Internal Medicine COMAT - Key Phrases || with Accurate Answers 100%.

Abdominal Distention W/Ascites correct answers differentials -CIRRHOSIS/portal HTN, heart failure -metastasis, infection, peritonitis physical exam findings -LAD (esp. supraclavicular, virchow's node): metastatic abdominal malignancy -elevated JVP: heart failure -spider angiomas, palmar erythema, caput medusae, gynecomastia: liver disease diagnostic testing -abdominal US FIRST, CT if needed -labs: LFTs, albumin, INR, CBC, amylase/lipase -paracentesis SAAG -high SAAG = portal HTN: cirrhosis, cardiac ascites, hepatic vein thrombosis (budd chiari), sinusoidal obstruction, liver metastasis -low SAAG = TB, pancreatic ascites, nephrotic syndrome, biliary leak methemoglobinemia correct answers due to exposure of oxidizing substances (dapsone, topical anesthetics) symptoms -cyanosis -LOW pulse ox, but NORMAL PaO2 (so supplemental O2 will NOT alleviate cyanosis) -dark chocolate blood treatment: methylene blue Acute Delirium Post-Op correct answers most common post-op complication in older adults -may persist for months causes: drugs, infection, electrolyte imbalance, immobility signs: confusion, disorientation, persistent sleepiness, hallucinations, agitation treatment: haloperidol guillain-barre syndrome (GBS) correct answers acute demyelination of peripheral nerves causes -infections: C. jejuni, M. pneumoniae, CMV, EBV, VZV