Warfarin extrinsic pathway, inhibit synthesis of vit k, not in pregnancy Heparin intrinsic pathway, activate antithrombin, used in pregnancy also advil side effect renal problem, not before and after surgery (anti platelet, so bleeding) hypertensive urgency vs hypertensive emergency emergency: end organ damage (kidney, bleeding, brain, pupil edema , EKG) Urgency: headache, chest pain, no end organ damage) confirm prostate cancer with ... biopsy, not PSA nerves related with eye movement 3, 4, 6 so (superior oblique:4), lr (lateral rectus:6), 3 others Brudzinski's Test for meningitis, Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed. addison's sxs dark pigmented skin, fatigue cause of addison's def. of adrenal's hormones conn's syndrom excessive aldestrone due to adrenal tumor kernig's sx positive when the thigh is flexed at the hip and knee at 90 degree angles, and subsequent extension in the knee is painful (leading to resistance). meningitis test risk factor of COPD smoking copd emphysema, chronic bronchitis obstructive pulmonary disease vs restrictive pulmonary disease obstructive like asthma, restrctive like sarcoidosis chronic obstructive pulmonary disease not asthma uterine bleeding post menopause cancer most risk factor for osteoporosis smoking smoking risk factor for COPD, AAA, osteoprosis, htn, atrovastatin side effect myalgia HMG coA reuctase inhibitor side effect myalgia HMG coA reuctase inhibitors statins fish oil decrease triglyciride not ldl how to increase hdl exercise when BP falls, kidney release .. renin menorrhagia vs metrohagia menorhagia: excessive menstruation can cause iron def anemia metrohagia: irregular, frequent bleeding sob on supine, edema of legs, fatigue CHF DVT can cause PE medication for high chlostrol statins muscle injury evaluated by ... MRI MRI for soft tissues: spine, brain, joint excessive licorice increase urinary excretion of potasium pre eclampsia+ seizure eclampsa tongue , what nerve 12, hyopglossal for control (move) tongue taste 7 for 2/3 9 for post 1/3 conductive hearing loss vs sensory hearing loss conductive: cerumen sensory: presbycusis most common site of epistaxis ant epistaxis ant vs post ant visible post not visible most common cause of nose bleeding external trauma (nose picking) kisselback's plexus epistaxis tx nasal packing\ silver nitrate (burning) flat,