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Derm Calciphylaxis(100% verified)
Calciphylaxis Introduction(Complete solutions) PD-Diseases and Related Skin Conditions(100% correct answers) Wound Dehiscence & Calciphylaxis(A+ Graded solutions)
[Show more]Calciphylaxis Introduction(Complete solutions) PD-Diseases and Related Skin Conditions(100% correct answers) Wound Dehiscence & Calciphylaxis(A+ Graded solutions)
[Show more]Certain amino acids are "essential" in our diet since correct answers our body cannot construct them from simple components 
 
Phenylalanine is one such essential amino acid and is the starting point for correct answers a network of metabolic pathways that produces such important components and th...
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Add to cartCertain amino acids are "essential" in our diet since correct answers our body cannot construct them from simple components 
 
Phenylalanine is one such essential amino acid and is the starting point for correct answers a network of metabolic pathways that produces such important components and th...
What is calciphylaxis? correct answers Calcium phosphate in vessels -> thrombosis and necrosis of subcutaneous tissue 
 
Which patients get calciphylaxis? correct answers ESRF 
 
But also: 
Early CKD 
AKI 
Prior kidney transplant 
Warfarin 
 
What is the progression of skin lesions? correct answe...
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Add to cartWhat is calciphylaxis? correct answers Calcium phosphate in vessels -> thrombosis and necrosis of subcutaneous tissue 
 
Which patients get calciphylaxis? correct answers ESRF 
 
But also: 
Early CKD 
AKI 
Prior kidney transplant 
Warfarin 
 
What is the progression of skin lesions? correct answe...
Approximately what percentage of ESRD patients on dialysis develop calciphylaxis? correct answers 1-4% 
 
What percentage of calciphylaxis patients will experience mortality by 1 year of diagnosis? correct answers 40-80% 
 
Which has a higher incidence, nephrogenic or nonnephrogenic calciphylaxis? c...
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Add to cartApproximately what percentage of ESRD patients on dialysis develop calciphylaxis? correct answers 1-4% 
 
What percentage of calciphylaxis patients will experience mortality by 1 year of diagnosis? correct answers 40-80% 
 
Which has a higher incidence, nephrogenic or nonnephrogenic calciphylaxis? c...
what is Wound Dehiscence? correct answers opening of sutured surgical incision 
 
what are the risk factors for Wound Dehiscence? correct answers Suturing not properly performed 
Stress to the wound (i.e. pulling) 
Chronic conditions that affect healing (i.e. diabetes) 
Chronic conditions affecting ...
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Add to cartwhat is Wound Dehiscence? correct answers opening of sutured surgical incision 
 
what are the risk factors for Wound Dehiscence? correct answers Suturing not properly performed 
Stress to the wound (i.e. pulling) 
Chronic conditions that affect healing (i.e. diabetes) 
Chronic conditions affecting ...
A patient with a history of inflammatory bowel disease presents with painful leg ulcers that have irregular shaped wound edges, violaceous with erythema extending from wound edges. Which of the following diagnoses is most appropriate? 
a. venous 
b. pyoderma granulosum 
c. vasculitis 
d. erysipelas ...
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Add to cartA patient with a history of inflammatory bowel disease presents with painful leg ulcers that have irregular shaped wound edges, violaceous with erythema extending from wound edges. Which of the following diagnoses is most appropriate? 
a. venous 
b. pyoderma granulosum 
c. vasculitis 
d. erysipelas ...
Treatment for dystrophic calcium correct answers 0 low calcium and phosphate diet 
Sodium thiosulfate 
 
Example of metastatic calcification correct answers Chronic Kidney disease 
- iability to clear phosphate 
 
Renal transplant patient with bump at site of heparin injection. Why? correct answers ...
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Add to cartTreatment for dystrophic calcium correct answers 0 low calcium and phosphate diet 
Sodium thiosulfate 
 
Example of metastatic calcification correct answers Chronic Kidney disease 
- iability to clear phosphate 
 
Renal transplant patient with bump at site of heparin injection. Why? correct answers ...
If a kidney transplant person has diarrhoea, do tacrolimus levels increase or decrease? correct answers Increase - because enzymes in the gut lining don't have time to break down tacro 
 
What is calciphylaxis? correct answers Calciphylaxis is a syndrome of vascular calcification, thrombosis and sk...
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Add to cartIf a kidney transplant person has diarrhoea, do tacrolimus levels increase or decrease? correct answers Increase - because enzymes in the gut lining don't have time to break down tacro 
 
What is calciphylaxis? correct answers Calciphylaxis is a syndrome of vascular calcification, thrombosis and sk...
Which of the following can be used as a clinical indicator of endogenous insulin? 
a. FPG 
b. A1C 
c. C-peptide 
d. FS correct answers C. c-peptide 
 
