best test to confirm HSP
biopsy of skin or kidney-leukocytoclastic vasculitis
low TSH in a hospitalized patient, next step to see if it is ESS vs hyperthyroidism
- t3 level
- which is low in ESS
- and High in Hyperthyroidism
lateral or anterior anal fissure, next step
non healing posterior fissure, next step
rule out crowns for both
3 ways of stopping uremic dysfunction of pot
- conjugated estrogen
- cryoprecipitate which is costly and has side effect of fluid overload
primary biliary cirrhosis can do what to bones?
when does optic neuropathy occur with linezolid
linezolid can cause what
- lactic acidosis
- optic neuropathy
what meds cause drug induced neuropathy
empty sella syndrome is often seen in what condition
empty sella syndrome
suspecting idiopathic intracranial hypertension, LP would show what
opening pressure >250
mechanical aortic valve, thromboprophylaxis is?
mechanical mitral valve, thromboprophylaxis is what
- warfarin +asa
- warfarin +asa
goal for aortic mechanical valve?
with high risk?
mitral mechanical valve?
mitral valve is always 2.5-3.5
pt with suspected statin myopathy, next step
when do you screen HIV or immunocompromised patients for cervical cancer?
at the time of diagnosis
when can you stop cervical screening in someone at 65
- 3 consecutive neg pap smear
- 2 pap smears +HPV that was negative within 5 years of when you want to stop
rx for prolactinomas
carbergoline or bromocriptine
what suggests bilateral renal artery stenosis
increase in cr clearance by more than 30% after starting ACEI
severe hypertension and recurrent flash pulmonary edema
what asymmetry of kidneys is significant
when do you check for secondary causes for constipation
- late acute onset
- alarm features
what should be checked prior to starting statins