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last minute cardio
Question | Answer |
---|---|
pericardial friction rub | high pitched, scratch, scraping sound, increases on exhalation and when patient leans forward, 3 components - ventricular and atrial systole, ventricular diastole |
patient with chronic renal failure has chest pain and scratchy 3 component sound | pericardial friction rub |
causes of fibrinous pericarditis | post MI, uremia, radiation |
serous pericarditis | rheumatic fever, SLE, uremia, viral infection |
constrictive pericarditi | diastolic dysfunction, mimics right heart failure, causes include TB and staph, or malignancy |
child has a diffuse, raised hot red area of inflammation extending around periorital tissue leading to swelling | celullitis due to group A strep, since hyaluronidase is produced |
produces coagulase, which changes fibrinogen -> fibin and leads to abscess with drainage through a sinus | Staph aureus |
C3a and C5a activate these cells | mast cells |
thiamine deficiency | ophthalmoplegia, confusion, ataxia |
hyperpigmentation in sun exposed areas | pellagra |
peripheral neuropathy | B6 deficiency |
niacin deficiency in? | person whose diet consists of corn |
b12 deficiency in? | pure vegan, taking nicotinic acid to lower lipids |
fortified goat milk leads to? | folate and pyridoxine deficiency |
a cofactor deficiecny in collagenase | zinc |
cofactor deficiency in lysyl oxidase | copper |
cofactor for pyruvate to acetyl coA using PDH; deficiecny leads to ataxia, nystagmus, ophthalmoplegia, confusion | thiamine |
sensorineural hearing loss, blindness, periventricular calcifications in neonate | CMV neonate |
enlarged testicles that do not transilluminate, high arched palate, mid systolic ejection click followed by a murmur, MR | fragile X CGG |
pregnant women with fever, maculopapular rash, arthritis, and painful postauricular lymphadenopathy | she has rubella |
rubella symptoms in baby contracted from mother | sensorineural hearing loss, cataracts, PDA |
saddle nose deformity | congenital syphilis |
limb hypoplasia | thalidomide |
craniofacial abnormalities | isotreitnoin acid for acne |