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rx for acute mesenteric ischemia?
- bowel rest
- ng tube decompression
- necrotic bowel resection
when do you prophylax again meningitis?
- h. influenza
what people have celiac sprue?
down syndrome people
rx for tropical sprue?
what conditions have abnormal D-xylose test?
- bacterial overgrowth
test for giardia
ova and parasites x 3
stool osmotic gap below what means secretory diarrhea?
above what value means osmotic diarrhea?
below 50--- secretory
above 50---- osmotic
most common cause for adult chronic diarrhea';
rx for IBS?
Anti depressants for diarrhea predominant
uc or crohns has panca?
uc has panca
sulfasalazine is used for small bowel or large bowel?
large bowel-need colonic bacteria to break it down
which one has bloody diarhea, uc or crohns?
rx for sbo?
rest, ng tube decompression initially
if no improvement or complete obstruction--surgery
how does appendicitis cause wbc and rbc in urine?
by irritating ureters
best initial test for appendicits in kids?
rx for ileus?
rx for tropical sprue?
folate + fq
LLQ pain relieved with defacation?
rx for diverticulitis?
mild--bowel rest + antibiotics
first line rx for anal fissures?
- stool softener
- topical nitroglycerin
stage 3 of colorectal cancer has what?
lymph node involvement
what is the surveillance post colorectal cancer?
- cea every 3 months
- ct of chest, abd, pelvis every 1 year
- colonoscopy every 1,3, 5 years
lower gi bleed and colonoscopy is normal, next step?
child's classification of operative mortality in pts with liver disease?
- a ascites
- b ilirubin
- e encephalopathy
- a albumin
- n- inr
rx for wilsons?
rx for pbc?
which fatty acids dont need bile?
medium chain fa
failure to thrive criteria <2 yo?
- less than 80% ideal weight for age
- less then 5% percentile weight for age
- weight for length less than 10%
most accurate test for iron toxicity?
serum iron >350 mg/dl
what hemolytic anemia causes thrombosis?
marker of increased bone deposition?
marker of increased bone resorption?
next step in management of a pleural effusion?
rx for acute mediastinitis?
drainage and antibiotics
rx for hypersensitivity pneumonitis?
avoidance of the exposure to the antigen
3 anabolic steroids?
how is complex partial seizure different from partial seizure with secondary generalization?
parital seizre with secondary generatlization has tongue biting, foaming at the mouth and incontinence
Lennox-Gaustat seizure affect what age and have what comorbidity?
- <7 yo
- pts have mental retardation
2 diseases that have decreased DLCO?a
Restrictive lung dz---all of them
what shud be given to close contacts of an active hep a dz in a patient?
when is tips performed?
when medical and endoscopical therapies have failed
epiglottitis rolling in from side to side is diagnostic of?
what antibiotics promotes gall stone formation?
pseudocyesis is a form of what disorder?
when does fetal demise occur?
between 20 weeks of gestation and onset of labor
which one has skin lesions, histo or blasto?
what profile is seenin DIC?
low platelets, low fibrinogen, high D dimer, high PT, high PTT, high bleeding time
focal segmental glomeruloscleoris is is common in what patients?
- african americans
how does a ligamental tear vs meniscal tear of the knee compare in presentaiton?
both have popping sensations but meniscal tear has swellling the next day and ligamental tear happens right away
episcleritis occurs wwith what 2 inflammatory conditions/.
increased tendon reflexes, electrolyte?
decreased tendon reflexes, electrolyte?