Buzzwords Flashcards
Pemphigus Vulgaris (3)
PPP
Painful, Positive Nikolsky, Popped blisters
Bullous Pemphigoid (3)
B for Basement membrane, Blisters are tense, no mucosa
SSSS =
Staph, Superficial, Sore skin (kids), Sparing mucosa
TEN =
Toxic meds, Epidermal sloughing, Necrosis, mucosal involvement
🟥 Immediate PCI
If clinically unstable:
→
🟨 PCI within 72 hours
If GRACE score >3%
→
🟩 Conservative management
If GRACE score ≤3% (low risk)
→
🟥 Immediate PCI
If clinically unstable:
→ Hypotension or Tachycardia
🟨 PCI within 72 hours
If GRACE score >3%
→ This includes intermediate, high, or highest risk patients
🟩 Conservative management
If GRACE score ≤3% (low risk)
→ Manage conservatively with Ticagrelor
STEMI Mx Inhibit platelet aggregation
Aspirin (300mg)
Fibrinolysis – Thrombolysis, when?
patients who cannot undergo PCI within 12 hours
Hypertension Start with
Give what to start (2)
Target not reached? Give what
Black Person?
1st Line= ACEi/ARB
2nd Line= calcium channel blocker (C) or a thiazide-like diuretic (D).
ARB over ACEi
AFIB , stroke risk? Give what?
DOAC
Stroke risk scoring system?
Chad VASK
COPD Short term
long term
w/eosinophilia
SABA/SAMA: For symptom relief.
LABA/LAMA: For regular management, especially when no asthma features are present.
ICS: Added if asthma features are present, especially with eosinophilia or significant variation in peak flow.
Crohn’s vs UC
UC= Bloody stools, tenesmus, crypt abscess
Crohn’s= skip lesions, watery diarrhea, fistula/stricture
Primary Biliary Cholangitis (PBC)
Anti-mitochondrial antibodies (AMA) positive
Fatigue and pruritus
Liver biopsy shows granulomas
Autoimmune Hepatitis
Positive ANA (Antinuclear Antibodies) and ASMA (Anti-Smooth Muscle Antibodies)
Elevated ALT and AST
Liver biopsy shows interface hepatitis
Drug-induced Hepatitis
Recent medication exposure
Elevated transaminases
Liver dysfunction with potential drug history (e.g., acetaminophen, isoniazid)
Acute Cholecystitis
Gall bladder inflamed
Right upper quadrant pain
Positive Murphy’s sign
Gallbladder wall thickening on ultrasound
Ascending Cholangitis
Charcot’s triad (fever, jaundice, and right upper quadrant pain)
Reynolds’ pentad (Charcot’s triad + hypotension and mental status changes)
Elevated bilirubin and alkaline phosphatase (ALP)
Biliary Colic:
Biliary Colic:
Intermittent right upper quadrant pain
Postprandial (after meals) pain
No fever or jaundice
Pain radiating to the right shoulder/scapula
Normal liver function tests (LFTs) during episodes
Cholangiocarcinoma:
Jaundice (obstructive)
Non-tender palpable mass
Elevated bilirubin
Acute Pancreatitis:
Epigastric pain radiating to the back
Elevated amylase/lipase
Nausea and vomiting
Pancreatic Cancer:
Painless jaundice
Weight loss
Trousseau’s sign (migratory thrombophlebitis)
Pancreatic Adenocarcinoma:
Painless jaundice
Weight loss
Courvoisier’s sign (palpable, non-tender gallbladder)
Cholangiocarcinoma:
Obstructive jaundice
Right upper quadrant pain
Clay-colored stools
Oesophageal Adenocarcinoma:
Dysphagia (progressive)
Weight loss
Gastroesophageal reflux disease (GERD) history
