Multisystem Flashcards
Normal Intraocular pressure in penetrating ocular injury ?
10-20 mmHg
Actinic Keratoses characteristics
Benign precancerous lesions caused by chronic UV radiation
Characterized by tender, rough, poorly circumscribed, erythematous papules with white or yellow scaling.
Basal Cell Carcinoma characteristics
(a) waxy translucent papule with overlying telangiectasias with central ulceration,
(b) scar like
(c) erythematous macule or papule with fine scale or superficial erosion often surrounded by telangiectasia.
Squamous cell cancer characteristics
occasional tender, erythematous papule, plaque, or nodule with keratotic scale.
Melanoma characteristics
irregularly shaped with variations in tan, brown, and gray discoloration.
The most common cause of adult onset acromegaly
Pituitary adenoma
s/s
deepening of the voice, weight gain, and acne,
Fungal skin infections characteristics
Candidiasis is most common fungal skin organism.
Candida pustules can develop on the backs of bedridden patients and appear as red patches, sometimes with erosion, and peripheral satellite pustules.
Nystatin powder is a topical polyene that is used to treat fungal skin infections.
Treatment for stage III/IV pressure ulcers
Alginate a silver impregnated dressing
Treatment for Stage II/III ulcers with low to moderate exudate
Foam island and hydrocolloids
Type I immediate immunologic reaction
urticarial and angioedema of the skin (wheals).
Type II immediate immunologic reaction
initiated by the interaction of drugs plus cytotoxic antibodies causing lysis of cells (platelets and leukocytes), leading to petechial rash.
Type III immediate immunologic reaction
delayed, with the development of immune complexes; this reaction may cause urticaria and vasculitis.
Type IV immediate immunologic reaction
cell-mediated immune reaction that releases cytokines and cause morbilliform exanthematous reactions associated with SJS.
SJS characteristics
Target-like lesions with bulla beginning with the trunk and spreading to the proximal extremities with mucosal involvement are reflective of SJS.
SJS is often associated with sulfonamides
Splenic rupture dx
- Positive focused assessment with sonography
-Elevated WBC
-Kehr’s sign is a sign of ruptured spleen; pain in the shoulder from irritation of the diaphragm
Annual screening test for lung cancer
Low-dose computed tomography of the chest in adults 55-80 years who have a 30 -pack-year smoking history and currently smoke or have quit within the past 15 years.
Treatment of symptomatic Bradycardia in a post cardiac transplant patient
Isoproterenol (Isuprel)
Symptomatic vs Asymptomatic SIADH treatment
Symptomatic: 3% NS to increase sodium 1-2 mEq/hr
Asymptomatic: NaCl and lasix to increase sodium 0.5-1 mEq/hr
Hallmark sign for Ischemic limb injury
Pain at rest and non healing distal ulceration
High risk for amputation
Acute Cholangitis s/s
Caused by the obstruction of the common bile duct
-Charcot’s triad: Jaundice, fever and abdominal pain
-Reynold’s pentad: shock and fever
-RUQ pain
Rec BP management for African Americans with Hypertension
CCB, Diuretic
EXample:
Amlodipine
Lasix
Hydrochlorothiazide
Medication treatment after a NSTEMI
Aspirin
(Enoxaparin) Lovenox or unfractionated Heparin
Clopidogrel
Risk factors for Hypothyroidism following subtotal thyroidectomy for Graves Hyperthyroidism
-Lymphocytic infiltration
-Small thyroid remnant
-subsequent iodine exposure
CAMRSA treatment
Bactrim
Doxycycline
Clindamycin
