Dr Price FM Review

Gluten intolerance w/ rash = dermatitis herpetiformis

• Tx = dapsone

Positive McMurray test → MRI to confirm; next best step is X-ray for this and osteomyelitis

If there is someone w/ family history of thyroid cancer and is concerned about their risk of developing thyroid cancer, the best screening test is physical exam

If there is cough that is worse with cold, get spirometry

• If that is normal, it can still be asthma, so get methacholine challenge

• Look for 12% improvement with albuterol

Vocal cord polyp = HPV

• Laryngoscopy with excision

HIV positive with CD4 < 50 now develops progressive visual impairment; this is because of CMV

• Tx = ganciclovir

Patient with Alzheimer’s also has bradycardia; the treatment here is memantine

Polymyalgia rheumatica affects the proximal muscles

• Tx = prednisone

• If there is new onset vision loss, that’s giant cell arteritis; start the prednisone, and get temporal artery biopsy

Weak radial pulses = Takayasu arteritis

A child with an upper respiratory tract infection, palpable purpura, and maybe intussusception → IgA vasculitis

A patient with positive Hepatitis C has Raynaud’s phenomenon and neuropathy, palpable purpura and weakness; this is mixed cryoglobulinemia syndrome

p-ANCA with allergic rhinitis = eosinophilic granulomatosis with polyangiitis, commonly associated with asthma and peripheral eosinophilia.

Atopic dermatitis and vesicles = eczema herpeticum

IBS-C gets psyllium as that is OTC

Normal BMI, normal LDL, and increased cholesterol → get the patient on exercise program

Always remember for diabetic neuropathy, do the diabetic foot exam

Mycoplasma pneumonia → cold agglutinin disease, AIN, erythema multiforme

Urine antigen test for Legionella

Erythema nodosum appears in

• Coccidiomycosis

• Histoplasmosis

• Leprosy

• TB

• Strep

Most sensitive test for DM is 2-hr GTT over 200

Charcot arthropathy is associated with diabetic nephropathy