18 JAN 2017 1759 IM Flashcards Preview

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Flashcards in 18 JAN 2017 1759 IM Deck (8)
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1
Q

what is the treatment for febrile neutropenia?

A

immediate IV BSA - monotherapy with an anti-pseudomonal beta lactam (cefepime, meropenem, pipercillin-tazobactam)

2
Q

how can toxic adenoma and multinodular goiter be differentiated, since they both display a nodular pattern?

A
  • toxic adenoma - focal uptake of radioactive iodine

- multinodular goiter - patchy distribution

3
Q

how are mild cases of hypovolemic hypernatremia treated? severe cases?

A
  • mild: 5% dextrose in 0.45% saline

- severe: 0.9% saline

4
Q

what are the ECG features of a mobitz I second degree AV block (wenckebach)?

A
  • progressive prolongation of PR interval leading to non-conducted P wave and a dropped QRS complex
  • constant P-P interval
  • increasing PR interval
  • decreasing R-R interval
  • group beating (repeating clusters of beats followed by a dropped QRS)
5
Q

what is the pharmacotherapy for raynaud’s phenomenon?

A

dihydropyridine CCBs - nifedipine, amlodipine

6
Q

what is the most common cause of glomerulonephritis in adults? when does it manifest?

A
  • IgA nephropathy

- occurs within 5 days (as opposed to 10-21 with post-strep GN)

7
Q

what is the best diagnostic test for acute diverticulitis?

A

abdominal CT with oral and IV contrast

8
Q

what are the first and second line treatment options for beta blocker toxicity?

A
  • first line: IV fluids and atropine

- second line (for profound refractory hypotension): IV glucagon