Kidney and hematologic disorders in children
Kidney manifestations AST, hematuria Key.differential points . , Age, diarrhea. Kidney manifestations AST, hematuria Key.differential points . , Age, diarrhea. HUS s hemolytic ureinic syndrome, BSP Henoch-,Schonlem purpura,TTP thrombotic thrombocytopenic purpura, ITP 2 idiopathic thrombocytopenic purpura, URi upper respiratory infection, ARF - acute r nal failure, CNS. - central riervous system ARP rs acute renal failure. U HUS and HJ gt i patients may need dialysis aud transfusions. t .Do not...
Causes of hyperthyroidism
1. Graves' disease by far, most common cause. Exophthalmos and pretibial myxedema are specific for Graves' disease. Patients have positive thyroid-stimulating immunoglobu -lins thyroid-stimulating antibodies, which activate the TSH receptor. Nontender, diffuse goiter also is present. Whole gland takes up excessive radioactive iodine. 2. Phimmer's disease toxic multinodular goiter hyperfunctioning nodules cause a lumpy goiter without positive antibodies or exophthalmos pretibial myxedema....
Immunology
Types of hypersensitivity reactions 1. Type I anaphylactic due to preformed IgE antibodies, which cause release of vasoactive amines e.g., histamine, leukotrienes from mast cells and basophils. Examples are anaphylaxis bee stings, food allergy especially peanuts and shellfish , medications especially penicillin and sulfa drugs , rubber glove allergy , atopy, hay fever, urticaria, allergic rhinitis, and some forms of asthma. With chronic type I hypersensitivity atopy, some asthma, allergic...
Vomit Description
. Currant-jelly.stoo s blood and roucus , palpable sausagti-shaped mass,-diagnose and treat with barium enema Hrvjrutnrt babies,-fever, rectal bleeding air in.bowel wall ' treav with NFQ, wogafittfc tube,- IV fluids', antibiotics ' . Cystic .fibrosis iraoifestatio ' as is rectal prolapse . Sudden oiwet'of pa'iti, distention., rectal .bleeding, perito- 'is'itis, fed's.beak on abdominal x-.-ray neat with surgery Rule f.2s GI- ulceration, or'bleeding use Meckel's scan' to' detect-, eat witfr...
Fibromyalgia vs polymyositis vs polymyalgia rheumatic
' .'Us. lt H' adult iemalcs 40-ott .t-ar o tj wmiin ' lt lt Women So y,a gt . old. 'l CUs-sic findings Anvii-ly, Mtvss, insoiuiiu, point v K v.-m-d i 't K. ,itjih. gt iin,il I vu .md k mr.ot,. ,imTiti . grt.ii k , gt n lt - . v. ' te amp deriifesj V l pSK .greweM gt gt l lynu-f u gt s wi'ji4s, . Mty.hlglt ESR, e d j,ly . am w lfc-r. tg t fw t tf iww irai-rr mun ln'mi Wim ihi.mikhi ,m.ii gt H Wi iiiiiini.il gt i.pnsn l Wiip i WMMWM lllihi .iiiihi lut mumimm iliilh l i igw -wftjiifgr vwr ....
Metabolic derangements that accompany liver failure
1. Coagulopathy prolonged prothrombin time in severe cases, partial thromboplastin time may be prolonged. Because the damaged liver cannot use vitamin K, patients must be treated with fresh frozen plasma. 2. Jaundice hyperbilirubinemia elevated conjugated and unconjugated bilirubin with hepatic damage vs. biliary tract disease . 3. Hypoalhuminemia liver synthesizes albumin. 4. Ascites due to portal hypertension and or hypoalhuminemia. Ascites can be detected on physical exam by shifting...
Crush the Boards
Department of Internal Medicine Eastern Virginia Medical School Norfolk, Virginia MEDICAL PUBLISHERS P LTD New Delhi FIRST INDIAN EDITION 2001 2000 by Hanley amp Belfus, Inc. This edition has been published in India by arrangement with Hanley amp Belfus, Inc., Medical Publishers, 210 South 13th Street, Philadelphia, PA 19107. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical,...