-
rx for acute mesenteric ischemia?
- bowel rest
- ng tube decompression
- heparin
- papverine
- necrotic bowel resection
-
when do you prophylax again meningitis?
- n.meningitidis
- h. influenza
-
what people have celiac sprue?
down syndrome people
-
rx for tropical sprue?
fq
-
what conditions have abnormal D-xylose test?
- sprue
- whipple
- 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';
lactose intolerance
-
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?
uc
-
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?
ultrasound
-
rx for ileus?
- erythromycin
- neostigmine
- metoclopramide
-
rx for tropical sprue?
folate + fq
-
LLQ pain relieved with defacation?
diverticulosis
-
rx for diverticulitis?
mild--bowel rest + antibiotics
severe--sx
-
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?
angiography
-
child's classification of operative mortality in pts with liver disease?
- a ascites
- b ilirubin
- e encephalopathy
- a albumin
- n- inr
-
rx for wilsons?
- trientene
- penicillamine
- zinc
-
rx for pbc?
ursodeoxycholic acid
-
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?
PNH
-
marker of increased bone deposition?
marker of increased bone resorption?
-
next step in management of a pleural effusion?
thoracocentesis
-
rx for acute mediastinitis?
drainage and antibiotics
-
rx for hypersensitivity pneumonitis?
avoidance of the exposure to the antigen
-
3 anabolic steroids?
- stanazol
- nadrolone
- testosterone
-
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
emphysema
Restrictive lung dz---all of them
-
what shud be given to close contacts of an active hep a dz in a patient?
iv ig
-
when is tips performed?
when medical and endoscopical therapies have failed
-
epiglottitis rolling in from side to side is diagnostic of?
laryngomalacia
-
what antibiotics promotes gall stone formation?
ceftriaxone
-
pseudocyesis is a form of what disorder?
conversion disorder
-
when does fetal demise occur?
between 20 weeks of gestation and onset of labor
-
which one has skin lesions, histo or blasto?
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?
- hiv
- heroin
- 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?
hypocalcemia
hypermagnesemia
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