HY lecture notes: Choledocholithiasis High direct bilirubin + high ALP + high amylase (or lipase) = gallstone pancreatitis = choledocholithiasis (stone in biliary tree) Diagnose and Tx with ERCP. …

  HY lecture notes: CML –> splenic enlargement; bloods show increased metamyelocytes + myelocytes. Seeing these two cell types in a question is essentially synonymous with CML. Let’s just say 19 …

  HY lecture notes: Tx for Pneumocystis jirovecii pneumonia (PJP) = TMP-SMX. However, add steroids when A-a gradient is >35, or pO2 <70 mm Hg. New literature (2019) has suggested …

  HY lecture notes: Do colonoscopy starting age 50 and do every ten years. If first degree relative (parent or sibling) has Hx of colon cancer, start at age 40 …

  HY lecture notes: Atrial septal defect (ASD) you’d hear wide, fixed splitting of S2. Usually due to patent foramen ovale. S2 denotes the closure of the semilunar valves (aortic …

  HY lecture notes: Normal pressure hydrocephalus (NPH) = wet, wacky, wobbly – urinary incontinence, CNS dysfunction, gait instability NPH also often has Parkinsonism. This is really HY on 2CK. So …

  HY lecture notes: Empiric Tx for community acquired pneumonia is usually azithromycin. Covers atypicals like Mycoplasma and also Strep pneumo. Occasionally can use a fluoroquinoline instead of azithromycin, but …

  HY Lecture notes: Travelers diarrhea –> dude goes traveling and gets self-limiting watery diarrhea; sometimes green; but the point is it’s not liters and liters of rice-water stool, which is …

  HY lecture notes: Pale RBCs –> think iron deficiency. In elderly, especially think per rectum blood loss. Most common cause is diverticular bleed, but red flag is obviously colorectal …