Oral Boards Complications

Card Set Information

Author:
bigfootedbertha
ID:
87670
Filename:
Oral Boards Complications
Updated:
2011-07-20 10:51:36
Tags:
Medicine
Folders:

Description:
Studying for oral boards
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user bigfootedbertha on FreezingBlue Flashcards. What would you like to do?


  1. Pneumococcal pneumonia
    • EMBED
    • *Empyema—rare, but most common complication
    • Meningitis
    • Bacteremia
    • Endocarditis/Pericarditis
    • Death—if untreated or treatment unsuccessful
  2. H flu pneumonia
    PM EMCEES

    • Puerperal sepsis
    • Meningitis

    • Empyema
    • Mortality
    • COPD exacerbation
    • Endocarditis
    • Ear pain/infection
    • Sinusitis
  3. Legionella Pneumonia
    • Mortality is highest among immuno-suppressed patients (80%)
    • Sequelae of fatigue, neurologic symptoms, and weakness.
    • Empyema
    • Cavitation
    • Bullous emphysema
    • Renal failure
    • Endocarditis
    • Pericarditis
  4. Klebsiella Pneumonia
    SCAMPED

    • Superinfections
    • Cavitations
    • ARDS
    • Multiple organ dysfunction syndrome
    • Pulmonary abscess
    • Empyema
    • Death
  5. Mycoplasma pneumonia
    • Derm- Skin rash (erythema multiforme)
    • Cardio- endocarditis, pericarditis
    • Neuro, Encephalitis, cerebellar ataxia, Guillian Barre syndrome, peripheral neuropathies·
    • Rheum- Arthralgia, arthritis
    • Hem- hemolytic anemia, coagulopathies severe in pts. with Sickle cell disease and other Hgb S related diseases (asplenia, digital necrosis)
    • Bullous myringitis (blistered tympanic membrane)
    • Severe respiratory distress
  6. COPD
    PPACCD

    • Pneumonia/pulmonary HTN
    • Acute respiratory failure
    • Cor pulmonale, Chronic respiratory failure
    • Death
  7. Emphysema
    • CCAPP
    • Cor pulmonale
    • Chronic respiratory failure
    • Acute respiratory failure -> death
    • Pneumonia
    • Pulmonary hypertension
  8. Asthma
    DADCARPET

    • Dehydration
    • Acute hypercapnic and hypoxic respiratory failure
    • Death
    • Corpulmonale
    • Airway infection
    • Respiratory acidosis
    • Pneumothorax (rare)
    • Exhaustion
    • Tussive syncope

    • Exhaustion
    • Respiratory acidosis
    • Dehydration
    • Airway infection
    • Cor pulmonale
    • Tussive syncope
    • Pneumothorax [rare]
    • Acute hypercapnic & hypoxic respiratory failure
    • Death
  9. HTN
    MADRAS

    • CVD
    • MI
    • Aortic Dissection
    • Death
    • Renal Disease
    • Atherosclerotic disease
    • Stroke
  10. Angina
    • MI
    • Sudden death
    • arrhythmias
    • HF
  11. MI
    CHADDDDS

    • Cardiogenic shock
    • Heart failure/respiratory failure
    • ADL loss
    • Depression
    • Dysrhythmias
    • Dressler's Syndrome
    • Death
    • Sexual dysfunction
  12. CHF
    • Pulmonary edema
    • Arrhythmias

    MARS PD

    • MI
    • Arrhythmias
    • Renal or liver disease
    • Syncope
    • Pulmonary edema
    • Death
  13. IDA
    • Reccurence of IDA
    • Decrease immune function = infections in children
    • Children: developmental delay, delayed growth
    • Tachycardia
    • Still born or premature delivery
    • Cold intolerance
  14. Megaloblastic anemia
    Neurological damage from vitamin B12 deficiency may be irreversible if duration greater than 6 months

    Pernicious anemia is associated with an increased risk of atrophic gastritis which can lead to gastric cancer

    Hypokalemia
  15. Hemolytic anemias
    G6PD: Renal failure (rare)

