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block 6 -- SP cases Questions with correct answer
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block 6 -- SP cases Questions with correct answer
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block 6 -- SP casesa patient has high blood pressure, what case do you expect it to be
PSGN
a patient has tonsillar erythema, white exudate, and midline uvula, what
case do you expect it to be
PSGN
a patient has bilateral rales and expiratory wheezing, what case do you
expect it to be
PSGN
a patient has 2+ pitting edema of bilateral lower extremities, what case
do you expect it to be
PSGN
you are seeing a patient that you suspect PSGN, what labs do you order
initially
CBC with diff
BMP
C3
C4
ESR
UA with microscopy
ASO titer
rapid strep test
oropharyngeal culture
troponin
BNP
βhCG if patient fits demographics
,you are seeing a patient that you suspect PSGN what imaging do you
order initially
chest Xray A/P
EKG
what is indicated by dysmorphic RBC casts on UA
dysmorphic = glomerular problem
what is indicated by eumorphic RBC casts on UA
eumorphic = problem is lower than glomerulus
what case would you expect to see dysmorphic casts
PSGN
what do you expect to see in the BMP of the patient with PSGN
elevated BUN
elevated creatinine
what do you expect to see in the C3, C4 tests of the patient with PSGN
both low
what do you expect to see in the ESR test of the patient with PSGN
elevated
what do you expect to see in the BNP of the patient with PSGN
elevated
what do you expect to see in the ASO titer of the patient with PSGN
elevated
, what do you expect to see in the rapid strep test of the patient with
PSGN
positive
what do you expect to see in the throat culture of the patient with PSGN
Group A strep
what do you expect to see in the UA of the patient with PSGN
red color
+ WBC, protein, occult blood
+ RBC, + dysmorphic casts
what do you expect to see in the chest xray of the patient with PSGN
cardiomegaly
vascular congestion/edema
what do you expect to see in the EKG of the patient with PSGN
normal sinus rhythm
left axis shift
LBBB (bunny ears)
if you have a patient with PSGN, where do you want to admit them
telemetry unit
why do you admit someone with PSGN to telemtry
elevated BP and creatinine
needs further heart monitoring
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