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What metabolic disturbance is associated with SIADH ✔✔hyponatremia urine
sodium >20
facial spasms with tapping of facial nerve is associated with ✔✔hypocalcemia (chvostek's sign)
Arrhythmia associated with hypocalcemia ✔✔prolonged QT interval
signs and symptoms of SIADH ✔✔concentrated urine, with sodium >20 decreased
serum sodium <135
cold intolerance, weight gain, fatigue, constipation, bradycardia, enlarged tongue high
TSH, low FT4 ✔✔hypothyroidism
2-5 year old child with arm pain, refuses to move ✔✔radial head subluxation/nursemaids
elbow
Reduction technique for nursemaids elbow ✔✔pressure to radial head with supination and
flexion
, best initial test for RA ✔✔rheumatoid factor
most specific test for RA ✔✔ant i CCP
best initial/sensitive test for SLE ✔✔ANA
s-ana-sitive
most specific test for SLE (2nd test) ✔✔Anti DS DNA
Ant i Smith Antibody
Diagnostic test for gout ✔✔synovial fluid aspiration
Patient with CKD having acute gout flare, what is treatment ✔✔prednisone/steroid
decreased tissue perfusion is associated with what type of shock ✔✔cardiogenic
patient in septic shock, doesnt respond to 2-3 L of fluids, what is next step in management
✔✔vasopressors (norepinephrine, epinephrine, vasopressin)
diagnostic imaging for cauda equina ✔✔emergent MRI
recent crush injury, dark urine, abdominal cramps, headache, ✔✔rhabdomyolysis
arthritis, uveitis, urethritis ✔✔reactive arthritis
most common infection associated with reactive arthritis ✔✔chlamydia