What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic hormone)? -
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ANS>>Increased production of ADH (antidiuretic hormone), hyponatremia, concentrated uri
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ne (from excess water resorption), elevated urine osmolality, mental status changes from cer
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ebral edema.pp
Diabetes insipidus is associated with what sodium level? - ANS>>Hypernatremia
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Psychogenic polydipsia results in urine that is: -
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ANS>>diluted with low osmolality and hyponatremia
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How would you determine the cause of a patient's AKI who presents with decreased urine
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output, history of neurogenic bladder, chronic foley, dark urine, and Cr increase from 1.3 to
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2.1 over 3 months? -
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ANS>>Flush the foley catheter to see if urine comes out and assess the patency of the cat
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heter. This action will unblock clogged sediment or biofilm from chronic bacteriuria.
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When a female patient presents to the ER after sexual assault, what medications should be
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offered prior to discharge? - ANS>>Ceftriaxone, azithromycin, Plan B, and Metronidazole.
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Manifestations of Conn syndrome (hyperaldosteronism)? -
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ANS>>hypernatremia, hypokalemia, and hypertension
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What causes Cushing syndrome? -
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ANS>>Increased levels of glucocorticoids, can be exogenous (from therapy) or endogenous (
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from adenoma or neoplasm).
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, Manifestations of Cushing syndrome? - pp pp pp pp
ANS>>hypertension, truncal obesity, osteoporosis, skin fragility, and hyperglycemia.
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What differentiates primary adrenocortical insufficiency from secondary adrenocortical insuffi
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ciency? - ANS>>Skin hyperpigmentation is present in primary adrenocortical insufficiency
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What is Trousseau's sign? -
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ANS>>A carpal spasm elicited by compression of the upper arm with a BP cuff that indicat
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es hypocalcemia.
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What is Chovstek's sign? -
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ANS>>A hemifacial tic that is induced by tapping the facial nerve below the maxilla that in
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dicates hypocalcemia. pp
What is Babinski's sign? -
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ANS>>An upward response (extension) of the hallux when the sole of the foot is stimulate
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d with a blunt instrument. Can identify spinal cord disease in adults.
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What is Romberg's sign? -
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ANS>>Loss of balance in standing when eyes are closed. Usually indicating a loss of proprio
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ception or lesion in the cerebellum.
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What is Homan's sign? - ANS>>pain on passive dorsiflexion of ankle, associated with DVT.
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What is the clinical presentation of Goodpasture's syndrome? -
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ANS>>Urinalysis: Specific gravity: 1.020. pH 5.5, 1+ albumin and large blood present.
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Chest XR positive for bilateral diffuse infiltrates.
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BUN 30, Cr 3.0 pp pp pp
Symptoms: dyspnea with hemoptysis pp pp pp