    Sickle cell anemia: CASHD

    Chronic multisystem failure from end-organ damage, aplastic anemia, stroke, HF, death

    Hereditary spherocytosis: Severe hemolysis
  16. Alpha thalassemia
    SITS

    • Splenic rupture
    • Iron overload from transfusions
    • Transfusion reactions and infections
    • Severe hemolysis
  17. Beta thalassemia
    • HISWITS
    • Hemosiderosis
    • Iron overload from transfusions
    • Splenic Rupture
    • Worse prognosis than alpha thalassemia
    • Increased infections after splenectomy
    • Transfusion reactions
    • severe hemolysis
  18. HAV
    • Relapsing hepatitis
    • Fulminant hepatitis (rare)
  19. HBV
    • Fulminant hepatitis (massive hepatic necrosis)
    • Chronic Hepatitis B
    • Cirrhosis
    • Hepatocellular carcinoma
  20. HCV
    • Fulminant hepatitis rare
    • Cirrhosis
    • Hepatocellular carcinoma
  21. Crohn's Disease
    • SBO
    • Abscess
    • fistulas
    • Perianal disease
    • Malnutrition
    • Hemorrhage
    • Infections
    • Colon CA
  22. Ulcerative colitis
    FAN-C POT

    • Fistulas
    • Abscess
    • Nutritional complications (malabsorption, inadequate dietary intake, intestinal loss of protein)
    • Colon cancer
    • Perforation
    • Obstruction
    • Toxic megacolon
  23. Obesity
    MORPHIC G

    • Metabolic syndrome
    • OA
    • Reproductive disorders (men: hypogonadism, women: menstural abnormalities)
    • Pulmonary Diseases (obstructive sleep apnea)
    • HTN, hyperlipidemia
    • Insulin resistance and T2DM
    • Cancer, cardiovacular disease

    Gout, gallstones

    • Insulin resistance and Type 2DM
    • Cardiovascular Disease
    • Hypertension
    • Hyperlipidemia
    • Reproductive disorders
    • o Men: hypogonadism
    • o Women: menstrual abnormalities
    • Pulmonary diseases-Obstructive sleep apnea, obesity
    • Gallstones
    • Cancer
    • OA
    • Gout
    • Metabolic syndrome
  24. TIA
    Stroke- high risk in first 48 hours to one month following TIA
  25. CVA
    • Depends on severity of stroke
    • Disability
    • Coma
    • Death
  26. Strep Pharyngitis
    PROMS

    • Post-strep glomerular nephritis, peritonsillar abscess
    • Rheumatic Fever
    • OM
    • Mastoiditis
    • Sinusitis, Scarlet fever
  27. AOM
    • Perforated TM
    • Mastoiditis
    • Meningitis
    • Chronic otitis media
    • Labyrinthitis
  28. COM
    • Conductive hearing loss
    • Mastoiditis
  29. Serous OM
    Decreased hearing with impairment of language acquisition skills
  30. Acute sinusitis
    • Cellulitis
    • Osteomyelitis
    • Cavernous venous thrombosis
    • Meningitis
  31. Viral rhinitis
    • Transient middle ear effusion
    • Secondary bacterial infx (OM, sinusitis)
  32. PUD-gastric
    PORCH

    • -Perforation/Peritonitis
    • -Obstruction
    • -Recurrence of ulcer
    • -Cancer of stomach
    • -Hemorrhage (most common) ->Death can result
  33. PUD-Duodenal
    • Perforation/Peritonitis
    • Obstruction
    • Recurrence of ulcer
    • Cancer of stomach
    • Hemorrhage (most common) ->Death can result
  34. Acute renal failure
    ED MUCH

    • ESRD
    • DEATH

    • Metabolic Acidosis
    • Uremic syndrome
    • Chronic Renal failure
    • Hypertension/hyperkalemia



    • ESRD
    • Chronic renal failure
    • Uremic syndrome (encephalopathy)/ GI bleed
    • Metabolic acidosis
    • Hypertension
    • Hyperkalemia
  35. Chronic renal failure
    HHH EDEMA U

