Term
| dermatitis herpetiformis is associated with what disease? |
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Definition
| celiac disease- gluten free diet |
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Term
| what is dermatitis herpetiformis? |
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Definition
| an autoimmune bullous disease, causes intensely itchy small papulovesicles on sclap/ elbows/ knees/ back/ buttocks |
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Term
| dermatitis herpetiformis - what would be seen on skin bpx? |
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Definition
| granular IgA deposition in dermal papillary tips = pathognomonic |
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Term
| what is tx for dermatitis herpetiformis? |
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Definition
| Dapsone (but will not tx GI sx) |
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Term
| what will tx both dermatitis herpetiformis AND celiac disease? |
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Definition
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Term
| in celiac disease, what CBC finding would be expected? |
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Definition
| normocytic anemia i.e IDA |
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Term
| sarcoidosis skin findings? |
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Definition
| maculopapular eruption, waxy nodular lesions, erythema nodosum, and rarely ulcerative psoriasiform aand roasacea like but no veiscular lesions |
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Term
| findings of "corckscrew esophagus" is caused by what and associated with what dx? |
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Definition
| caused by multiple simultaneous contractions (barium swallow, manometry) - dx, diffuse esophageal spasm |
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Term
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Definition
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Term
| achalsia is caused by? what is barium finding? |
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Definition
| low peristalsis. bird's beak appearance distally |
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Term
| eiosinophilic esophagitis endoscope findngs? |
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Definition
| multiple rings or esophageal strictures, increased mucosal friability |
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Term
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Definition
| isolated ring at GE junction, causes intermittent dysphagia. not assoc with CP. |
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Term
| which group of patients are candidates for cardiac resychronization therapy with a bi-V PM + implantable cardioverter-defibrillator (ICD)? |
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Definition
| patients with left ventricular ejection fraction of 35% or below, New York Heart Association (NYHA) functional class III or IV heart failure, a QRS interval of 120 msec or greater, and on optimal heart failure medications |
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Term
| bi-V devices are helpful for? |
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Definition
| improve L ventrc dyssychroncy, LBB pattern ppl, QRS >/= 150 msec, NSR |
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Term
| what time of vitamin deficiency can be seen in post bariatric surgery and caused by poor postop oral intake? |
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Definition
| thiamine deficiency - Wernicke encephalopathy (nystagmus, opthalmoplegia, ataxia, confusion) |
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Term
| ____ administration can worsen clinical course of thiamine deficiency |
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Definition
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Term
| using atisceptic coated catheters helps to decrease incidence of catheter assoc UTI? |
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Definition
| no. altho it significantly reduces colonization rates and colonization densities of urinary catheters |
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Term
| what is LDL goals for patients with two or more CV risk factors? when to start meds? |
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Definition
LDL-C <130 goal
LDL-C 160 or >, then start drug therapy |
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Term
| fibric acid derivatives are used for? |
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Definition
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Term
| T/F: some reduction in trig's level would be expected with statin therapy? |
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Definition
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Term
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Definition
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Term
| what is intrabd compartment syndrome? |
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Definition
| when pressure intra-abdominally exceeds 20mmHg and accompanied by new organ dysfunction |
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Term
| what setting would be concerning for intrabd compartment syndrome? |
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Definition
| distended abd in setting of aggressive fluid resuscitation and recent abd surgery |
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Term
| how to measure intraabd pressure if worried about intra-abd compartment syndrome? |
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Definition
| measure of intravesicular pressure through a bladder catheter |
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Term
| what is the most common form of myositis in patients >60 YO? |
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Definition
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Term
| inclusion body myositis presents how? |
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Definition
| proximal and distal muscle weakness, symmetric vs asymm. quadrieps, wrist, and finger flexor muscles involved. insidious onset. CK <1000 |
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Term
| dermatomyositis characterized by? |
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Definition
| symmetric proximal muscle weakness, +autoantibodies, prominent rash (Gottron papules, heliotrope rash, V sign, or shawl sign) |
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Term
| polymyositis - occurs in older or younger patietns? |
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Definition
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Term
| polymyositis characterized by? |
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Definition
| symmetric proximal muscle weakness, frequent extramuscl sx. may have +autoantibodies - antinuclear Ab's may be pos |
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Term
| what is usual clinical pres of statin myalgia, myositis? |
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Definition
| muscle pain, tenderness, cramping. usually occur within 1st 6 MO therapy and resolve within 2 MO of stopping the med |
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Term
| how to dx PE in a pt with intermediate to high probability of PE? |
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Definition
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Term
| what are findings of PE on CTA that are specific? |
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Definition
| filling defects within the segmental or larger PA's |
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Term
| if chest imaging is contraindicated or unavail, how to dx PE? |
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Definition
| LE compression U/S to see for evidence of thrombotic dz |
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Term
| what type of lymphoma commonly involves extranodal sites? and examples? |
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Definition
| mentle cell lymphoma. involves bowel, peripheral blood, and BM. |
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Term
| overexpression of what gene and translocation is diagnostic for mantle cell lymphoma? |
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Definition
| over-expression of cyclin D1 and a t(11:14) translocation |
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