19 Eylül 2010 Pazar

Medical reminders - ( E-F-G-H )

Sponsorlu Bağlantılar:

Ectopic pregnancy (risc factors)
Endometriosis
Congenital anomaly of tubes
Tubal surgery
Old abdominal scar
PID
In vitro fertilization
Contraceptive pills

 Endocarditis (Major and minor criteria)
Clinical features and diagnostic include:
Infection (persistent positive cultures) (M)
Numerous Echo abnormal findings (M)
Foreign materials (m)
Echocardiogram (single) (m)
Culture (single) (m)
Temperature (m)
Immunologic phenomena (Osler’s nodes, Roth spots, Rf) (m)
Vascular phenomena (emboli, aneurysm) (m)
Early history of Endocarditis (m)

Endometrial cancer (risk factors)
Estrogen
Nulliparity
Diabetes
Obesity
Menapause after 50
Elevated blood pressure

Fabry Disease
Fleischer vortex dysplasia (corneal clouding)
Angiokeratoma
Brain (CNS)
Renal
Intestinal hyperactivity (diarrhea)
Cardiac
Acroparesthesia
Low sweating

Failure to thrive (evaluation)
Family history or genetics (chromosome)
Anemia
Imaging
Lead
Urine
Renal
Endocrine
Skin Test for TB

Fanconi’s anemia
Fragile chromosomes
Absent thumb
Nephritic (double or hypoplastic kidneys)
Cuteneous (hyperpigmentation)
Ocular (ptosiss, nystagmus)
Neoplastic tendency (leukemia)
IUGR
Short stature

Febrile seizure (clinical features)
Fever as trigger
Early childhood
Brief episode
Recurrence possible
Imaging normal
Lab normal
EEG normal

Fetal alcohol syndrome
Microcephaly
Abnormal facies (short fissures, smooth philtrum)
Thorax (murmur, TOF, coarctation, ribs)
Extremity (joint laxity, palmar creases, clinodactyly)
Retarded growth
Neural-MR
ADHD
Learning disorder

Fetal biophysical profiles
(fetal factors of BPP test)
Fluid (amniotic fluid volume)
Elevated HR
Tone
Activity
Lung (breathing movement)

Fetal Rubella syndrome
(German measles-clinical features)
Mental retrdation
Eyes (cataract)
Aortic coarctation or PDA
Skin rash (petechiae)
Liver (hepatitis)
Ears (deafness)
Small for gestational age

Fetal varicella syndrome
(clinical features)
Hypoplastic limbs
Epidermal scars
Retarded (MR)
Prenatal growth deficiency (IUGR)
Eye (retinitis)
Seizure


Fever of unknown origin
(evaluation)
Analysis of urine
Blood culture
CBC with diff
Dermal Skin Test for TB
ESR

Fever of unknown origin
(common etiologies)
UTI/URI
Neutroenia (cyclic)
Kawasaki
Neoplastic (Leukemia/Hodgkin)
Osteomyelitis
Wound (cat-scratch)
Neurotoxin/drug fever

Factitious
EBV/CMV
Vascular (JRA, SLE, RF)
Endocarditis
RMSF

FG syndrome
Frontal bossing
Growth retardation
Hypotonia
Imperforate anus
Joint contracture
Kyphoscoliosis
Low count of dermal ridges
MR

Floating harbor syndrome
Hand anomlies
Abnormal speech
Retarded growth
Bulbous nose
Ocular/oral anomalies
Rib anomalies

Formula (higher components in kid’s formula)
K (vitamin K)
I (Iron)
D (vitamin D)



Fragile X syndrome
Fragile site
Retarded
Autistic/ADHD
Genital anomaly (macro-orchidism)
Increased mandible
Language problem
Ears (enlarged)

Freeman-Sheldon syndrome
Small mouth (whistling)
Hypoplastic alae nasi
Extremity (Talipes Equinovarus)
Long philtrum
Dimpled chin ("H" shaped)
Ocular (deep-set eyes)
Nasal speech

Frequent infections
(evaluation of immune deficiencies)
Immunization Status
Nutritional Hx
Family Hx
Enzymes (catalase, ADA)
Complements
T-cells and Subsets
Ig-Subsets and Titers To CTMT
Organs (BM, thymus, etc)
Nitroblue Tetrazolium Test
Secondary (HIV, Malignancy, Nephrotic Syndrome)

Gastroesophageal reflux
(complications)
RAD (reactive airway diseases)
Esophagitis
FTT (failure to thrive)
Lung aspiration/infection
Upset stoach
X--SIDS

Gaucher’s disease
Glucosidase (beta) deficiency
Autosomal recessive (Accumulation of lipid)
Urologic (renal involvement)
CNS (not for type I)
Hematologic (anemia/bleeding)
Enlarged spleen/liver (hepatosplenomegaly)
Respiratory (lung involvement)
Skeletak (osteoporosis/osteopenia)
Goiter (etiologies)
Grave’s disease
Oral contraceptives
Infection
Tumors
Enviromental
Receptor defects (Resistance to thyroxin)

Heart sounds
(conditions with increased S2 split)
Septal defect (ASD)
Pulmonary embolus
Left ventricular paced beats
Incomplete pulmonic stenosis
Total right BBB

Henosch-Schönlein Purpura (HSP) (clinical features)
Hematuria/hematemesis
Skin rashes
Pain of joints/abdomen

Histiocytosis (class II)
(International criteria for the diagnosis of macrophage activaton syndrome)
Persistent fever
Hemophagocytosis
Anemia/thrmbocytopenia/leukopenia
Glyceride (hypertriglyceridemia)
Enlarged spleen

Histiocytosis (class II)
(treatment of macrophage activation syndrome)
ATG (antithymocyte antibodies)
BMT (bone marrow transplant)
Cylosporin (immunosuppressive)
Dexamethasone (steroids)
Etoposide (VP16)

Histoplasmosis (clinical features)
Heart
Infiltrate on X-ray
Spleen
Temperature
Ocular
Pneumonitis
Liver
Adenopathy
Skin (erytema nodusa)
Marrow of bone
Amphotericin is choice of treatment
Hypercalcemic crisis (clinical features)
Anorexia
Belly pain
Coma
Delirium
Emesis
Fatigue/weakness

Hyper Ig E syndrome
(clinical features)
Infection
Growth retardation
Eczema

Hyperkalemia (etiologies)
Kıdney
Adrenal dysfunction
Lysis of cells (transfusion, tumors)
Excessive intake
Mediacations (Digoxin, Heparin, PVK)
Insufficient renin
Acidosis

Hyperkalemia (treatment)
Albuterol (hypokalemia is one of the side effect of this drug)
Bicarbonate
Calcium
Dialysis
Exchanger (Kayexalate resin)
Flow of urine (diuretics)
Glucose/insulin
Hyperventilation

Hypokalemia (medication etiologies)
Aminoglycoside
B-amphotericin
Corticosteroids/cisplatin                 
Diuretics
Epinephrine


 Hypertension (causes)
Heart (coarctation)
Increased ICP
Pheochromocytoma
Emotional
Renal
Tumors
Endocrine
Nerological
Steroids (glucocorticoids, mineralocorticosteroids, OCP)
Elicit drugs (cocaine, phencyclidine)
Obesity
Neurofibromatosis

Hypertension (treatment)
ACE inhibitors
Beta-blockers
Calcium channel blockers
Diuretics
Exercise
Food/fat/sodium adjustment
Goal set-up
Habit/behavior modification