Fever + sore throat in a patient taking PTU/methimazole = ? Tx?
agranulocytosis. Stop drug and check WBC.
Substrates for gluconeogenesis
alanine lactate glycerol-3-phosphate
In DKA, best indicators of metabolic recovery?
- arterial pH - anion gap
Pellagra = deficiency of ?
Pseudotumor cerebri 2/2 toxicity of ___
Hypokalemic periodic paralysis
- episodic paralysis 2/2 abrupt decrease in serum K - cause: familiar or due to thyrotoxicosis - attacks precipitated by meals, stress - Pathophys: K influx into cell due to release of epinephrine & insulin
Initial screening test or primary adrenal insufficiency?
on CXR: Enlarged pulmonary arteries with "pruning" (rapid tapering of distal vessels) indicates...?
Pt with hypovolemic shock is intubated, mechanically ventilated, and crumps. What happened?
Positive pressure mechanical ventilation increases intrathoracic pressure, decreasing venous return to heart, decreasing preload. In patient with hypovolemic shock, this can rapidly cause circulatory collapse if volume not replaced b/f ventilation!
Pleural calcification = ?
Type of reaction in aspirin sensitivity syndrome?
pseudoallergic reaction. i.e. an exaggerated release of vasoactive and inflammatory mediators.