Clinical Reasoning — Flashcards

Flashcard 461: _____ can lead to an amylase-rich exudative pleural effusion with pH < 6

Answer: Esophageal rupture

Flashcard 462: Imaging for pancreatic cancer = _____ or ultrasound

Answer: abdominal CT scan

Flashcard 463: Generally, pathology of the RUQ is confirmed via _____

Answer: ultrasound

Flashcard 464: What is the most common cause of decreased breath sounds on the left following successful intubation? _____

Answer: Intubation of the right mainstem bronchus

Flashcard 465: A thick-walled cavitary lesion with an air-fluid level on CT is characteristic of a(n) _____.

Answer: lung abscess

Extra: Lung abscesses are often complications of aspiration pneumonia (frequently involving anaerobes) and typically present on CT as thick-walled cavities with air-fluid levels.

Flashcard 466: _____ is a common cause of acquired hydrocephalus in premature infants.

Answer: Intraventricular hemorrhage

Extra: Intraventricular hemorrhage (IVH) typically originates in the germinal matrix of premature infants. Screening is performed with cranial ultrasound.

Flashcard 467: What is the best diagnostic test for Boerhaave syndrome in a stable patient? _____

Answer: Gastrografin contrast esophagram

Flashcard 468: Rash - Diffuse, itchy vesicles on erythematous base - Different stages of healing _____

Answer: HHV-3 (varicella-zoster virus)

Flashcard 469: Cataracts may result in _____ of the red reflex

Answer: loss

Flashcard 470: Infective endocarditis is managed with _____

Answer: blood cultures