my panre cards Flashcards
predisposing for carpal tunnel
myxedema
Legg-Calvé-Perthes disease (LCPD)
radiographs in affected patients reveal cessation of growth at the capital femoral epiphysis and a smaller femoral head epiphysis with widening of the articular space on the right side.
staph aureus
gram positive cocci in clusters
e. coli
gram negative bacillus
pseudomonas
lactose negative bacillus
strep pyogenes
gram positive cocci in pairs or chains
strep pneumoniae
gram positive cocci round colony with an indentation in the center
Bacillus cereus
cause 2 syndromes: (1) one involves a short incubation period with nausea and vomiting and is similar to staphylococcal food poisoning;
(2) the other involves a long incubation period (18 hours) with watery, non-bloody diarrhea and resembles clostridial gastroenteritis.
Clostridium perfringens
food poisoning with an 8- to 16-hour incubation period
watery diarrhea with cramps and little vomiting. It resolves in 24 hours.
Staphylococcus aureus
vomiting being more prominent than diarrhea.
short incubation period (1-8 hours).
Vibrio parahaemolyticus
marine organism transmitted by contaminated seafood
mild to quite severe watery diarrhea, nausea and vomiting, abdominal cramps, and fever.
The illness is self-limited, lasting about 3 days.
Salmonella enteritidis
incubation period of 6-48 hours.
begins with nausea and vomiting and then progresses to abdominal pain and diarrhea, which can vary from mild to severe and present with or without blood.
Usually, the disease lasts a few days and is self-limited.
pterygium
fleshy, triangular intrusion of the conjunctiva onto the nasal side of the cornea that is often bilateral.
usually associated with constant exposure to sand, wind, or sunlight.
Keratoconjunctivitis Sicca
dry eyes
Pinguecula
yellow elevated conjunctiva nodule in the area of the palpebral fissure on the nasal side of the eye. It is common in persons over 35 years of age.
where is stroke? L hemiplegia hemisensory loss L homonomous hemianopsia eye deviated R apraxia
R MCA
L hemiplegia/hemisensory loss in Leg>arm
confusion
behavioral disturbance
R ACA
L hemiplegia
R ptosis & eye deviated to R and down
R webber’s
falling to the L
R ptosis
eye deviated to R and down
R benedikt’s
L hemisensory loss
horners
R facial sensory loss
R wallenburg (PICA)
vertigo
vomiting
nystagmus
clumsiness R arm
major R cerebellar arteries
total paralysis except for vertical eye movements
paramedical branches of the basilar artery
nasal voice, ptosis, dysphagia, resp acidosis
myasthenia gravis
myasthenia gravis tx
IVIG or plasmapheresis
avoid - amino glycosides and beta blockers
courvoisiers sign - adenocarcinoma
large non-tender GB, itching and jaundice
trousseau’s sign
migratory thrombophelbitis
older pt w/ generalized pruritis and flushing after hot bath
hct 60%
polycythemia vera
bone pain, punched out lesions, hyper Ca
multiple myeloma
multiple myeloma tests
serum protein elecrophorsis - IgG monoclonal spike
+ reed sternberg cells
hodgkin’s lymphoma
most common lymphoma in kids
ALL
where aortic stenosis
RSB
2nd ICS
where plum stenosis
LSB
2nd-3rd ICS
where mitral regurg
apex
where tricuspid regurg
4th ICS
LSB
where mitral stenosis
apical
where tricuspid stenosis
lower LSB
where VSD
3rd, 4th, 5th ICS
LSB
where aortic regurg
3rd ICS
LSB
where pulmonic regurg
3rd ICS
LSB
harsh, coarse, rad into neck/carotid
RSB 2nd ICS
aortic regurg
systolic R ICS LSB rad to carotids ejection click
aortic stenosis
aortic stenosis causes
rheumatic fever
congenital
systolic at apex rad to axilla apex beat displaced a fib
mitral regurg
systolic
at apex
to axilla
mid systolic click
mitral prolapse
diastolic at LSB 4th ICS sometimes S3 bp higher in legs then arms blowing
aortic regurg
diastolic at mitral area opening snap increase lie on L side afib
mitral stenosis
diastolic
stenosis
pericardial friction rub
acute pericarditis
split S2
ASD
diastolic
atrial pop
sign atrial myxoma
S3
mitral and aortic regurg
CHF
dilated cardiomyopathy
