Solutions
Save
Terms in this set (86)
Serotonin (carcinoid)
Overproduction of amino-
acid derivatives inlcudes
Norepinephrine, epinephrine (pheochromocytoma)
Overproduction of a sterol 1-25 hydroxyvitamin D which is when you see
vitamin includes hypercalcemia of malignancy
Pleural protein
_____________________
Light production for Serum protein
effusion
>3.5
Normal serum protein: 6-7.8 g/dl
Give pneumococcal
Do NOT give live influenza
HIV vaccination
You can give Hep B and Varicella only if they do not
have immunity
,A 59 year old man comes Superior vena cava syndrome
to the office due to
headaches Often have headaches worse when leaning forward
They are diffuse and worse Most common cause is malignancy (SCLC tends to
with leaning forward grow centrlaly) - may requie endovenous stenting
followed by radiation therapy
No fever, vomiting, or chest
pain
Patient was recently
diagnosed with SCL cancer
Neck exam shows facial
and upper extremity
swelling, prominent
collateral veins
Chin down
How to eat when you may
Thickened liquids
be at risk for aspiration?
Elevated the head 30-40 degrees
43 year old woman with 2 Intestinal bacterial translocation
days of confusion and
lethargy Fever, abdominal tenderness, and mental status
changes are concerning for spontaneous bacterial
Patient diagnosed with Hep peritonities
C infection 10 years ago
Mostly caused by enteric bacteria (E.coli and Klebsiella)
Temp 100.8
Scleral icterus, scattered
spider angiomas
Diffuse abdominal
tenderness
Sodium N
BUN 26
What is the most likely
cause?
How do people with Gut bacteria make ammonium -> ammonia
hepatic encephalopathy
develop it?
, Bellow the BM
Autoantibodies against
hemidesmosomes
>60, typically coexists with
Bullous pemphigoid Alzheimer dementia
Prodromal phase - pruritic,
eczematous rash
Then, tense bullae (1-3 cm)
occurs
With a tension pneumothorax,
Air enters into the pleural space
Increases intrapleural pressure
How does needle
decompression/tube
Displaces mediastinal structures, compressing the other
thoracotomy help the
lung and SVC
symptoms of a tension
pneumothorax?
This is why you get distended neck veins because you
are impeding venous return
With a tube thoracotomy, you are increasing venous
return
Flash pulmonary edema
Sarcoidosis - think lung, eye, skin
Sarcoidosis vs SLE
Lupus - think arthralgias, neurological, cardiac
Antiendomysial antibodies Celiac disease
exist with
Metyrapone is used in Cushing syndrome
patients with It is an inhibitor of cortisol synthesis