Pneumonics Flashcards
What diseases can cause Belle’s palsy?
“my Lovely Belle HAd an STD”
Lyme dz, Herpes zoster, AIDS, Sarcoidosis, Tumors, Diabetes
Rifampin’s 4 R’s
RNA polymerase inhibitor
Ramps up microsomal cytochrome P450
Red/orange body fluids
Rapid resistance if used alone
What are the functions of IL-1 through IL-6?
"Hot T-Bone stEAK" IL-1: fever (Hot) IL-2: Stimulates T cells IL-3: Stimulates Bone marrow IL-4: Simulates IgE production IL-5: stimulates IgA production IL-6: stimulates aKute-phase protein production
Differential for serum Eosinophilia
"DNAACP" Drug Neoplasm Asthma/allergies Acute interstitial nephritis Adrenal insufficiency Collagen vascular dz Parasites
Wiskott-Aldrich syndrome
"WAITER" Wiskott Aldrich Immunodeficiency Thrombocytopenia purpura Eczema on the trunk (abnormal location!) Recurrent pyogenic infxn -Mutation in WAS gene leads to T cell inability to reorganize actin cytoskeleton
What are examples of Rx used to treat Parkinsons dz?
“BALSA”
Bromocriptine (ergot DA agonist)
Amantadine (increased DA release)
L-dopa/carbidopa
Selegiline (MOA-B inhibitor) and COMT inhibitors
Antimuscarinics (Parkinson can have increased Ach)
What are the CYP450 Inducers?
"Guiness, Coronas and PBRS induce chronic alcoholism" Griseofulvin Carbamazepine Phenytoin Barbiturates Rifampin St. John's wort Chronic alcoholism
What are the CYP450 inhibitors?
"CRACK AMIGOS" Cimetidine Rotinavir Amiodarone Ciprofloxacin Ketoconazole Acute alcohol use Macrolides Isoniazid Grapefruit juice Omeprazole Sulfonamides
What is the triad of Plummer-Vinson syndrome?
“Plummer’s DIG”
Dysphagia (due to esophageal webs)
Iron deficiency anemia
Glossitis
Retroperitoneal structures
"SADPUCKER" Suprarenal (adrenal glands) Aorta and IVC Duodenum (2nd through 4th parts) Pancreas (except the tail) Ureters Colon (descending and ascending) Kidneys Esophagus (lower 2/3) Rectum (partially)
The 4 aerobic bacteria
"Nagging Pests Must Breath" Nocardia (G+) Pseudomonas aeruginosa (G- rod) Mycobacterium TB Bacillus (G+ rod)
What are the five 2’s of Meckel’s diverticulum?
2 inches long 2 feet from the ileocecal valve 2% of the population Presents in the first 2 years of life May have 2 types of epithelium (ectopic gastric/pancreatic)
MCC of Acute pancreatitis?
"BAD HITS" Biliary obstruction Alcohol Drugs Hypertriglyceridemia/Hypercalcemia Idiopathic Trauma Scorpion stings
What is the classic triad for Hemochromatosis
“Hemochromatosis Can Deposit Bronze”
Cirrhosis
Diabetes mellitus
“Bronze diabetes” -skin pigmentation
What hepatitis viruses are transferred via the fecal-oral route?
“Fecal-oral is at both ends of the body=>A&E are at both ends of the Hep virus alphabet”
Hepatitis A
Hepatitis E
What are the risk factors for Gallstone formation?
"4 F's" -Estrogen increases risk of gallstones Fat Fertile (pregnant) Female Over Forty
At what levels do structures penetrate the diaphragm?
“I ate ten eggs aat 12”
- IVC at T8
- T10: Vagus (10) and Esophagus (egg)
- T12: Aorta, Azygos vein, Thoracic duct (aat)
What is the differential dx for eosinophilia?
"DNAAACP" Drugs Neoplasm Atopic dz Addison dz Acute interstitial nephritis Collagen vascular dz Parasites
What are the AE of ACE inhibition?
“Captopril’s CATCHH”
- Cough (due to increased bradykinin)
- Angioedema (contra in C1 esterase inhibitor deficient pts)
- Teratogen
- Creatinine increase (due to decreased GFR)
- Hyperkalemia
- Hypotension
What hypertension drugs are safe to use in pregnancy?
"Hypertensive Moms Love Nifedipine" Hydralazine Methyldopa Labetolol Nifedipine
What are are the signs associated with Infective Endocarditis?
“FROM JANE”
- Fever
- Roth spots (round white spots on retina surrounded by hemorrhage)
- Osler nodes (tender raised lesions on finger or toe pads)
- Murmur
- Janeway lesions (small, painless erythematous lesions on palm or sole)
- Anemia
- Nail bed hemorrhage (splinter hemorrhages)
- Emboli
What is Reynold’s pentad for Cholangitis?
Fever Jaundice RUQ pain Hypotension AMA
Characterize genital ulcers according to pain
“Some Girls Love Licorice but Fellows Hate Candy”
PainLess:
-Syphilis, Granuloma inguinale, Lymphogranuloma venereum, painLess
PainFul:
-Herpes simplex, Chancroid
What are the diagnostic features for mania?
"DIG FAST" Distractability Irresponsibility Grandiosity Flight of ideas Activity (increased) Sleep is decreased Talkative
What are the diagnostic criteria for major depessive disorder?
"SIG E CAPS" -must have 5/9 Sleep disturbances Interest loss (anhedonia) Guilt Energy loss Concentration difficulties Appetite changes Psychomotor retardation/agitation Suicidal ideation
Name 4 SSRIs
"Flashbacks Paralyze Senior Citizens" Fluoxetine Paroxetine Sertraline Citalopram
What are the MAO inhibitors?
"MAOI Takes Pride In Shanghai" Tranylcypromine Phenelzine Isocarboxazid Selegiline
What are the seronegative spondyloarthropathies?
"PAIR" Psoriatic arthritis Ankylosing Spondylitis Inflammatory bowel dz Reactive arthritis
What are the manifestations of CREST syndrome?
CREST Calcinosis Raynaud phenomenon Esophageal dysmotility Sclerodactyly Telangiectasias