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A 25-year-old African-American male with sickle cell anemia has sudden onset of bone pain. Management of pain crisis?
O2, analgesia, hydration, and, if severe, transfusion
Treatment for SVC syndrome.
Heinz bodies?
Intracellular inclusions seen in thalassemia, G6PD deficiency, and postsplenectomy
Treatment for acute coronary syndrome.
Morphine, O2, sublingual nitroglycerin, ASA, IV β-blockers, heparin
CSF findings with SAH.
Elevated ICP, RBCs, xanthochromia
What is the immunodeficiency? ■ A child has eczema, thrombocytopenia, and high levels of IgA.
Wiskott-Aldrich syndrome
Peaked T waves and widened QRS.
Risk factors for pyelonephritis.
Pregnancy, vesicoureteral reflux, anatomic anomalies, indwelling catheters, kidney stones
An eight-year-old boy presents with hemarthrosis and ↑ PTT with normal PT and bleeding time. Diagnosis? Treatment?
Hemophilia A or B; consider desmopressin (for hemophilia A) or factor VIII or IX supplements
Initially presents with a pruritic papule with regional lymphadenopathy and evolves into a black eschar after 7–10 days. Treatment?
Cutaneous anthrax. Treat with penicillin G or ciprofloxacin
Criteria for exudative effusion.
Pleural/serum protein > 0.5; pleural/serum LDH > 0.6
Breast cancer type that ↑ the future risk of invasive carcinoma in both breasts.
Lobular carcinoma in situ
Signs of neurogenic shock.
Hypotension and bradycardia
A 20-year-old man presents with a palpable flank mass and hematuria. Ultrasound shows bilateral enlarged kidneys with cysts. Associated brain anomaly?
Cerebral berry aneurysms (AD PCKD)
May be seen in children who are accused of inattention in class and confused with ADHD.
Absence seizures
The three most common causes of fever of unknown origin (FUO).
Infection, cancer, and autoimmune disease
A 55-year-old man who is a smoker and a heavy drinker presents with a new cough and flulike symptoms. Gram stain shows no organisms; silver stain of sputum shows gram-negative rods. What is the diagnosis?
Legionella pneumonia
The most common causes of seizures in young adults (18–35 years)
Trauma, alcohol withdrawal, brain tumor
The most common form of glomerulonephritis.
IgA nephropathy (Berger's disease)
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