Internal Medicine Test
flaccid paralysis
footdrop ------------> ALS
fasciculation
denervation of the lower motor neuron ------------> ALS
denervation of nerve 12 ------------> tongue fasciculation
confirmatory of ALS ------------> muscle biopsy ------------> denervation , reinnervation
atrophy of the calf muscle in children or young adulte ------------> demyelinisation ------------> Charcot-Marie-Tooth disease(peroneal muscle atrophy)
Upper RTI ------------> ascending paralysis ------------> Guillian-Barre Sd
M.G. ------------> impaired cholinergic transmission ------------> begins in ocular muscle
Spinal Muscle Atrophy SMA ------------> infantile ALS
(Werdnig Hoffman disease)
S2 is widely slipt in ------------> large ASD
bicuspid aortic valve ------------> aortic stenosis
systolic murmur at 2d left intercostal space
ejection click ------------> congenital pulmonary stenosis
machinary like murmur ------------> PDA
m.c. porphyria ------------> Porphyria Cutanea tarda
predisposing factor for PCT ------------> Hepatitis C
acute intermittent porphyria ------------> abdominal pain
after sunlight exposure:
photosensitivity
pain ------------> Erythropoetic porphyria
sweeling
auto immune disorder ------------> perncious anemia
exclamation hairs ------------> alopecia areata
trichotillomania ------------> Psychiatric consultation
most common form of allopecia ------------> androgenic bladness ------------> Trt: Minoxidil (temporary hair regrowth)
oral contraceptive
surgery or infection stress ------------> alopecia telogen effluvium (on combing or shamponing) ------------> Trt : oral iron sulfate
pregnancy
severe malnutrition
home Trt of mild diverticulitis ------------> Cephalexin 250 mg QID
seriously ill with diverticulitis ------------> IV ATB and Surgery 20 %
barium enema ------------> confirms the Diverticulae
m.c.c. of Temporal hemianopia ------------>...
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