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rapidly progressing bacterial erythema that progresses into a bullae with necrosis
what causes ecthyma gengrenosum?
presentation of viral encephalitis?
confusion + eeg changes in the brain
high lymphocytes and high protein everything else i normal
high blood pressure differential?
- conns syndrome
- renal artery steonsis
what electrolyte leads to weakness?
next best step in protracted labor?
if the 1st intervention doesnt work?
what is protracted labor?
failure of cervical dilation to go 1cm/hr
causes of protracted labor?
characteristic of a tb exudate?
what vaccine do hiv pts need?
rx for malignancy induced svc syndrome?
aspirations while supine end up in?
posterior basal segment of right lung
in what areas does bullous pemphigoid occur?
rx for mild?
- flexural areas- axilla, groin
predisposing factor to porphyria cutanea tards?
proximal muscle pain with high cpk and ast and alt
presentation of complex partial seizures?
- blank stare
- todds paralysis
rx for conns syndrome?
very high calcium levels?
modelraly high calcium levels cause?
prophylaxis after gastric bypass?
difference between primary hyperparathyrodism and secondary ?
- primary--low phophate
- secondary--high phosphate due to renal failure
causes of single parathyoroid adenoma vs glandular hyperplasia?
- primary hyperparathyroidism
- secondary hyperparathyroidsim
which is more precise pain, somatic or viscerail?
somatic--higher nerve concentration
rx for overflow incontinence?
- cholingergic agonist--
what kind of mucosa is in a meckels diverticulum?
causes of DIC?
- Nephrotic syndrome
rx for dic?
- if not effective cryoprecipitate
what are the recommendations for screening over the age of 65?
- mammogram every year
- pap smear every year untill 65
- sigmoidoscopy every 5 years
- lipids every 5 years
which one has the cremasteric reflex intact? torsion or epididymitis?
what testicular pathology gets better with testicular elevation?
2 most common types of nephrotic syndromes?
- focal segmental
esophageal rupture usually presents how?
- left pleural effusion
what kind of seizure disorder presents with limb jerking in the morning that is worse with sleep deprivation?
juvenile myoclonic epilepsy
quickest way to reduce ischemic myocardial pain?
reduce preload via nitrates
corkscrew shaped abnormality in the abdomen?
sausage like abnormality in the abdomen?
in parkinsons, there is atrophy of what parts?
frontal lobe and substantia nigra neurons
all of the pathology in parkinsons results from what two hormone imbalance?
chordae tendinae are part of what two valves?
what is the co in septic shock?
most accurate site for wegeners biopsy?
infections of what with step pyogenes do not lead to rheumatic heart disease?
- only infections of the pharynx lead to rheumatic heart disease
rx for copd exacerbation?
rx for prolactin secreting pituitary?
refractory to rx?
results from atypical population are extrapolated to a general population
what personality disorders may exhibit psychotic symptoms and feel dissociated at times/
what endocrinological disorder may present as psychosis?
side effect of efavirenz?
vivid, hallucinatory dreams
best initial therapy for urge incontinence?
- timing voiding
- if it fails
biopsy of a purpura in hsp?
leucocytokasitc vasculitis with IgA
what vasculitis has granulomas?
best initial rx for oa?
- weightloss and exercise
- then nsaid
how effective are hyluronic acid?
as effective as placebos
a tender , edematous mass in the labia majora?
psychosis with dilated pupils and tachy?
proptosis vs ptosis?
- protptosis--eye is bulging out
- ptosis--lid lag
criteria for kawasaki?
- 5 days of fever
- mucosal inflammation
- Limb inflammation
- Nodes enlargement
- scantifiliform rash
opthalmologica condition with a glare at night and trouble seeing at night?
painless loss of vision that is worse at night?
causes for thrombocytosis?
- myeloproliferative disorder i.e essential thrombocytosis
what is seen on peripheral smear post splenectomy?
- howel jowell bodies
- target cell
what two conditions have high 17 hydroxyprogesterone levels?
ovarian failure has increased ratio or what?
what substance causes compression of the medial nerve causing carpal tunnel syndrome in the following?
- increased deposition of matrix substances
- ra inflammation
- hyperplasia of the synovium
what tocolytic can produce pulmonary edema?
terbutaline and other beta agonists
central cyanosis vs peripheral cyanosis?
- central--decreased oxygen saturation
- peripheral--sluggish blood flow
type I dyslipidemia?
- low lipoprotein lipase--increased TG
- low LDL receptors---Increased cholesterol
palamr xanthomas and milky blood?
high tg---type III dyslipidemia treat with fibrates
rx for premature labor?
most important to reduce diabetic nephropathy?
high fevers with seizures and a rash?
ocp's decrease the risk of what gynecological cancers?
ovarian and endometrial
diagnostic tests for HIT?
- serotonin release assay
- ELISA for platelet factor 4
what electrolyte abnormalities cause torsaides?
presentation of vasovagal vs hypotensive syncope?
vasovagal--prodrome of dizzines, flushing
hypotensive--after rapidly standing up