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Alkalinziation of urine to get Ph> 6 will reduce uric acid stonesalso need to decrease Na intakewhat is med that will alkalinize?
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Potassium citrate
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In pan hypo pit replace what hormone first?pt with sheehans, low BP, low cortisol, low FSH, LH
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Cortisol
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Amenorrhea, a postpartum inability to lactate, and fatigue due to central
hypothyroidism or secondary adrenal insufficiency. dx?
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Sheehans syndrome
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___most commonly affects the kidneys and may cause significant
hypertension, kidney insufficiency, and renal vasculitis with classic
angiographic findings. what is dx and test of choice for this htn pt with mononeuritis multiplex
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PANtest would be renal angiography
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Hypocomplementemia and dysmorphic erythrocytes and erythrocyte casts seen on
urinalysis.
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Immuen complex mediated glomerulonephritis
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Muddy brown casts on urinlalysis
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ATN
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Hyaline casts, hx N/V, FENa <1% if CKD pt then may have higher FeNa but still be pre renal
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Pre renal azotemia
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Microscopic hematuria, hypertension, edema, proteinuria, and elevated serum
creatinine level are consistent with this condition. ___ is the most common
cause of primary nephrotic syndrome in the United States, especially in black
individuals. pt just had transplant for FSGS
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FSGS can occur just minutes post transplant!
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Use antihistamine / decongestant combo
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IF PT HAS MCI IE MILD COGNITIVE IMPAIREMENT, BEST TX IS
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CONTRO cv RISKS LIKE HTN
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Which nephrotic syndroem assoc with renal vein thrombosis
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Membranous nephropathy
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If a pt with MRI consistent with demylenation has an event of optic neuritis or symptoms of demylenation what is risk of developing MS in next 10-15 yrs?
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90%
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(1) diplopia; (2) dysphonia; (3) dysarthria; (4) dysphagia; and (5) descending,
symmetric flaccid paralysis that develops 12 to 72 hours after exposure. dx?
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Botulism
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May be asymptomatic or may have a severe influenza-like illness with prominent
fever, headache, and characteristic severe myalgia; a maculopapular truncal rash
(50% of patients); and mild leukopenia and thrombocytopenia and small elevations
in serum alanine and aspartate aminotransferase levels. travel to South America, day biting mosquite so night time mosquito net wont help
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Denge fever
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A neuromuscular junction disorder that causes progressive proximal muscle
weakness and areflexia, precedes the clinical recognition of cancer in up to 50%
of patients. pt also has anticholenergic symptoms of dry eyes, dry mouth, ED. CK level Normal, dx and hwo to make dx?
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Lambert eaton myasthenia gravis syndromecheck P/Q voltage gatedcaclium ion channel ab level ddx with polymyositis- DOES NOT normally cause areflexia and CK will be elevated, CK normal in LEMG syndrome
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