By Kevin Conrad
Hospital medication has increased past the perform of inner drugs to co-manage sufferers within the fields of orthopedics, neurosurgery and common surgical procedure. This concise consultant covers the evolution and increasing scope of medical institution medication and the diversity of medical, moral and administrative occasions a Hospitalist encounters. 500 questions about inpatient care, co-management of sufferers and medical institution procedure administration are supplied with the aim of assessing medical and educational competency. Questions characteristic real circumstances with evidence-based recommendations. helpful to physicians, condominium employees and complicated nurse practitioners, this up to date referenced studying textual content encompasses all facets of clinic care.
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Extra info for Absolute Hospital Medicine Review: An Intensive Question & Answer Guide
Medications on admission are lisinopril, metoprolol, hydrochlorothiazide, pravastatin, and aspirin. On admission, Zosyn and vancomycin were initiated. She underwent a CT angiogram to rule out pulmonary embolism. She is now afebrile. Her blood pressure is 110/55 mmHg. She has no evidence of orthostasis. 2 mg/dL. Laboratory studies reveal a urine sodium of 44 mEq. Her fractional excretion of sodium is 2 %, and her fractional excretion of urea is 50 %. Which of the following is the most likely cause of this patient’s acute renal injury?
There is a strong contraindication for haloperidol, olanzapine, and risperidone because of potential exacerbation of extrapyramidal symptoms. There is also a lack of efficacy reported with olanzapine. Other atypical antipsychotics such as quetiapine have been commonly used with caution and slow titration. Most studies suggest that quetiapine is safe in Parkinson’s disease. Some reports suggest that there is an increased risk of adverse motor effects in these patients, predominantly in demented subjects.
A) Behçet disease B) Granulomatosis with polyangiitis C) Polyarteritis nodosa D) Gonococcal arthritis E) Reiter’s syndrome 31 Answer: A This patient has Behçet disease. Behçet disease is characterized by the triad of recurrent oral aphthous ulcers, genital ulcers, and uveitis. Behçet disease is a systemic disorder characterized by vasculitis and multiple organ involvement. The diagnostic clues are intermittent mucous membrane ulcerations and ocular involvement. Gastrointestinal, pulmonary, musculoskeletal, and neurologic manifestations may be present.
Absolute Hospital Medicine Review: An Intensive Question & Answer Guide by Kevin Conrad