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Things I don't know on the Twitter feed
| Question | Answer |
|---|---|
| Painful abduction of arm beyond 120 degrees? | AC joint arthritis |
| Which drug will NOT cause hyperglycemia? B blocker, niacin, HCTZ, statin, ACE inh. | ACEi |
| What is the mechanism of flushing with Niacin? | prostaglandin release Pdg2 and pde2" |
| marijuana effects on DM | decreases insulin resistance |
| how does MJ affect fertility | increases prolactin --> inhibition of LHRH release leading to hypogonadotropic hypogonadism |
| Pain in the shoulder while trying to put the seatbelt on? | AC joint arthritis |
| Etiology of amenorrhea with strenuous exercise? | increases prolactin --> inhibition of LHRH release leading to hypogonadotropic hypogonadism |
| Shoulder pain while showering. Narrowing of glenohumeral joint space | glenohumeral arthritis |
| Hyper segmented neutrophil? | B12 def and MDS |
| Defect in hyperlipidemia Type I - Type II - Type III - | type 1 LPL or apo C2 deficiency; type 2 LDL receptor deficiency; type 3 is apo E abnormality |
| Which hyperlipidemia do you see tuberous xanthomas or yellowish palms? | type 3 is apO E abnormality |
| Hand foot mouth disease. Which Coxsackie virus A or B? | A since Annie got it |
| Pleurodynia & myocarditis - Coxsackie A or B? | B-tween the heart and lung |
| Peak airway pressure and plateau pressure Mucus plug - Pneumo - Cuff leak - | Mucous plug - increased peak and normal plateau; Ptx - increased peak and plateau; Cuff leak - decreased peak/plateau |
| Q. When is the murmur loudest in HCM? a. Valsalva in expiration B. Valsalva in inspiration | B. Hocm murmur worsens with less blood. Valsalva ->poor flow into the heart. Lesser blood to left heart during inspiration" |
| Mid diastolic murmur @ LSB and hyper dynamic impulse at Lt parasternal area? | ASD |
| Q. ethylene glycol poisoning with gap more than 50. wtd | fomepizole and HD |
| What surveillance for pt with history of primary sclerosing cholangitis every year? | annual U/S of gallbladder to R/O polyps if a polyp found then Surgery |
| pt with UC presenting with jaundice - wtd | rule out PSC by MRCP. Once present, r/o cholangiocarcinoma. Then US yearly to r/o GB polyps |
| Best management for Mexican American with calcification and seizure? | antiepilectics, not albendazole |
| How to diagnose neurocystocercosis? | non contrast CT -> MRI -> SEROLOGY |
| Avascular necrosis, which sickle disease? | SC disease |
| Bone marrow finding in Waldenstroms? | PlasmacytOID lymphocytes in WaldenstrOIDs IgMacroglobinemia! |
| What % plasmacytoma in multiple myeloma? | more than 10% Plasmacytoma in multiple mye10ma!" |
| What treatment to start in multiple myeloma? | lenalidomide/dex. Bortezomid/dex. or melphalan/pred. Note: do not use melphalan if pt going for BM transplant later. |
| Where do you see impaired adaptation in the dark? | anti androgen therapy. Ex bicalutamide (casodex ) |
| who gets night blindness | vitamin A deficiency and also with laser therapy for retinopathy |
| Basic Calcium phosphate crystals with shoulder pain? | Milwaukee shoulder |
| Calcium Pyro phosphate crystals with knee pain? | pseudo gout |
| Variable birefringence? In what diseases do you see it? | Calcium oxalate crystals have variable birefringence. Seen with ESKD and knee swelling. |
| What is calcium level in tumor lysis syndrome? | hyperphosphatemia with secondary hypocalcemia |
| What is urine dip stick for blood in tumor lysis syndrome? | Heme dipstick NEGATIVE in tumor lysis syndrome |
| Formula for microalbuminuria and what number considered microalbuminuria? | urine protein / urine creatinine ratio, more than 0.3 = 30 mg /dl is considered microalbuminuria |
| Which group of medications have decreased mortality in pulmonary hypertension? | Ans. prostaglandin analogues for type 1 pulm arterial HTN - epoprostenol |
| How to treat GBS? | Treat Guillain-Barre with IVIG OR plasmaphoresis. Not BOTH! And NOT steroids |
| Leading cause of acute pericarditis? | s/p cardiotomy |
| What occurs first in acute pericarditis EKG? ST elevation or T wave inversion? | ST elevation first then couple weeks later TWI |
| Ekg findings in acute pericarditis. What is most sensitive finding? What is most specific finding? | ST elevation more sensitive, PR depression more specific |
| Single test important determinant of pituitary function? | FSH |
| Blood pressure target in diabetics? | DM & CKD <140 / 90 |
| What is a responsible for the anion gap acidosis in DKA? | beta hydroxybutirate |
| Preprandial blood glucose in pregnancy? | <90 |
| Postprandial blood glucose in pregnancy? | 1 hr <140, 2 hrs <120 |
| neuroleptic malignant syndrome - treatment | FIRST d/c med SECOND supportive care such as cooling blanket THIRD meds bromo or dantrolene |
| HIV + no oral thrush, odynophagia. Wtd? | oral fluconazole if not better then Egd |
| Which type of RTA with kidney stones and what kind? | distal RTA type 1 mostly and proximal type 2 Calcium phosphate. |
| Uses of topiramate? | seizures, migraine prophylaxis, weight loss |
| How to measure auto PEEP? | pause at the end of expiration |
| Absent a wave on JVP? | Atrial Fibrillation |
| Mid wall dyskinesia of the right ventricle? | PE |
| Peak pressure 18, plateau pressure 15. What etiology? | Ventilator cuff leak |
| hi or low tidal volume shown to decrease mortality in a ARDS? | low tidal volume |
| One pulse beat normal next beat abnormal following beat normal then again abnormal? | Heart failure. Pulsus alternans, NOT electrical alternans in pericardial effusion |
| Large V waves in left atrium? right atrium? | MR, papillary muscle rupture; TR |
| How to confirm acromegaly? | glucose suppression test IGF-1 is for SCREENING and followup |
| Mechanism of amenorrhea in hypothyroidism? | incr. prolactin which inhibits GnRH which decreases FSH/LH AKA. Hypogonadotropic hypogonadism. Also seen with Marijuana, marathon runners |
| Veil in front of left eye? | left carotid artery syndrome! |
| sudden onset of floaters or cobweb where ever they look | retinal detachment |
| Marijuana effects on diabetes? | decreased blood glucose, decreased insulin levels |
| CPAP for who? | OSA and CHF |
| Which vasopressor has shown to decrease mortality in cardiogenic shock? | NE |
| Peak pressure 45, plateau preasure 42. What etiology? | pleural effusion / pneumothorax |
Created by:
christinapham
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