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most common complication of bronchiectasis?
maladaptive pattern of behavior in response to a stressor ..must occur within 3 months of the event and end withing 6 months
physicail symptoms of pcp use?
- autonomic instability
- muscle rigidity
contraindications to vaginal delivery?
- p. previa
- breech presentation
- prior c section
hpv causes what type of histological tumor in the cervix and vagina?
des causes what?
adenocarcinoma of vagina nd some cervix
how is the uterus in abruptio placenta?
p.previa--not tender or hyperactive
most accurate test for pcv?
headache, dizziness, nausea, exposure to co?
enzyme deficiency in lesh-nyhan syndrome?
alcohol abuse causes anema due to def of what?
how is taysachs different from nieman picks?
nieman picks has hepatomegaly
most important step in managing diabetic foot ulcers?
most common cause of death in dialysis patients?
most common complication after treatement for hodking disease?
secondary malignancy years after
rx for opiod withdrawal?
high blood pressure, headaches, epistaxis ina young person, dx?
coarctation of aota
signs of left ventricular hypertrophy?
- high qrs
- downsloping st segment depression
- t wave inversion in lateral v5-v6 leads
when are bb contraindicated in mi?
cocaine induced ischemia
pulmonary edema with mi
who should get pcv?
all adults over 65
under 65 if they have chronic, lung, heart, renal or metabolic disorders/immunodeficiency
management of pulmonary edema in mi or heart failure?
do limb jerks occur in syncope?
yes if there is marked hypoxia
a patient with chronic liver disease or hep c needs what?
hep b and hep a vaccinations
what causes umbilical hernia?
what are the potential causes of a urine dipstick + for blood?
3 types of osteomalacia/rickets?
- vit d deficient--- low vit d
- vit d dependent---mutated vit D
- x linked hypophosphatemic rickets--renal wasting of phosphate
when do you treat pac?
only when symptomatic
next step in evaluation of a spontaneous abortion?
rx for missed abortion?
D and C
infant with thyrotoxicosis after mother had graves and was treated, cause?
tsh stimulating antibodies
what kind of morphology is produced by drugs on the liver?
- fatty liver
significant htn with hyperparathyrodism suggests what?
when would you screen for ovarian tumors?
if there is a positive BRCA gene
rx for cat, human, dog bites?
best initial test for paroxysmal nocturnal hemoglobinuria?
sugar water test
most accurate is cd 55 and cd 59 typing
difference between steven johnson syndrome and ten?
- steven johnson <10% of the body is involved
- ten>30% of the body is involved
screening test for MEn IIa and IIB?
mobile mass in the soft palate that is asymptomatic, next step?
nothing unless it produces symptoms
term for a response that veers away from the topic but comes back?
patient on warfarin with subtheruapuetic inr and propagating clot, next step?
bridge heparin therapy to warfarin
when doyou use tpa for pe?
if there is cardiovascular instability
colonoscopy indications with high risk villous polyps?
criteria for oxygen in copd?
- cor pulmonarle
when is electrical cardioversion performed in afib?
if the patient is unstable
erysipeloid affects what?
hands and feet
anything and it has distinct borders
when do you culture urine in cystitis
if it is complicated--pregnancy, very young very old, frequent, not responsive to therapy or anatomical defect exists
pain in the thumb in a woman in hte post partum period?
actininic keratosis vs seborheaic keatosis
actinic--sandpaper like texture
seborheic--glued on appearance
next step in hydrothorax from portal htn?