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Medicine Pearls
Misc Perals for PANCE
| Question | Answer |
|---|---|
| Common melanoma found in African Americans & Asians? | Acral lentiginous melanoma |
| Common cause of cellulitis in the US | Group A Strept |
| Topical burn oinment | Silvadene |
| Complication associated with burns | Infection |
| Complication of Herpes Zoster | Pain caused by acute neuritis & postherpatic neuralgia |
| Raspberry-like nodules | Pyogenic granulomas (capillary hemangiomas) |
| "Stuck-On" like appearance | Seborrheic keratosis |
| Spaghetti & Meatballs on KOH | Tinea versicolar (pityriasis versicolor) |
| Tapioca appearance | Dyshidrosis |
| Wickham's Striae | Lichen planus |
| Herald patch & Christmas tree-like distribution | Pityriosis rosea |
| Golden honey yellow lesions | Impetigo (Strep pyoderma) |
| "Lace-like" or "fishnet" immunofluorescence pattern | Pemphigus vulgaris |
| Sandpaper rash, Strawberry tongue | Scarlet Fever (GABS) |
| Firey red rash on face | Erysipelas |
| Curling Ulcer | Gastric ulcer that results as a complication of a burn |
| Marjolin's Ulcer | Chronic healing burn would that undergoes malignant transformation into SCC |
| Slapped Cheek | Fifth's Disease (parvo virus B19) |
| Bull's eye (Erythema margins) | Lyme Disease (Borrelia burgdorferi) |
| Cause of LMN facial nerve paralysis (CN 7) | Bell's Palsy |
| Cause of hearing loss | Presbyacusis (aging) |
| Cause of hearing loss in children | Bacterial Meningitis |
| Cause of Viral Rhinitis | Rhinovirus |
| Cause of Bacterial Sinusitis (Adults) | S. pneumoniae, H. influenza |
| Cause of Bacterial Rhinitis | Group A Strep, Staph, Pneumococci |
| Cause of Bacterial Sinusitis (Children) | S. pneumoniae, H. influenza, Moraxella catarrhalis |
| Exam finding consistent w/ OE | Inflamed external auditory canal |
| Cause of OE (Swimmer's ear) | Pseudomonas aeruginosa |
| Cause of Otitis Media | S. pneumoniae, H. influenza, Moraxella catarrhalis |
| Cause of infectious myringitis | Mycoplasm (or Strep pneumoniae) |
| Cause of parotid gland swelling | Mumps |
| Cause of amblyopia | Stabismus |
| Eye disease seen in community medicine | Conjunctivitis |
| Cause of Bacterial Conjunctivitis | Staph, Strep, H. influenza, Pseudomonas |
| Cause of epidemic keratoconjunctivitis (pink eye) | Adenovirus |
| Leading cause of blindness worldwide | Cataract disease |
| Cause of COPD | Smoking |
| Initial sx of COPD | Cough |
| Cause of pneumonia in the ICU | Gm(-) Bacteria |
| Cause of pneumonia | Strep pneumoniae |
| Cause of atypical pneumonia | Mycoplasma |
| Acute cause of wheezing in children < 2 (Esp 1-3 mths) | Bronchiolitis |
| Cause of airway obstruction in children (6mth - 6 yr) & leading cause of hospitalization < 4 yrs | Croup |
| Sit of metastasis of soft tissue sarcoma | Lungs |
| Opportunistic organism in HIV PTs | Pneumocystis jiroveci (P. carinii) |
| Cause of spontaneous pneumothorax | Rupture of subpleural bleb |
| Cause of acute bronchiolitis | RSV |
| Cause of acute epiglottits | H. influenza |
| Ground-Glass appearance on CXR | Hyaline membrane disease (or Pneumocysitis carinii) |
| Tram-track lung marking on CXR | Bronchiectasis |
| Hampton's Hump (wedge shaped pleural-based density)or Westermark's sign (decrease in pulmn vascular markings on CXR) | Pulmonary Embolism |
| S1Q3T3 (RBBB, R axis deviation, flipped T waves/ST depression) | Pulmonary Embolism |
| Steeple Sign | Croup |
| Hot potato voice, Tripod position, Thumb print sign | Epiglottis |
| Pink Puffer | Emphysema |
| Blue Bloater | Chronic Bronchitis |
| Pneumonia on CXR | Infiltrates |
| PE diagnostic test | Pulmonary angiography |
| Foreign Body dx & tx | Endoscopy |
| Cause of pericarditis | Coxsackievirus |
| Cause of renovascular HTN | Atherosclerosis |
| CXR finding w/traumatic thoracic aortic injury | Widened Mediastinum |
| Inherited condition associated w/ pulmonary embolism | Factor V Leiden mutation (expressed as resistance to anticoagulant Protein C) |
| Cause of A. Fib | HTN & Coronary atherosclerosis |
| Valvular abnormality (Adults) | Aortic Stenosis |
| Valve abnormality in RHD | Mitral stenosis |
| Cause of CHF | Atherosclerotic coronary disease & HTN |
| Cause of arterial occlusive disease | Atherosclerosis |
| Cause of 2ndary HTN | Renal disease |
| Test for arterial insuffieiency | Ankle-Brachial index |
| Cause of sudden death in adolescents | Hypertrophic cardiomyopathy |
| Osler nodes (painful, raised lesions of fingers, toes or feet), Janeway lesions (painLESS erythematous lesions of palms/soles) Roth spots | Endocarditis |
| Pain relieved by sitting forward | Pericarditis |
| Delta wave | WPW Syndrome |
Created by:
vyoz12
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