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Pleural effusion, Hampton’s hump (a distal wedge-shaped infarct), and Westermark’s sign (hyperlucency in the region of lung supplied by the infarcted artery) What is the most common ECG finding in a patient with PE? Sinus tachycardia What is the classic ECG finding in a patient with PE? S1Q3T3 (S wave in lead I, Q wave and invertedT in lead III) What are modified Well’s criteria for DVT/PE risk stratification? 5 points each: tachycardia, hospitalized in past month/surgery, past hx of DVT 1 point each: hemoptysis, malignancy 0-1 = low risk (rule out w/ neg D-dimer) 2-6 = intermediate risk >7 = high risk (treat w/ positive LE Doppler US) What two diagnostic tests are commonly used to diagnose PE?
Initially warfarin induces a hypercoagulable state (by inactivating proteins C and S), which may cause skin necrosis. What methods are used for long-term prophylaxis for patients at risk of developing DVT? Warfarin or IVC filter What is an alternative to warfarin for outpatient DVT prophylaxis? Low-molecular-weight heparin What type of tumors commonly cause a DVT by inducing a hypercoagulable state? Adenocarcinomas What commonly used medication increases the risk of DVT? Oral contraceptives What is the most common genetic disease that predisposes to the development of DVT?
Fever (97%), fatigue (90%), lymphadenopathy (50%-77%), pharyngitis (73%), transient rash (40%-70%), or headache (30%-60%) How is AIDS defined? CD4+ 200 cells/mL or serologic evidence of AIDS-defining illness What mutation may confer resistance to infection with HIV? avium-intracellulare (MAC complex) Viral Herpes simplex virus (HSV), varicella-zoster virus (VZV) (shingles), cytomegalovirus (CMV) (retinitis), JC virus (PML), Epstein-Barr virus (EBV) (B-cell lymphoma), and human herpesvirus (HHV)-8 (Kaposi sarcoma) Protozoal Toxoplasma (encephalopathy), and Cryptosporidium (severe watery diarrhea) State the typical CD4+ count associated with each of the following HIV complications: TB becomes more common 400 cells/mL Serious opportunists are first seen 200 cells/mL Toxoplasmosis, cryptococcosis 100 cells/mL MAC, CMV, and cryptosporidiosis 50 cells/mL What constitutes highly active antiretroviral therapy (HAART)?