serotonin syndrome - CORRECT ANSWER rapid onset, combo of 2+ serotonin
agonists or dose changes
- mental status change
- autonomic instability
- neuromuscular abnormalities
tx: benzos, hydration, cooling
prinzmetal angina - CORRECT ANSWER - cyclical chest pain secondary to
vasospasm
- long term management with CCBs (Nifedipine)
vesicoureteral reflux - CORRECT ANSWER -retrograde passage of urine from the
urinary bladder into the ureter
- causes UTI in 30-40% of toddlers
- congenital abnormality
- complications: renal scarring
- dx: ultrasound, voiding cystourethography
multiple sclerosis - CORRECT ANSWER inflammatory disease of CNS
- symptoms occuring in different parts of the body which are intermittent,
recurrent, and separated by time and space
- eyeballs: optic neuritis, intranuclear opthalmoplegia --> diplopia
- lhermitte sign: electrical shock-type sensation radiating down the back of the
neck with flexion
,worsening symptoms with temp changes
CSF: pleocytosis (50%), elevated gamma globulin
odansetron - CORRECT ANSWER selective 5-HT3 receptor antagonist (blocks
serotonin)
- QT prolongation
- peripheral activity in the GI tract
Henoch-Schonlein Purpura - CORRECT ANSWER prodrome of HA, pharyngitis,
fever, anorexia
- US
- intussusception
- palpable purpura of lower extremities and buttocks
Myasthenia gravis - CORRECT ANSWER - muscles weaken & fatigue, which is the
hallmark
- ptosis, diplopia, blurred vision
- symptoms resolve with ice bag test
- autoantibodies block Ach binding sites
Jefferson fx - CORRECT ANSWER disruption of C1 ring
- odontoid view
hangman's fracture - CORRECT ANSWER C2 vertebral body fx with anterior
subluxation
Scheuermann's Disease - CORRECT ANSWER schmorl's nodes on x-ray
nucleus pulposus herniates into vertebral body
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