-
Drugs that slow HR
beta blockers, CCCbs, amiodarone, digoxin
-
HOCM murmur
systolic ejection murmur, lateral sternal border, inc with dec preload-valsalva, standing etc
-
Murmur aortic stenosis
sys cresc/decresc murmur radiates to neck
-
Murmur aortic insufficiency
diastolic decresc low pitched blowing, best heard sitting up
-
MR murmur
holosystolic, radiates to axilla, inc with inc afterload-handgrip
-
MS murmur
diastolic mid late low pitched, OS
-
Dressler syndrome
post mi 2-4 wks ai rxxn with fever, pericarditis, inc esr
-
indications for repair of aaa
>5.5 cm, enlarging, sympt, ruptured
-
Target LDL in patient with DM
<70
-
Water bottle shaped heart
pericardial effusion, look for pulsus paradoxes
-
figure 3 shaped heart
coarctation
-
+ and - nikolsky sign
- + pemphigus vulgaris(worse)
- -=bullous pemphigoid
-
KOH spagetti and meatballs
tinea versicolor
-
Drug induced hepatitis causes
tb meds, acetaminophen, tetracycline
-
treatment hepatic encephalopathy
dec protein, lactulose, rifaximin
-
reynolds pentad
- charcots triad(ruq pain/jaundice/fevers&chills)
- + shock and mental status changes
- signs of suppurative ascending cholangitis
-
Hernia with highest risk of incarceration?
femoral
-
MC inherited hemolytic anemia
hereditary spherocytosis
-
Pure red cell aplasia/
diamond blackfan anemia
-
TTP pentad
- renal failure, fever, neuro abnormalities,
- thrombocytopenia, anemia
- FAT RN
-
RX TTP vs ITP
- TTP: emergent plasmaphoresis, cst, antiplatelet drugs (NO PLT TRANSFUSION)
- ITP: usu resolves spont, can use ivig or cst
-
10 yo, fever weight loss night sweats and ant mediastinal mass
dx?
nhl
-
Tumor lysis syndrome electrolyte changes
dec ca, inc k inc phos inc uric acid
-
Heinz bodies
thal, g6pd def, and post splenectomy
-
Microcytic anemia with dec iron, dec TIBC and nml or inc ferritin?
AOCD
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