11.22.2010

more clinical tips in internal medicine

metastatic thyroid looks like miliary on cxr

miliary cxr?
pcp
tb
histoplasmosis
varicella

sarcoid increased cd4/cd8 ratio

increased AST/ALT + ^MCV + ^GGT = alcohol

BNP is falsely low in obese and falsely high in kidney failure

^K+? tx kayexolate, calcium gluconate

rifaximin - to treat hepatic encephalopathy
lasix/aldactone ratio is 2/5
spontaneous bacterial peritonitis ppx = ceftriaxone 1mg iv daily

triad of acute interstitial nephritis = fever, eosinophilia, rash
etiology mostly likely drugs or infection

angioedema + urticaria etiology is...
IgE mediated
direct mast cell activation (contrast nsaids ...)
vasculitis

Pulmonary infiltrates + eosinophilia
farmer's lung
parasitic (strongyloides, aspergillus, loeffler's)
autoimmune (churg strauss..)


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