-
when do you use renal captopril scan
never
-
best initial dx for renal artery stenosis
most accurate
- doppler
- ct angio or mri angio
-
do you remove ovarian cysts?
when do you do observe
yes bc they can cause ovarian torsion
observe for a small ovarian cyst like a corpus luteum otherwise remove
-
advantage of raloxefene
- improves bone mass
- decreases risk of breast and endometrial cancer
- decreases LDL
-
signs on ekg of transmural infarctions?
-
rx for mild vs moderate dehydration in kids
mild---5% dextrose
moderate--20 ml/kg/hr
-
-
best initial rx for overflow incontinence for prostatic hyperplasia
- alpha antagonist--prazosin
- then give 5 alpha reductase
-
what kind of ovarian tumor has ca125
epithelial
-
most common form of melanoma
superficial spreading
-
when do you repair umbilical hernias
after 2
-
secondary amenohrea work up
- pregnancy test, tsh, prolactin are normal,
- then progesterone withdrawal test if no menses, check estrogen and progesterone
-
coagulopathy, hypothermia and acidosis during surgery, next step,
close abdomen temporarily
-
palpable nodule on prostate---biopsy
high psa but no palpable prostate--sonogram and biopsy
-
rx in premenopausal women for endometrial hyperplasia without atopy?
with
- progestins
- progestins if fertility is wanted, hysterectomy if fertility is not wanted
-
what kind of pathology does hemochromatosis cause
- conduction defects
- dilated cardiomyopathy
-
what is the only cause of increased a-a gradient that doesnt correct with oxygen
-
dietary modifications in renal calculi
- decrease protein
- decrease sodium
- increase calcium
- increase fluid
-
continued seizure causes necrosis of hwat part of the brain
cortical necrosis
-
status epilepticus lasts how long
>5 mins
-
risk factor for pancreatitis
- smoking
- chronic pancreatitis
-
most common complication sof mumps in kids
adults
-
proteinuria on dipstick in a kid,next step
recheck it
-
what drugs must be stopped prior to a stress test
-
axillary hair growth results from activation of what organ
pubic hair growth
- adrenal glands
- hypothalamus, pituitary, ovaries
-
what is not significant in terms of precocious puberty
- adrenarche--axillary hair growth
- thelarche-- breast development
-
when do you see intrauterine pregnancy, what level of hcg
1,500
-
hcg doubles every how many hours?
48
-
what hematoma crosses midline, cephalo or caput secundum
cephalohematoma
-
hosts for echinococcus?
dogs and sheep
-
what is the low t3 syndrome
- low total and free t3
- normal tsh and t4
-
pre-test probability affects npv, ppv, sensitivity, specificity?
npv and ppv
-
2 complications of peep
tension pneumothorax---mediastinal shift, hypotension
mucus pluggin and atelectasis--decreased oxygen saturation but no mediastinal shift or hypotension
-
what drug can induce porphyria
primidone
-
cancer on lower lip
squamous cell carcinoma
-
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