1. Somato____:
- somatoSTATIN = inhibitory GI peptide
- somatoMEDIN C = IGF-1 (insulin-like GF, INCREASED in Acromegaly)
2. White plaque on tongue:
- Oral Hairy Leukoplakia = doesn’t scrap off
(this is a PREMALIGNANT transformation, so it won’t scrape off )
(HIV assoc. EBV) - Oral Candidiasis = DOES scrap off
3. Solitary Pulmonary Nodule:
- Coarse = Benign (popcorn)
(popcorn is ok) - Spiculated = Malignant
(small seeds at the bottom of bag – not ok)
4. _____pressin:
- VASOpressin = natural ADH made in hypothalamus
(water retention & SM contraction esp. all blood vessels) - DESMOpressin = synthetic ADH
(Rx Central DI, Bedwetting)
5. Malignant Temperatures:
- Malignant Hyperthermia = Any anesthetic (halothane, SUX)
(Rx Dantrolene) - Neuroleptic Malignant Syndrome = Antipsychotics (haloperidol)
(fever + RIGIDITY + cognitive changes)
(Rx Bromocriptine or Dantrolene)→ECT
6. Urine analysis:
- Pheochromocytoma = Urinary catecholamines and metanephrine (VMA, HVA)
- Carcinoid tumor = Urinary 5-HIAA (serotonin)
7. Nitro____:
- nitroPRUSSIDE = dilates BOTH arteries and veins
- nitroGLYCERIN = dilates ONLY VEINS
8. Esophageal tears:
- Mallory-weiss = SUPERFICIAL esophageal erosions
- Boerhave’s = FULL THICKNESS esophageal ruptures
(rupture with great amount of heaving)
9. Typhus:
EPIDEMIC (world-wide): (ball)
Rickettsia = Prowazekii Louse
Rash = starts in axilla spreads to trunk & extremities
(does not involve face, palms, soles)
ENDEMIC (local): (peripheral facial paralysis)
Rickettsia = Typhi Rat Flea
Rash = concentrated on trunk & fades rapidly











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