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most common location for ectopic generation of impulses causing afib
rx for intratrochanteric fracture of hip?
- hip replacement
- rods and screws for extratrochanteric
first step in management of a non reassuring fetal heart rate
- position change and oxygen
- discontinue uterotonic drugs
- fetal ph measuring if non reassuring heart rate continues
when is amnioinfusion indicated
for variable decelerations if other conservative measures dont help
next step after swalling draino?
common cause of hammer toes?
manifestations of friedrichs ataxia
- hammer toes
when do you surgically repair abdominal hernia
after 2 years of age
- decerebrate rigidiy
dx of anemia with high retics in an possible CLL or non hodgkins lymphoma
warm autoimmune hemolytic anemia
a patient with mgus, next step
rule out MM by doing a skeletal x ray
when do you perform a renal and bladder ultrasound with a uti in infants?
when do you perform voiding cystaurethrogram
on first uti before 24 months or unresponsive to antibiotics
vcu--- recurrent uti
how does papillary vs follicular cancer of thyroid metastesize?
follicular- blood vessels
which thyroid cells have hurthle cells
papillary and follicular
3 causes of post cholecystectomy pain
- functional pain
- sphincter of oddi dysfunction
- gallstones in the biliary tree
rx for sphincter of oddi dysfunction
aortic dissection in a 30 year old?
aortic dissection in a 60 year old?
- systemic hypertension
congenital disease with foot drop
charcot marie tooth disease
cause of high steppage gain
L5 injury or common perineal injury
which one is painfull, horodleum or chalazion
loss to follow up createes what bias
what is observer's or measurement bias?
misclassification of exposure/non exposure to diseased/non diseased subjects
hypoplasia of face and fingers
3 P's of maccune albright dyslpasia
- precocious puberty
- polyostous fibrous dysplasia
what ph of the fluid in the exudate indicates an exudates
which hypercoagulbility state causes venous and arterial thrombosis
difference in presentation between endocardial cushion defect and asd?
- asd---fixed s2 splitting
- cushion defect--loud P2 due to increased blood flow in the lungs
rx for local impetigo?
severe--oral cephalexin, ampicilline, dixloxacillin
what drug stimulates appetitie in cachetic patients?
when do you resect colon in diverticulitis?
rx for abscess due to diverticulitis
ct guided drainage or surgical
what are the only 2 precautions with which sildenafil is administered?
- dont give with nitrates
- 4 hours after alpha blockers
in a normal distribution how are mean, mode and median related to eachother?
they are all equall to eachother
rx for cocaine induced stemi?
tpa or stent
next step in managing laryngomalacia?
hold the child upright for 30 mins after feeding
difference between orbital and preorbital cellulitis
orbital has pain with movment of eyes and other eye pathologies like double vision
recurrent bacterial infections + delayed umbilical separation
leukocyte adhesion deficiency
rx for solitary met to the brain?
- resection and whole brain radiation
- multiple--- whole brain radiation
pain on terminal extension from a flexed leg?
2 causes of conductive hearing loss
prophylaxis for pertussisa
all close contacts regardless of their immunization history
how do you diagnose exogenous thyroid hormone intake?
very low thyroglobulin level
what is situational syncope
straining or coughing or valslava induced syncopey
2drugs to promote appetitie in cancer patients
rx for congenital long qt syndrome
2 causes of an exudate with high amylase?
- esophageal perforation
which cardiomyopathy is reversible
- alcohol induced
when do you perform gonadectomy in androgen insensitivity?