Shared Flashcard Set

Details

Primary Care
misc
27
Medical
Graduate
04/30/2019

Additional Medical Flashcards

 


 

Cards

Term
What type of kidney stones are AKA magnesium ammonium phosphate stones?
Definition
Struvite- due to urease organisms (such as proteus)
Term
Tx for calcium stones?
Definition
thiazide diuretics or calcium binders
Term
Tx for struvite stones?
Definition
Surgical removal
Term
What type of stones only form in patients with chronic UTI?
Definition
Struvite
Term
What type of stone is radiolucent (invisible on KUB imaging)?
Definition
Uric acid
Term
Tx for uric acid stones?
Definition
Alkalization of urine (Na bicarb)
Term
What type of stone is due to an autosomal recessive genetic disorder?
Definition
Cystine
Term
Tx for cystine stones?
Definition
Hydration- 3L fluid intake daily. Lifelong tx
Term
What genital lesions have a yellowish color?
Definition
Fordyce spots- harmless enlarged sebaceous glands
Term
Patient presents with multiple flat topped, pinhead-sized papules on the penis
Definition
Lichen nitidus
Term
What skin lesion presents with the "four Ps"- Pruritic, purple, polygonal, papules or plaques?
Definition
Lichen planus
Term
Clinical features of vulvar lichen planus?
Definition
vulvar pain, burning, pruritus, soreness, or dyspareunia (sometimes with post-coital bleeding)
Term
Treatment for vulvar lichen planus?
Definition
Topical corticosteroids (clobetasol)
Term
MC type of stone?
Definition
Calcium oxalate
Term
How does citrate relate to kidney stone formation?
Definition
Citrate binds to calcium and makes it more soluble; thus, low citrate in the urine increases likelihood of developing stones
Term
How is Mg related to stone formation?
Definition
Mg binds to oxalate; low Mg in urine raises likelihood of calcium oxalate stone formation
Term
What type of stones are hexagonal and flat?
Definition
Cystine
Term
What type of crystals are coffin-lid shaped?
Definition
Struvite
Term
What type of crystals are envelope-shaped?
Definition
Calcium oxalate
Term
Medical options to prevent recurrent stones?
Definition
Potassium citrate
Thiazide diuretics
Allopurinol
Term
Med to treat cystinuria?
Definition
Tiopronin
Term
First-line surgical tx in stones <1cm?
Definition
Shock wave lithotripsy (SWL)
Term
Surgical tx in stones >2cm?
Definition
Percutaneous Nephrolithotomy (PCNL)
Term
Medical expulsive therapy to facilitate passage of stones?
Definition
Alpha-blockers (e.g. tamsulosin)
Term
MC type of stones in pregnancy?
Definition
Calcium phosphate
Term
What is defervescence?
Definition
Abatement of a fever indicated by decreased body temp
Term
What is qSOFA?
Definition
quick sepsis-related organ failure assessment:
2 or more of the following:
SBP < 100mmHg (low bp)
RR > 22 breaths/min (increased resp)
Glasgow coma scale <15 (altered mentation)
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