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alcoholic hepatitis recognition
ast/alt ratio is 2/1
patient is not cyanoitic but presents with a murmur of vsd
if patient is cyanotic then it is
fastest way of moving K into the cells
when do you get the acetominophen levels?
after 4 hours from ingestion
what needs to be replaced in volume contracted metabolic alkalosis
bile duct loss is seen in what liver condition
primary biliary cirhosis
diarrhea then myositis, periorbital edema, chemosis
when do you see calcium phosphate stones
in hyperparathyroid or rta type I
preferred airway intubation for patients with cervical neck fractures
what diagnoses are clinical and you can treat as next step
what has longer supplies in the body, vitamin b12 or folate
vitamin b 12
rx for chronic hep or hep c
- hep B--IFN or lamuvidine
- hep C-- IFN + ribavirin
when do you give ibig against hep b + hep vaccine
for prophylaxis in recently exposed
most common cause of neonatal sepsis
rx for appendicitis taht is >5 days old and is an abscess
manage conservative with iv abx and then appendectomy
raash, arthritis, + post auricular lymph nodes
when is treachostomy is the answer?
breast abscess vs mastitis
abscess is palpable and fluctuant
most common kidney stones
most important factor in development of edema in heart failure
fever, decreased hearing, ear discharge with rhinitis, dx
acute otitis media
gastric outlet obstruction commonly occurs secondary to
peptic ulcer disease
painless bleeding in 2 year old
painfull bleeding in a 2 year old
fastest way of getting K into the cells
rx for endocarditis
when all meds fail in copd exacerbtaion and before intubation, best step
non invasinve positive pressure ventilation
dx of schizoaffective
schizo symptoms for at least 2 weeks when mood symptoms are not present
central scotoma, deficiency afferent pupillary reflex?
rx for ascites?
- sodium and water restirction
rx for asymptomatic lymphodenopathy?
observe if small and rubbery
precocious puberty due to a tumor in the brain and opthalmoplegia
screening in young kids, 1-5 years old
dementia, + falls + hallucinations
lewy body dementia
rx for cellulitis with no systemic symptoms
with systemic symptoms?
type of selection bias where a treatment regimen is selected for a patient based on the severity of their condition without taking into account other possible confounding variable
new onset lupus nephritis, next step
an electrolyte complication of any brain patholgy
- diabetes insipidus
4 causes of very high chloride in the urine with metabolic alkalosis
what is the difference?
- primary aldosteronism
- renin secreting tumor
study design with randomization to different intervention with additional study of 2 or more variables?
factorial study design
patient with pms or pmdd suggestive symptoms, next step?
keep a diary and document 3 cycles of symptoms
what increases the power an decreases the confidence interval.
the sample size
heavy menses, dysmenorrhea, enlarged uterus
common causes for htn in young ppl
- fibromuscular dysplasia
- renal artery stenosis
high voltage on ekg
side effect of theophylline toxicity
- everything is up
- cns---agittation, seizure
- gi--nausea, vomiting, diarrhea
decreased sensitivity around the wound, crepitus
pustules, tenosynovitis and migratory polyarthritis
how to distinguish rotator cuff tendonitis(impigement) from other rotator cuff pathologies
impingement--pain resolves with lidocaine injection
cant lift arm over head
pain relieved with lidocaine
- adhesive capsulitis
- impigment--rotator cuff tendonitis
- rotator cuff tear-- weakness of arm