C-Peptide test indicative of _____ correct answers clinical indicator of endogenous insulin production 
 
Why is C-peptide a clinical indicator of en...
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Add to cartWhich of the following can be used as a clinical indicator of endogenous insulin? 
a. FPG 
b. A1C 
c. C-peptide 
d. FS correct answers C. c-peptide 
 
C-Peptide test indicative of _____ correct answers clinical indicator of endogenous insulin production 
 
Why is C-peptide a clinical indicator of en...
definition of tertiary hyperparathyroidism and its management correct answers occurs in the context of ESRD 
elevated pth with elevated calcium, as opposed to secondary in which there is elevated pth but low to normal calcium 
 
medical management, 
NOT bisphosphonates as they can worsen ESRD, cause...
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Add to cartdefinition of tertiary hyperparathyroidism and its management correct answers occurs in the context of ESRD 
elevated pth with elevated calcium, as opposed to secondary in which there is elevated pth but low to normal calcium 
 
medical management, 
NOT bisphosphonates as they can worsen ESRD, cause...
Chronic Renal Failure correct answers Skin condition such as pruritis, hyperpigmentation, and calciphylaxis may be seen in patients who have: 
 
skin that is dry, flaky, and rough and often itchy correct answers the term asteatosis refers to 
 
Basal cell carcinoma correct answers When examining the...
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Add to cartChronic Renal Failure correct answers Skin condition such as pruritis, hyperpigmentation, and calciphylaxis may be seen in patients who have: 
 
skin that is dry, flaky, and rough and often itchy correct answers the term asteatosis refers to 
 
Basal cell carcinoma correct answers When examining the...
The hormone aldosterone is secreted by the adrenal cortex and has what effect on Na and K? 
 
 Increases Na reabsorption and decreases K excretion 
 Increases Na reabsorption and K excretion 
 Decreases Na reabsorption and K excretion 
 Decreases Na reabsorption and increases K excretion correct ans...
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Add to cartThe hormone aldosterone is secreted by the adrenal cortex and has what effect on Na and K? 
 
 Increases Na reabsorption and decreases K excretion 
 Increases Na reabsorption and K excretion 
 Decreases Na reabsorption and K excretion 
 Decreases Na reabsorption and increases K excretion correct ans...
Warfarin (Coumadin) correct answers Anticoagulant, Vitamin K dependent 
-uses: Afib, PE, DVT 
-side effects: BLEEDING, Calciphylaxis (calcium -bloodclots) 
 
-2-3 days to reach therapeutic range 
-PT/INR 
-<1.5 = normal, >1.5 = risk bleeding 
 
Heparin correct answers Anticoagulant 
- Side e...
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Add to cartWarfarin (Coumadin) correct answers Anticoagulant, Vitamin K dependent 
-uses: Afib, PE, DVT 
-side effects: BLEEDING, Calciphylaxis (calcium -bloodclots) 
 
-2-3 days to reach therapeutic range 
-PT/INR 
-<1.5 = normal, >1.5 = risk bleeding 
 
Heparin correct answers Anticoagulant 
- Side e...
Prevent complications from renal failure correct answers Congestive Heart failure, hyperK, renal bone disease, calciphylaxis, cv complications 
 
Teaching thirst correct answers drink only when thirsty, meds w/sips 
limit salt 
Suck on ice chips. 
Suck on a lemon wedge 
control your blood sugar 
Su...
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Add to cartPrevent complications from renal failure correct answers Congestive Heart failure, hyperK, renal bone disease, calciphylaxis, cv complications 
 
Teaching thirst correct answers drink only when thirsty, meds w/sips 
limit salt 
Suck on ice chips. 
Suck on a lemon wedge 
control your blood sugar 
Su...
Calciphylaxis (calcifin uremic arteriopathy) correct answers Calcified sm and med vessels w/ ischemic necrosis. 
Painful mottling, stellate purpura. 
Common in ESRD on HD 
 
Tx: 
- Normalize Ca-Phos product 
- *Sodium thiosulfate* 
- calcimimetics (cincalcenet) 
- Parathyroidectomy 
 
*Eruptive* x...
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Add to cartCalciphylaxis (calcifin uremic arteriopathy) correct answers Calcified sm and med vessels w/ ischemic necrosis. 
Painful mottling, stellate purpura. 
Common in ESRD on HD 
 
Tx: 
- Normalize Ca-Phos product 
- *Sodium thiosulfate* 
- calcimimetics (cincalcenet) 
- Parathyroidectomy 
 
*Eruptive* x...
Addison's Disease correct answers Hyperpigmentation of skin and mucous membranes 
 
AIDS correct answers *Hairy leukoplakia, Kaposi's sarcoma, severe psoriasis*...and pretty much everything else 
 
