Card Set Information
How does basal cell carcinoma present?
Slow growing waxy nodular lesions with a rolled edge. Most common on skin areas chronically exposed to sun
Basal cell carcinoma treatment
Mohs surgery, excision or imiquimod cream
What is the 2nd most common form of skin cancer in the US and how does it present?
Squamous cell carcinoma
Most commonly arises from actinic keratosis, sun exposed areas including backs of hands and tips of ears.
Soft mobile with red inflamed base and adherent scale.
Conditions promoting pleural transudate
superior vena cava syndrome
Clear fluid produced from increased hydrostatic or fluid pressure or decreased oncotic pressure of plasma.
Low spec grav, low protein, less protein than serum, more albumin than blood.
Cloudy fluid produced from changes in pleural membrane permeability. such as inflamed areas
Pleural fluid to serum fluid ratio >0.5
Pleural fluid to serum LDH ratio > 0.6
+/- increased cholesterol levels
Conditions that cause exudative effusion
pneumonia (parapneumnonic effusion most common)
Etiology of superior vena cava syndrome
malignant mediastinal masses
Presentation of superior vena cava syndrome
facial swelling, headache, plethora
Boerhaave syndrome vs mallory weiss tear:
: (transmural esophageal rupture)
pain following repeated retching, not usually with hematemesis
: (mucosal tear)
repeated retching leading to hematemesis
Treatment for eradication of H pylori infection
either triple or quadruple therapy:
-PPI + Metronidazole, clarithromycin, tetracycline, bismuth or amoxicillin
-PPI+ Levofloxacin, rifabutin, furazolidone, doxycycline, nitazoxanide
Four major complications of peptic ulcers
Clinical findings of Primary sclerosing cholangitis:
jaundice, fatigue, pruritis
elevated alk phos, elevated ast/alt
may have increasing bilirubin level
stong association between pANCA with coexisting colitis
What is charcods triad and what disease is it associated with?
CHOLANGITIS (inflammation of CBD)
What is reynolds pentad?
ASCENDING SUPPURATIVE CHOLANGITIS
Labs in Cholangitis
rising alk phos and bilirubin
high amylase/lipase with secondary pancreatitis