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57 Cards in this Set
- Front
- Back
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Sinusoids are...
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wider and more irregular capillaries found in liver, spllen, red bone marrow an adenohypopyhsis, consist of phagocytic cells
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Dimpling during breast CA d/t
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infiltration of suspersory (Cooper's) ligmaents of the breast, if it shortens lactiferous ducts causes nipple retraction
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Anatomical snuff box cosists of...
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tendon of extenrosr pollicus longus, tendons fo extersor pollicis brevis and abductor pollicis longus
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Dorsal interossei do this...
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abduct fingers while palmar interossei adduct
lumbricals extend PIP and DIP |
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cell bodies for general somatic efferetns are in...
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anterior horn of spal cord, sensory are in the dorsal root ganglion
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suprascapular artery branches form
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thyrocervivcal trunk, anastomses with dorsal scapular artery
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Fracture of medial epicondyle may..
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damage ulnar nerve causing claw hand
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Femoral hernia...
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sac formed by parietal peritoneum that passes through the femoral ring, more common in women
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congenital dislocation of thehip
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abnormal movement of upper acerabulum causing it to leave, limb is sortened adducted and medially rotated
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Battle's sign
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discoloration behing hear indicatdive of basillar skjull fracture
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significance of cavernous sinuses
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infections from the fae and abve mouth can reach brain through this via facial, angular and opthalmic vein anastomose
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muscles that open the mouth
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latera prerygoid, supra and infrahyoids
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loss of taste to anterior 2/3 of tongue indicates
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chorda typani inolvement
facial nerve- entire side paralysis d/t damage to facial nerve along course, in cerebral cortex ir descending corticobulbar fibers forehead movement is maintained |
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someone has hyperacusis 9exaggerated sense of noises)
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damage to stapedius muscle
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Trigeminal neuralgia
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excrucitaing pain, especially along maxillary and mandibular division of ther trigeminal nerve,
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Carotid sheath includes
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internal and common carotids, internal jugular, vagus and
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carotid body vs carotid sinus
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sinus is dilated area in proximal internal carotid artery, monitor pressure and innervated by CN IX
body is small ovodi tissue at bifurcation of common carotid, is a chemoreceptor senstive to changes in CO2 aqnd O2, innervated by CN IX and X |
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Branches off subclavian artery
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1st verterbral then thyrocervical trunk then costocervical trunk, dorsal scaplar artery, subclavian bein asses anterior to anterior scalene
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Thromboplebiits of the cavernous sinus
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can affect cranial nerves associated, can result from suppurative asal infections and lead to meningitis or thromobsis of retinal vein branches
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subdural hematomas occur when..
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stretching and or teaaring of the dura with tearing of the cerebral veins where they enter the superior sagittal sinus
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Traumatic subararachnoid hemorrhage occurs usuall
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over the occipital lobes, nontraumatic d/t Berry aneurysms
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Single lesion in the internal capsule can cause...
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complete unilateral motr and sensory loss
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Arcus senilis
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benign peripheral corneal degenration
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chalzion
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chronic ganulmoa of the eytelid vs. hordoleum, infection of the slaces of Zeiss
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communicativng vs. concommunicating hydrocephalus
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communicating- can move but ahs blockage of absopriton of CSF in the basilar cisterns r pacchionian granulation, noncommunicating not able to flow from lateral ventricl es to lumbar subarachnoid space
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Dupuytren's contracture
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contraacutre of palmar aponeruosis, progressive fibross of the aponeruosis so that one or more digits are pulled into a marked irreversible flexion at the MCP joint
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To avoid nerves and vessels in thoracentesis do it
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above the rib, runs underneath as a VAN
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Tunica albuginea
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thick fibrous capsule of testies, sends radiating branches into testis forming lobules
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uureters in males and females
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males it passes posterior and inferior to the ductus deferens, in femal passes inferior to uterine artery (bridge of water) and lateral to the cervix important for GYN surg
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Muller's muscle
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superior tarsal muscle, contains SMC and is innervated by sympathetics
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Sensation above the glottis past the tongue
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internal laryngeal nerve (branch of superior laryngeal nerve)
external laryngeal nerve innervates cricothyroid (only phonation nerve not innervated by the recurrent laryngeal) |
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Branches off the descenidng aorta in order
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celiac, superior mesenteric, renals, testicular and ovaries then inferior mestenricc where it splits to form iliacs
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celica trunk splits into...
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splenic and hepatic artery, hepatic gives off gastroduodenal too
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TIAs
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ususally edgin suddenly and last 2-30 minutes, rarely over 2 hours, abate without persistent neuro prbs
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anearobic infections below the diaphragm
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metronidazole empirically
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Ankylosing spondyltitis drug
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indomethacin, inhiits cyclooxygenase
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DOC for aspergilosis
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voricanozola- ergosterol synthesis inhibitor, hepatotox
Amp B- antagonist aginst ergosterol and forms pores, nephrotox and ototox |
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Camp jejuni
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eryhtromycin, pretine synthesis inhibitor, QT prolonagation
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Chagas disease
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nifurtimox, destroys enzyms via ROS, abd pain NV, exacerbates G^PD
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Cholecystitis
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piperacillin + tazobactam
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Metformin
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inhibits absorbtion of glucose in bowel, decreaqses gluconeogenesis and increases glucose uptake from fat and skeletal muscles
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Severe diarrhea
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ciprofloxican or levofloxacian and metronidazole, topoisomerase inhibitor + DNA and protein destructive agent
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diverticulitis
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metronidazolze and ciprofloxican
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Gonnorhea
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ceftriazone plus doxy (for chlamyida empirically)
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DOC for fusarium
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Amp B
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histoplasmosis tx
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itracanozole like all azoles hepatotox
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HIV HAART
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2 NRTIs + 1 NNRTI or PI or 1INTI or 1 CCRA
efaviranze + tenofovir + emticatibine |
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hperthyroidism
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BBs + methimazoe or propthiuracil (inhbiits thyroperoxidase plus deiodinase needed for peroipheral conversion
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listeriosis
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apicllin
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meningitis empirically
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ceftriazone or cefotzime + dexamethasone + vanc
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Heparin
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actiavtes antithrombin, inhibits factors II, IX, X, XI and XII
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prostatits
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ceftriazone and doxycylcline
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pseudomembranous colitis
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metronidzadole, dsfuram like reaxtions
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sporotrichosis
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itraconazole
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shigellosis
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azithromycin or any FQ
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seizures: partial, general, absence
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partial- carmamazepine
general- phenytoin absence- ethosuximide 1st 2 inhibit Na channels, phenobarb acts on GABA febrile- phenobarb |
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trichinosis
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albendazole + prednisone, prevents microtubule formation preventing glucose uptake by organism
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