when a lesion doesn't change in T1 and T2 , it means it's hematoma
How long before an organ or tissue must be transplanted into a recipient?
That varies from organ to organ and tissue to tissue. For example heart or lungs must be transplanted within 4 to 6 hours; for kidneys potentially up to 72 hours. Corneas must be transplanted within 5 to 7 days and other tissues may be preserved for 3 to 5 years
Chf and pul embolism, asthma, mitral stenosis, pul edema increase dlco
intestitial lung dec and emphesema dec dlco
sarcoidosis, bronchitis is with normal dlco...
OB-GYN FACTS:
If it is only spotting____________________ reassure
if it is heavy < 35 years __________________________increase estrogen
if it is heavy > 35 years_____________Biopsy
you can add the following
acne + OCP _______ decrease progesterone
depression+ OCP _______ give SSRI
amenorhea+ OCP
urine pregnancy test if -ve
1) reassure
2) if she wants menstruation_____________ increase estrogen.
COMMON SIDE-EFFECTS of medications....
1. T****done= priapism
2. verapamil= constipation
3. ACEIs= angio edema, rash, Dry Cough
4. Clopidogrol-- HUS,TTP
6. Indinavir -- Renal Stone
7. AZT -- Bone Marrow Supp
8. Heparin - Thrombocytopenia
9. INH - Prepheral Neuropathy
10. Hydralazine- Lupus Like Syndrome(also Procainamide)
11. Ethambutol- loss of red green visual acuity
12. Pyrazinamide- Liver toxicity
13. Carbamazapine- SIADH
14. Lithium- Hypothyroidism,wt gain, Flair up of Psoriasis, Tremor, Acne,DI
15. Demiclocycline-DI
16. Aminoglycosides- Ototoxicity and nephrotoxicity
17. Bleomycin- Pulmonary fibrosis
18. Doxorubicin and Daunorubicin-Cardiotoxicity
19. Cyclophosphamide- Hemorrhagic cystitis
20. Vincristine-Peripheral neuropathy
21. Metronidazole-Disufiram like reaction and peripheral neuropathy
22. Niacin- flushing and abnorman LFT's
23. HMG coa (statins- myositis HIGH AST ALT( check lft's often )
24. Thiazide diuretics- hypercalcemia .. can cause GOUT
25. metformin- anorexia wt loss and lactic acidosis
26. imepenem- seizures
27. rifampicin= color change urine tears skin orange color
28. NSAIDs- gastritis, nephrotoxicity, can increase BP
29. B-Blocker- Cover Hypoglycemia Symptoms,
30. Clozapine- Bone Marrow Supp
31. Amitriptyline- Convultion, Cardiac arrythmia,Coma
32. steroids- avascular necrosis, edema. osteoporosis, poor wound healing
33. aspirin.... ototoxicity and resp alkalosis/ metabolic acidosis
34. Quinidine- diarrhea, thromocytopenia
35. Acarbose- flatuence
36.methimazole- agranlocytosis, aplastic anemia
37)Prazocin-- First Dose Syncope(give the first dose in your office)
38)Amilodarone -- Pul Fibrosis
39)Chlorpropamide -- SIADH
40)Colchicine -- DI
41)Nitrate Drugs+ Viagra(sildenafil)---> Sudden Death
42)Ethosuximide -- GI upset
43)Tolcapone --- Hepatotoxicity
44)Thioridazine --- Retinal Deposits, Torsade
45)Vancomycin --- "Red Man" Syndrome
46)Chloramphenicol--- "Gray Baby" Syndrome
47)Cimetidine--- Genycomastia
48)Ketoconazole-- Gynecomastia
49)Protease Inhibitors(in General)-- Hyperglycemia, Hyperlipidemia
50)Cisapride---Torsade
51)Methotrexate(long Term)--- Liver Fibrosis
52)Asparaginase--- Pancreatitis
53)Cyclosporine--- Nephrotoxicity
Lead poisoning case
I. complete physical exam
II. cbc,sma7 blood lead level, lft, glucose,
peripherial blood smear, serrum ferritin
III. <25 environmental intervention
25-44 environmental and oral dimercaprol
44-69 IM or IV edetate disodium
>70 IM or IV dimercaprol
IV. Plan to admit or d/c home
V. console: Inspect home for lead paint
remove child from lead hazard


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