IM Flashcards
Most common drugs to cause SJS/TEN
“So if hindi pwede ang muni na drugs kay ga casue sila SJS- SAAN Na Lang?
Sulfonamides Allopurinol Anticonvulsant NSAID Lamotrigine Nevirapine
Dewdrops on a rose petal
Chickenpox
Ramsay hunt syndrome
Losst of taste ant 2/3 of tongue
Ipsilateral facial palsy
Pain and vesicle on external auditory canal
Herald patch?
Pityriasis Rosea
Salmon colored lesions with fine scale
Aka CIGARETTE PAPER
PITYRIASIS ROSEA
Christening tree patterns on the back
Pityriasis rosea
Best initial test for Primary syphilis?
Darkfield micoscopy
Scabies best initial therapy?
Permethrin
Ivermectin
KOH prep shows SPAGGHETI AND MEATBALLS
Tinea versicolor
ABCDE of Melanoma
A assymetric shape B borders irregular C color varigated D diameter >6mm E evolving
Nose+ sun exposure
Basal cell CA
Multiple violaceous papules
Kaposi sarcoma
What are the clinical features of biliary colic?
History Abdo pain (SOCRATES) S - RUQ, chest. O - after fatty meal. C - dull, intense. R - to back or right shoulder blade. T - severity increases over <1h, plateaus for >1h, then decreases over several hrs.
Exam
Usually no signs.
NOTES
May present as chest pain.
Murphy’s sign is negative.
SOCRATES = site, onset, character, radiation, associations, timing, exacerbating factors, severity.
What are the clinical features of acute cholecystitis?
History Abdo pain (SOCRATES) S - RUQ. O - after fatty food. C - steady and severe. R - to shoulder or back. A - fever, anorexia, N&V.
Exam
Obs: fever, tachycardia.
Inspection: lying still.
Palpation: guarding, may be Murphy’s sign.
NOTES
Patient usually lies still because local peritoneal inflammation is aggravated by movement.
SOCRATES = site, onset, character, radiation, associations, timing, exacerbating factors, severity.
RUQ = right upper quadrant.
N&V = nausea and vomiting.
What is Grey Turner’s sign?
Bruising of the flanks
NOTES
May be seen in acute pancreatitis, blunt abdominal trauma, ruptured AAA, or haemorrhagic ectopic pregnancy.
AAA = abdominal aortic aneurysm.