Chronic renal disease correct answers Pallor, xerosis, pruritus, hyperpigmentation, uremic frost, "...
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Add to cartAddison's Disease correct answers Hyperpigmentation of skin and mucous membranes 
 
AIDS correct answers *Hairy leukoplakia, Kaposi's sarcoma, severe psoriasis*...and pretty much everything else 
 
Chronic renal disease correct answers Pallor, xerosis, pruritus, hyperpigmentation, uremic frost, "...
Abrasions: etiology correct answers wound caused by friction 
may be superficial or deep (partial thickness) 
>typ affect epidermis, occasionally the dermis 
 
Abrasions: presentation correct answers may be contaminated 
mild, stinging sensation 
light to mod bleeding 
rarely progress to chronic ...
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Add to cartAbrasions: etiology correct answers wound caused by friction 
may be superficial or deep (partial thickness) 
>typ affect epidermis, occasionally the dermis 
 
Abrasions: presentation correct answers may be contaminated 
mild, stinging sensation 
light to mod bleeding 
rarely progress to chronic ...
Diabetic dermopathy, necrobiosis lipoidica, diabetic bullae, peripheral neuropathy/vascular disease, calciphylaxis, increased infections, acanthosis nigricans, lipodystrophy/atrophy, scleroderma, eruptive xanthoma, granuloma annulare correct answers Dermatology related to DM 
 
Diabetic dermopathy c...
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Add to cartDiabetic dermopathy, necrobiosis lipoidica, diabetic bullae, peripheral neuropathy/vascular disease, calciphylaxis, increased infections, acanthosis nigricans, lipodystrophy/atrophy, scleroderma, eruptive xanthoma, granuloma annulare correct answers Dermatology related to DM 
 
Diabetic dermopathy c...
A patients protein status is affected by nutritional and non-nutritional factors. What can you do to prevent a drop in your patient's albumin correct answers Remind the patient to take phosphate binders when snacking during dialysis 
 
Calciphylaxis is a consequence of which out-of-range labs? corr...
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Add to cartA patients protein status is affected by nutritional and non-nutritional factors. What can you do to prevent a drop in your patient's albumin correct answers Remind the patient to take phosphate binders when snacking during dialysis 
 
Calciphylaxis is a consequence of which out-of-range labs? corr...
When examining the left ear, a raised nodule behind the ear is noted to have a lustrous surface with visible telaniectatic vessels in the center. This lesion needs further evaluation because it is most likely: correct answers basal cell carcinoma 
 
The term used to refer to skin that is peeling is:...
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Add to cartWhen examining the left ear, a raised nodule behind the ear is noted to have a lustrous surface with visible telaniectatic vessels in the center. This lesion needs further evaluation because it is most likely: correct answers basal cell carcinoma 
 
The term used to refer to skin that is peeling is:...
What are the common dermatological manifestations of diabetes mellitus? correct answers Skin manifestations that almost all diabetics have. 
 
What are the risk factors and treatment options for the common dermatological manifestations of diabetes mellitus? correct answers Risk factors include poor ...
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Add to cartWhat are the common dermatological manifestations of diabetes mellitus? correct answers Skin manifestations that almost all diabetics have. 
 
What are the risk factors and treatment options for the common dermatological manifestations of diabetes mellitus? correct answers Risk factors include poor ...
what does dialysis do? correct answers removes excess fluids/waste products that are typically excreted by the kidneys 
 
-circulates blood through semi-permeable membrane that acts as an artificial kidney 
 
reasons for HD correct answers -severe acidosis (<7.2) or doesn't respond to tx 
-FVO ...
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Add to cartwhat does dialysis do? correct answers removes excess fluids/waste products that are typically excreted by the kidneys 
 
-circulates blood through semi-permeable membrane that acts as an artificial kidney 
 
reasons for HD correct answers -severe acidosis (<7.2) or doesn't respond to tx 
-FVO ...
Acute cholangitis correct answers Fever, jaundice, and RUQ pain (Charcot triad) are consistent with acute cholangitis. Ultrasound or CT most commonly shows common bile duct dilation. In addition to leukocytosis with left shift, laboratory studies reflect biliary stasis and demonstrate direct hyperbi...
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Add to cartAcute cholangitis correct answers Fever, jaundice, and RUQ pain (Charcot triad) are consistent with acute cholangitis. Ultrasound or CT most commonly shows common bile duct dilation. In addition to leukocytosis with left shift, laboratory studies reflect biliary stasis and demonstrate direct hyperbi...
calciphylaxis correct answers calcific deposits in arterioles causing ischemia. ESRD patients- violaceous tender sub q nodules, arthritic joint changes. 
 
