Associated Clinical Sciences Flashcards
most common STD in US
chlamydia
painful soft lesions
chlamydia
chancroid
arthritis in the knee
copious clear discharge
gram negative
gonorrhea
prodrome of itching
comes and goes
contagious
herpes
protozoa
males - asymptomatic
“tricky dick”
trichomonas
haemophilus ducrey “he do cry”
soft chancre
bleeds
painful
chancroid
gram positive
white cheese material
males - asymptomatic
candidiasis
_____ -> congenital -> cross placenta
spirochete
4 stages of syphilis
one
skin
inside
congenital
stages of syphilis
painless lesion
one
stages of syphilis
condylomata lata
skin
stages of syphilis
tabes dorsalis, romberg’s test, charcot’s joints
gumma
inside
stages of syphilis
hutchinson’s triad
congenital
enlarged regional inguinal lymph nodes
w/ chlamydia
lymphogranuloma venereum
donovan bodies
bright beefy red lesions
“donovans beefy hamburger”
granuloma inguinale
HPV
condylomata acuminata
genital warts
genital wars
screen ____
specific test ____
screen - speculum
test - PAP
skin tags
molluscum contagiosum
most common bulla lesion
IgG
pemphigoid
hereditary
itchy peeling blistering
IgA
dermatitis herpetiformis
non reversible deterioration of cognition and behavior
dementia
often reversible acute confusion that may flucuate
delirium
MOOD
affect disorders
ALTERED REALITY
psychotic
EXAGGERATE
somatofrom disorders
WORRY AND FEAR
anxiety disorders
bipolar cyclothymic unipolar dysthymic seasonal affect disorder
affect disorders
mania (high)
melancholia (low)
bipolar
depression / hopelessness
loss of app, insomnia, agitation worthlessness, suicidal
unipolar
similar to depression
dx 3 years of at least 3 symptoms from: loss of app, insomnia, agitation worthlessness, suicidal
dysthymic
young adults
episodic, perception is altered, hallucinations
schizophrenia
5 types of schizophrenia
disorganized catatonic paranoid schizophreniform paraphrenia
“masked facies”
frozen
catatonic
delusions of persecution
scared
paranoid
believes they are superior, lack remorse, shallow emotions, violent, liar
sociopath/anti-social
convinced of a body flaw
dysmorphic disorder
anorexia nervosa, bulimia, pica
food disorders
psychic conflict causing physical symptom
conversion disorder
“ray charles”
believes they are invaded by insects
morgellon’s dz
person wants attention
exaggerates personal complaints
munchausen syndrome
caregiver inflicts harm on individual they are caring for
munchausen by proxy
constant excessive fear, hypervigilant
general anxiety disorder
globus hystericus
associated with:
trouble swallowing
panic attacks
phobias:
social - people or performance
specific - object or situation
repetitive thoughts
obsession
repetitive actions
compulsion
hard on themselves
low self esteem
neurosis
likes abuse
masochist
inflits abuse
sadist
enjoys watching
voyeur
enjoys showing
exhibitionist
fetal alcohol syndrome
autism
ADD
childhood disorders
coping methods
“things that you do”
defensive mechanisms
defensive mechanisms:
transfer one drive to opposite expression
reaction formation
defensive mechanisms:
no feelings
denial
defensive mechanisms:
ignore feelings
repression
defensive mechanisms:
give undesirable trait away, “blame game”
projection
defensive mechanisms:
transfer emotions towards doctor
transference
defensive mechanisms:
replace socially unacceptable behavior with a more acceptable but similar one
sublimation
“make the crime sublime”
in between - neurotics and psychotics. supportive therapy recommended
“things that you are”
personality disorder
therapy:
lifestyle change, vacation
Milieu therapy
therapy:
severe depression
ECT
therapy:
dream analysis, free association, unconscious entities
Freud
therapy: Freud - ID - EGO - Super EGO
- kid, unconscious primitive
- reality, control
- unconscious conscience, guilt
behavioral medicine:
associate behavior with negative consequences
aversion
behavioral medicine:
avoid person, place and things associated with behavior
avoidance
behavioral medicine:
“pavlov’s dogs”
modeling
“pay off’s”
conditioning
standord binet test
adult IQ test
WISC test
children IQ test
MMPI test
personality
Rorschach test
projective
MMSE test
memory and mental status
CPR has to be done up to ___ mins
20 mins
used to cause the victim to throw up
emetics
emetics are ___ given for gasoline poisoning
NEVER
universal antidote is activated charcoal bc it is an
absorbant
unconscious choking
infant - back blows
adult - abdominal thrusts
conscious choking w/ no sound
heimlich
SHOCK
swollen tongue
anaphylactic
SHOCK
blood loss
hypovolemic
SHOCK
rapid pulse
restless or irritable, cool
early
SHOCK
thready pulse
rapid breathing
late
cheery red lips or skin, cyanosis
carbon monoxide
HEAT
elevated temp, cool and wet skin
exhaustion
HEAT
elevated temp, hot and dry skin
stroke
HEAT
no temp change
cramps
4 D’s of malpractice
duty
dereliction
damage
direction causation
tort =
civil
malfeasance
wrong act
res ipsa loquitur
the things speaks for itself
voir dire
to speak the truth
primum non nocere
first do no harm
binding arbitration
no appeal process
anxiolytic
anti-anxiety medication
“zine-pine-mine”
“ram-pam-lam”
thorazine, chlorpromazine, benzodiazepine, clomipramine
lorazepam, alprazolam, citalopram
haldol
tranquilizers (librium and valium)
anxiolytics
in’s thins the blood
blood thinners
heparin, coumadin, warfarin, aspirin
vitamin C and E
dicumarol
blood thinners
barbiturates: sleeping pills/miosis
sedative / hypnotic drugs
organophosphates
atropine
poisions
poisons: SLUD
salivate lacrimate urinate defecate
insecticide, blocks cholinesterase
organophosphates
mushrooms:
psilocybin
muscarine
psilocybin - hallucinogenic
muscarine - poison
metallic taste, abdominal pain, black stools
acute lead toxicity
weight loss, fatigue, headache, blue on gums
chronic lead toxicity
monamine oxide inhibitors (MOA)
tricyclics (elavil)
prozac
lithium carbonate
depression drugs
prevents breakdowns of neurotransmitters
monamine oxide inhibitors (MOA)
inhibits serotonin uptake
prozac
what drugs cause GI irritation
NSAIDS
salicylates (aspirin)
T/F: Tylenol cause LIVER damage
TRUE
toxicology: tinnitus and GI bleeding
chronic aspirin use
post viral/influenza in children
acute encephalopathy
fatty viscera
hepatomegaly
reye’s syndrome
streptomycin tetracycline penicillin amoxicillin levaquin
antibiotics
antibiotics: hearing problems
streptomycin
antibiotics: yellow teeth, avoid dairy, avoid sun, binds with calcium
tetracycline
antibiotics: anaphylactic shock, rash
penicillin
antibiotics: stunts GI NT and diminishes brain maturation (autism)
amoxicillin
antibiotics: tendon tears and ruptures
levaquin
