dysfunction
- chronic bleed is a mechanism for ....
- iron deficiency anemia
- rx for metastatic prostate cancer?
-
androgen ablation first.
then chemo and radiation - what's MALT lymphoma?
-
associated with H. pylori infection.
just treat the H. pylori - virtually all vericoceles are on the _______ side
- Left
- seminoma produces
- only beta-hCG
- indications for resecting metastatic colorectal cancer?
-
obstruction
bleeding - rx for neuropathic pain?
- TCAs
- transverse myelitis
- occurse in pts with SLE
- back pain, worse with coughing, unilateral radicular pain
- small herniated disk
- weak ankle jerk and dorsiflexion?
- sciatica
-
migratory polyarthritis
tenosynovitis
skin lesion - disseminated gonococcal infection
- B19 parvovirus is also associated with acute onset, symmetric _________
- arthritis
- for hypercalcemia?
-
1. normal saline (for dehydration)
2. furosemide to get rid of calcium -
signs of hypomagnesemia?
Rx? -
Chvostek's sign, Trousseau's sign
give Mg and K - cause of hyperkalemia in diabetics?
- hyporeninemic hypoaldo
- euvolemic hyponatremia?
- SIADH
- for psychogenic polydypsia, look for:
- dilute urine
- how do you distinguish primary hyperaldo from Gitelman's syndrome?
- gitelman's has normotenstion (rather than hypertension)
- normal osmolar gap is...
- <10
- Type 1 RTA is associated with
- Sjogren's syndrome
- lithium and demeclocycline cause...
- hypernatremia
- DI causes
- hypernatremia
- arginine vasopressin is increased in..
- nephrogenic DI
- Ddx of RPGN?
-
lupus nephritis
Wegener's
infection-associated GN - C-ANCA?
- Wegener's
- P-ANCA?
-
microscopic polyangiits
Churg-Straus - hypercalcemia causes acute renal failure by...
- deposition
- common initial presentation in multiple myeloma?
- acute renal failure
- weight gain with which anti-depressant?
-
mirtazapine
(and TCAs) - which anti-depressant does NOT cause weight gain?
- buproprion
- depression is common afer...
- stroke
- listeria meningitis in...
- renal transplant patients
- rising epigastric sensation for...
- partial seizures
- TPA if within ____ hours of stroke onset
- 3
- locked-in syndrome
-
normal cortical and upper brainstem fcn
blink eyes, move vertically - no post-ictal confusion
-
syncope
absence siezures - naltrexone?
-
alcohol dependence.
for short term rx and to decrease relapse - heavy alcohol use?
-
7 drinks/wk women
14 drink/wk men - what drug lowers siezure threshold?
- haloperidol
- rx for cocaine intoxication?
- lorazepam
- panic sx and gynecomastia? m
- marijuana use
- what's acinetobacter?
- nosocomial GNR
- source: GI tract or central venous catheter
- candida
- don't use zidovudine in ___ trimester of pregnancy
- 1st
- _________ interferes with protease inhibitors. substitute with __________
-
rifampin
rifabutin - what's sepsis?
- SIRS + infection
- what's severe sepsis?
- organ dysfunction, hypotension
- refractory to fluid resuscitation?
- septic shock
- c. diff and cryptosporidium. which has fever?
- c. diff has fever!
- bug associated with widened mediastinum?
- anthrax
- Pap smears q ___ years for low-risk
- 3
- exposure to TB converts ____ weeks
- 4-7
- don't use HRT, use _______
- tamoxifen
- malaria prophylaxis?
-
atovaqone/proguanil
mefloquine
doxycycline - rx for latent TB?
- isoniazid 9 months
- dental prophylaxis?
-
amoxicilling
(clinda if penicillin allergic) - imiquimod?
- for genital warts
- indication for isotretinoin?
- cystic acne, on OCP
- pustular skin lesion in gono- or meningo-coccus?
- gonococcus
- first line for cystic, pustular acne:
- Abx