tongue itching after eating nuts, vegetables or fruits correct answers pollen food allergy syndrome/ oral allergy syndrome; also ragweed allergy...
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Add to cartcalciphylaxis correct answers calcific deposits in arterioles causing ischemia. ESRD patients- violaceous tender sub q nodules, arthritic joint changes. 
 
tongue itching after eating nuts, vegetables or fruits correct answers pollen food allergy syndrome/ oral allergy syndrome; also ragweed allergy...
Sucralfate correct answers BEZOAR formation (mass in GIT), 
Caution with enteral feeds 
 
PPI correct answers 1) low risk SCLE (systemic cutaneous lupus erythematous) weeks, months, or years after exposure 
 
if develop lesions (esp in sun-exposed area of skin) + arthralgia 
 
- advice to avoid e...
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Add to cartSucralfate correct answers BEZOAR formation (mass in GIT), 
Caution with enteral feeds 
 
PPI correct answers 1) low risk SCLE (systemic cutaneous lupus erythematous) weeks, months, or years after exposure 
 
if develop lesions (esp in sun-exposed area of skin) + arthralgia 
 
- advice to avoid e...
Loop diuretics (furoremide) correct answers reestablish urine flow and convert oliguria 
adverse - hypotension, dehydration, hypokalemia, oxotoxicity 
give slow and during the day to avoid noturina 
 
sodium polystyrene sulfonate correct answers hyperkalemia treatment (kidney disease) 
interacts wi...
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Add to cartLoop diuretics (furoremide) correct answers reestablish urine flow and convert oliguria 
adverse - hypotension, dehydration, hypokalemia, oxotoxicity 
give slow and during the day to avoid noturina 
 
sodium polystyrene sulfonate correct answers hyperkalemia treatment (kidney disease) 
interacts wi...
A vegetarian on dialysis adhering to a renal diet should be advised to restrict bean/legume consumption to how many cups per day? 
 
¾ cup 
¼ cup 
½ cup 
1 cup correct answers ½ cup - Most people on dialysis can have one serving of high-phosphorus foods per day. This includes ½ cup cooked beans...
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Add to cartA vegetarian on dialysis adhering to a renal diet should be advised to restrict bean/legume consumption to how many cups per day? 
 
¾ cup 
¼ cup 
½ cup 
1 cup correct answers ½ cup - Most people on dialysis can have one serving of high-phosphorus foods per day. This includes ½ cup cooked beans...
Thoery Z is based on correct answers involved employees are the key to increased productivity/ workers accept responsibility when they understand the big picture 
 
If collective bargaining or negotiation (same thing) does not work what is the next step?t correct answers hen mediation (a third party...
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Add to cartThoery Z is based on correct answers involved employees are the key to increased productivity/ workers accept responsibility when they understand the big picture 
 
If collective bargaining or negotiation (same thing) does not work what is the next step?t correct answers hen mediation (a third party...
Keloid correct answers Hypertrophic scar 
 
Furuncle correct answers Sebaceous gland 
 
Which model is used to designate risk factors for melanoma? correct answers HARMM 
 
Transverse depressions of the nail plates, usually bilateral, resulting from temporary disruption of proximal nail growth from ...
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Add to cartKeloid correct answers Hypertrophic scar 
 
Furuncle correct answers Sebaceous gland 
 
Which model is used to designate risk factors for melanoma? correct answers HARMM 
 
Transverse depressions of the nail plates, usually bilateral, resulting from temporary disruption of proximal nail growth from ...
Raynaud's Phenomenon - Overall (2) correct answers o Episodic, recurrent vasospasm of fingers and toes resulting in white, blue or red discoloration 
§ Intermittent constriction of small digital arteries and arterioles 
 
Raynaud's Phenomenon - Triggers (2) correct answers § Cold 
§ Stress 
 
R...
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Add to cartRaynaud's Phenomenon - Overall (2) correct answers o Episodic, recurrent vasospasm of fingers and toes resulting in white, blue or red discoloration 
§ Intermittent constriction of small digital arteries and arterioles 
 
Raynaud's Phenomenon - Triggers (2) correct answers § Cold 
§ Stress 
 
R...
Category correct answers Anticoagulant 
 
Class: Coumarin 
 
Indications correct answers Thrombosis-associated a-fib, thrombosis-associated, MI, prosthetic cardiac valve component embolism, PE, post MI- thrombosis, VTE 
 
MOA correct answers Blocks regeneration of vitamin K epoxide, thus inhibiting...
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Add to cartCategory correct answers Anticoagulant 
 
Class: Coumarin 
 
Indications correct answers Thrombosis-associated a-fib, thrombosis-associated, MI, prosthetic cardiac valve component embolism, PE, post MI- thrombosis, VTE 
 
MOA correct answers Blocks regeneration of vitamin K epoxide, thus inhibiting...
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