Rosh Material #4 Flashcards
mucopurulent unilateral eye discharge with erythema Pruritis rare
bacterial conjunctivitis
unilateral watery discharge with erythema
+/- Pruritis
viral conjunctivitis
unilateral eye erythema with cobblestoning and pruritis
allergic conjunctivitis
eye condition commonly seen in contact lens wearers
infectious keratitis
when do chlamydial and gonococcal neonatal conjunctivitis generally occur
chlamydial: btw 5-14 days of life days of life
gonococcal: btw 2-5 days of life
mc bacteria that cause bacterial conjunctivitis
staph aureus
strep pneumo
h. flu
conditions that are associated w. fibromyalgia
RA
hypothyroidism
anxiety
dpn
insomnia
widespread, achy MSK pain and stiffness
multiple tender points
fatigue, sleep disorders, subjective numbness
IBS
fibromyalgia
when are sx of fibromyalgia most severe
what aggravates them
AM
minor exertion
dx for fibromyalgia
3 conditions must be present:
widespread pain index > 7 and symptoms severity scale > 5
sx present x at least 3 months
absence of other d.o to explain sx
common sites of point tenderness in fibromyalgia
neck
jaw
shoulder girdle
upper and lower arms
chest
abdomen
upper and lower back
hips
upper and lower legs
tx for fibromyalgia
CBT
pt education
sleep hygiene
low impact aerobic exercise
amitryptiline
fluoxetine
duloxetine
pregabalin/gabapentin
3 pharm that are ineffective for fibromyalgia
NSAIDs
steroids
opioids
what does distal to proximal progression of muscle weakness make you think of
guillain-barre
esp w. PMH recent infxn
what recent infxn is associated w. Guillain barre
campylobacter jejuni
what does proximal extremity weakness that improves throughout the day make you think of
Lambert-eaton syndrome
what malignancy is Lambert eaton syndrome associated w.
small cell lung cancer
3 FDA approved meds for fibromyalgia
duloxetine
pregabalin
milnacipran
what virus causes verrucous papules (warts)
HPV
vaccine schedule for HPV
patients < 15 yo: 2 doses
patients 14 and older: 3 doses
tx for warts
spontaneous resolution (mc in kids)
liquid nitrogen cryotherapy
40% salicylic acid plaster after paring
condyloma acuminata
genital warts
tx for condyloma acuminata
liquid nitrogen cryotherapy
podophyllum resin
imiquimod 5% cream
electrocautery
laser therapy
what is this showing
plantar wart → verruca plantera