    • HTN, Hyperparathyroidism, hyperkalemia
    • Edema
    • Death
    • ESRD
    • Metabolic Acidosis
    • Anemia
    • Uremic syndrome
  36. HIV and AIDS
    • Opportunistic infections (OIs):-
    • --Pneumocystis Carinii Pneumonia (PCP)-
    • --Candidiasis
    • --Mycobacterium Avium Complex (MAC)
    • --------Most common cause of bacteremia in AIDS
    • Cytomegalovirus
    • HTN
    • Neoplasms associated w/ HIV:
    • --Hodgkin’s Lymphoma
    • --Invasive cervical carcinomas
    • -Non-Hodgkin’s Lymphoma
    • --Kaposi Sarcoma-
  37. Tension HA
    • Some evidence of TTA is part of migraine spectrum
    • Potential for medication abuse (butalbital is CII)
  38. Migraine
    - RARELY the patient may have a permanent neuro deficit following an attack, this usually only occurs in a “migraine equivalent”
  39. T1DM
    H CLENSDDD

    • Hypoglycemia-can kill a DM pt. quickly (most common)
    • - Repeated Hyperglycemic episodes that kill a DM in
    • the end
    • Cardiovascular disease risks
    • Lipodystrophy at the injection site
    • ESRD in 40% of pts, it is a major cause of death
    • Nephropathy and retinopathy
    • Somogyi effect
    • Dawn phenomenon
    • Diabetic coma
    • DKA
    • Death
  40. T2DM
    • Hypo/hyperglycemiaLipodystrophyRetinopathy/vision loss
    • Renal failure
    • CHD, MI, DVT, HTN
    • Skin: Gangrene feet, shin spots, candida
    • Peripheral polyneuropathy
    • Hyperosmolar nonketoic coma
    • Death
  41. Hypothyroidism
    • CIMP
    • Cardiac in nature because of CAD, CHF
    • Increased risk of infection
    • Megacolon in long term hypothyroidism, miscarriage rarely, myxedema coma usually in elderly women
    • Psychosis with “Myxedema Madness”(paranoid delusions)
  42. Hyperthyroidism
    • Thyroid storm: abrupt onset of severe hyperthyroidism (m.c. cause=Grave’s dz), can lead to arrhythmias (A-fib), delirium, seizures, coma, hyperthermia, and
    • death
    • *tx= large doses of thioureas and propanolol
    • Others: POING
    • Paralysis
    • Osteoporosis
    • Impotence
    • Nephrocalcinosis
    • Gynecomastia
  43. Osteoarthritis
    • Depression
    • Anxiety
    • Feelings of helplessness
    • Limits on daily activities
    • Job limitations
    • Joint replacement
    • Ulcers from NSAIDS

    
  44. Osteoporosis
    Hip and spine fractures
  45. Disc herniation
    • Chronic back pain
    • Permanent nerve deficits if the spinal cord if compressed for too long, but very rare
  46. Spinal Stenosis
    • The psuedoclaudication usually resolves but the back pain may persist
    • Bowel and bladder incontinence
    • Paralysis
    • Cauda equina syndrome
  47. Degenerative dementia
    • Often death results from malnutrition, secondary infections, pulmonary emboli or heart disease
    • Typical duration is 8-10 yrs; can range from 1-25 yrs
    • Depression
    • Use of antipsychotics can cause heart, infection (aspiration pneumonia), stroke
  48. Vascular dementia
    • Death (Shortens life expectancy by 3 years )
    • Focal neurological deficits
    • Falls and gait abnormalities
    • Behavioral problems (wandering, delusions, hallucinations, and poor judgement)
  49. Depression
    • 10-15% lifetime risk of suicide- most important complication
    • Alcohol/substance abuse
    • Work/school problems
    • Family conflicts
    • Relationship difficulties
    • Social isolation
  50. Lumbar sprain/strain
    • Risk of reinjury can lead to permanent spine instability
    • May lead to disc herniation
    • Fracture, dislocation and avulsion of the muscle from the bone
    • Bleeding into the muscle

What would you like to do?

Home > Flashcards > Print Preview