study_ing
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1. Mini Mental Status Exam score; less than 24 (outta 30) is suggestive of dementia
2.renal stones--6mm ( smaller --expectant, larger--do something!!)
3. abdominal aortic aneurysm 5.5cm or more..risk of repair outweighed by risk of rupture ( reference..ACS ..American college of surgeons)
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| tolito
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good thread
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| tolito
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1/3 child abuse victims are toddlers
1/3 are school age
1/3 are adulescents
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| study_ing
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 thanx...though gotta admit, i was inspired by urs
5. bipolar patient-- 3 attacks---> lifelong prophylaxis
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| study_ing
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basically u do not try to taper therapy in these pts even if they have been free of attacks
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| tolito
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60% patients with marfan have kyphosis or scoliosis
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| study_ing
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7. Cr>2.5-3, ACE inhibitors cant be used
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| tolito
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10 -15% pt with myasth gravis have thymoma
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| tolito
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ALT > 2X NORMAL + hbvdna + hbeag + hbsag ...treatment is interferon or lamivudine
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| cbenitesch
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Most common cerebral aneurysm:::
Ant communicating 30%
Posterior communicating 25%
MCA 20%
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| tolito
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PA/PRA > 30 is highly suggestive of pry aldosteronism
PA... plasma aldosterone
PRA plasma renin activity
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| sunny2
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Pituitary tumor less then 10 mm is Microadenoma - and microprolactinoma is a prolactin secreting microadenoma - treatment - Cabergoline
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| study_ing
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> 200 ng/ml PROLACTIN
suggestive of prolactinoma
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| study_ing
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more than 5 years--enuresis
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| tolito
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NEONATAL WITHDRAWAL
within 48hr.....heroin
2 - 6wks........methadone
1 -2 wks,,..... phenobarb
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| tolito
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PHYSIOLOGIC JAUNDICE
occurs AFTER first day of life
bil level rarely exceeds 12.9 -15mg/dl
resolves by 1wk of life
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| tolito
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NEONATAL SEIZURES
first 12 - 24hr = hypoxic-ischemic encephalopathy
1 - 3d after birth = intraventricular hemorrh
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| dr in trouble
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neonatal conjunctivitis
1st day---Chemical irritation -silver nitrate
3--5 days--- Gnococcal conjuctivitis
2 wks--3 months--chlamydial conjunctivitis
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| tolito
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SERUM LEVELS
ASPIRIN (at 6hr post ingestion)
....<35mg/dl = asymptomatic
....35 - 70mg/dl = mild to mod tox
....70 100mg/dl = severe tox
....>100mg/dl = potentially fatal
ACETAMINOPHEN (at 4hrs post ingestion)
> or = 150microg/ml....treat with NAC
( 150mg/kg = toxic dose)
ALCOHOL
>100mg/dl ...medicolegal intoxication
50 -150...uncoordinated with blurred vision
150-300...staggering, slurred speech
300 -500..stupor, hypoglyc, coma
>500mg/dl = potentially fatal in the non-tolerant patient
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| deardoc007
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Hi
tolito
I think treatment for acute hepatitis is supportive . IF or lamivudine are for chronic hepatitis. what do u say?
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| prathapdoctor
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deardoc2007, you are correct.
you give antiviral therapy for acute hep C, not for hep B.
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| dr in trouble
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For hepatitis C it shud b IF and ribavirin as lamivudine is for hepatitis B.
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| dr_arc
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i dont think there is any specific therapy for any acute hepatitis, T/t is supportive.
support acute. medicate chronic , transplant cirrhosis.
chronic hep B-----interferon OR lamivudine
chronic hep C------interferon AND ribavarin.
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| deardoc007
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hi
prathapdoctor
i think treatment for both( acute hep b and c) is supportive. IF and antivirals r used for chronic therapy only.
dR arc ur opinion is same like me.
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| dr in trouble
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in UW they mentioned that for Hep B Rx is IF and lamivudine but acc to DR. Fischer it is IF or lamivudine---what u think?
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