Cardiology — Flashcards

Flashcard 1701: What is the likely diagnosis in a diabetic patient with a severely deformed foot? X-ray shows bony destruction, increased bone density (sclerosis), osteophytes, and loss of joint spaces. _____

Answer: Charcot joint (neurogenic arthropathy)

Extra: Charcot joint (neurogenic arthropathy) is characterized by the '6 Ds' on X-ray: Distension, Density (increased), Destruction, Debris, Dislocation, and Disorganization. It results from loss of sensation and proprioception (neuropathy), leading to repetitive microtrauma.

Flashcard 1702: How do you treat DT's postop? _____

Answer: Benzos

Flashcard 1703: _____ is proven to prolong life in hypoxemic COPD patients (< 88%, 55 mmHg)

Answer: Oxygen

Flashcard 1704: What is the likely diagnosis in a hemodynamically unstable patient that presents with fever, vomiting, and a diffuse erythematous rash (erythroderma) on the trunk and extremities? The patient recently had nasal packing for nosebleed or was using tampons. _____

Answer: Toxic shock syndrome

Flashcard 1705: Skin hyperpigmentation and ↑ androgen implies ACTH-_____ Cushing's Syndrome

Answer: dependent

Flashcard 1706: Patient with rheumatoid arthritis begins to have cervical radiculopathy (weakness, pain, numbness in upper extremities) and UMN signs - next step? _____

Answer: Imaging of the cervical spine (X-ray, MRI)

Flashcard 1707: How can anorexia affect the CVS? _____

Answer: Through electrolyte imbalances

Flashcard 1708: What is the likely diagnosis in a patient with previous Hodgkin lymphoma status-post chemoradiation therapy that presents with dyspnea, JVD, ascites, and hepatomegaly? _____

Answer: Constrictive pericarditis

Flashcard 1709: Migraines typically present as a pulsating pain with _____, photophobia, or phonophobia

Answer: nausea

Flashcard 1710: What is the recommended treatment for a patient with symptoms of hyperviscosity secondary to Waldenstrom macroglobulinemia? _____

Answer: Urgent plasma exchange