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139 Cards in this Set
- Front
- Back
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4 W's (Infant deprivation)
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Weak, Wordless, Wanting, Wary
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DIG FAST
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Symtoms of Manic episode (3 or more for Diagnosis): Distractibility, Irresponsibility, Grandiosity, Flight of ideas, Agitation, Sleep (decreased), Talkativeness (pressured speech)
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SIG E CAPS
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Depressive Episode (>5 for 2 weeks): Sleep distrubance loss of Interst, Guilt, Energy loss, Concentration loss, Appetite change, Psychomotor retardation/agitation, Suicidal ideations, depressed mood/anhedonia (always included)
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SAD PERSONS
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Suicide completion risk factors: Sex (male), Age(teens/elderly), Depression, Previous attempt, Ethanol/drugs, Rational thought loss, Sickness, Organized plan, No spouse, Social support lacking
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PANICS
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Panic disorder: Palpitations/Parasthesias, Abdominal distress, Nausea, Intense fear, lIght-headedness, Chest pain/Chills/Choking/disConnectedness, Sweating, Shaking, Shortness of breath
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3 W's (Personality disorder Clusters)
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Weird (A), Wild (B), Worried C
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LMNOP
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Lithium side effects: Movement(tremor), Nephrogenic diabetis insipidus, hypOthyroidism, Pregnancy problems
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B A SSSMMART Chicken or you're Gone
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Reportable diseases: hep A, hep B, Salmonella, Shigella, Syphilis, Measles, Mumps, Aids, Rubella, Tb, Chickenpox, Gonorrhea
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Four D's of Malpractice
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Duty, Dereliction, Damage, Direct
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Death Arrives Bringing Grave Adjustments
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Kubler-Ross grief States: Denial, Anger, Bargaining, Grieving, Acceptance
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BATS Drink Blood
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EEG Waveforms in sleep states (0-5): Beta, Alpha, Theta, Sleep spindles/K complexes, Delta, Beta
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APGAR
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Appearance, Pulse, Grimace, Activity, Respiration
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Mature women wear a SASH
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Mature ego defenses: Sublimation, Altruism, Suppression, Humor
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3 F's and 2 C's
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riboFlavin(B2): Fad and Fmn, deficiency causes Cheilosis, Corneal vaculatrization,
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4 D's
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Niacin (B3) deficiency: Diarrhea, Dermatitis, Dementa, and Death!
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AVID
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AVIDin in egg whites AVIDly binds biotin
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CCC
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vit C Crosslinks Collagen
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MEAL
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Kwashiorkor Sx: Malabsorption Edema Anemia Liver (fatty)
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Be So Totally Cool, Read Books
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Collagen types: Bone, Skin Tendon (I), Cartilage (II), Reticulin (III), Basement Membrane (IV)
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Can I Keep Selling Sex For Money, Officer?
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Citrate, Isocitrate, a-Ketoglutarate, Succinyl-CoA, Succinate, Fumarate, Malate, Oxaloacetate
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Pathway Produces Fresh Glucose
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Gluconeogenesis steps (key enzymes): Pyruvate carboxylase, PEPCK, Fructose-1,6-bisphosphatase, Glucose-6-phosphatase
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PVT TIM HALL
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Essential amino acids: Phe, Val, Trp, Thr, Ile, Met, His, Arg, Leu, Lys
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Ordinarily, Careless Crappers Are Also Frivolous About Urination
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Onrithine, Carbomoyl phosphate, Citrulline, Aspartate, Arginiosuccinate, Fumarate, Arginine, Urea
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COLA
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Cystinuria defect in transporter for Cystine, Ornithine, Lysine, Arginine
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I Love Vermont maple syrup
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Ile, Val, Leu branch amino-acids build up in Maple Syrup Urine Disease
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BRICK L
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Don't need insulin for glucose uptake: Brain, RBCs, Intestine, Cornea, Kidney, Liver
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Rule of 2's
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2nd week: 2 layers (epi/hypoblast), 2 cavities (amniotic/yolk sac), 2 placental cells (cytotrophoblast, syncytiotrophoblast)
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Rule of 3's
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3rd week: 3 germ layers: ecto/meso/endo derm
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VACTERL
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Mesodermal defects: Vertebra defect, Anal atresia, Cardiac defect, Trache-Esophogeal fistula, Renal deftect, Limb defects
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Young Liver Synthesizes Blood
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Fetal errthropoiesis: Yolk sac (3-8), Liver (6-30), Spleen (9-28), Bone marrow (28-)
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MAX SC
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Aortic Arch derivitives: 1-Maxillary artery, 2-Stapedial artery, 3-Carotid
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CAP
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Branchial structures - Cap covers from the outside in: Clefts (ectoderm), Arches (mesoderm), Pouches (endoderm)
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Several Parts Build Diaphragm
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Septum transversum, Pleuroperitoneal folds, Body wall, Dorsal mesentary of esophogus
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SEED
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Mesonephric/wolffian duct derivitives: Seminal vesicles, Epididymis, Ejaculatory duct, Ductus deferens
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Hot T-Bone stEAk
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IL Functions: IL-1 (fever-Hot), 2 (stim T-cells), 3 (stim Bone-marrow), 4(stim igE production), 5 (stim igA production)
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To Be Healed Rapidly
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Tetanus toxin, Botulinum toxin, Hbv, Rabies (give preformed Ab - passive immunity)
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4 T's
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type 4 immune-hypersensitivity: T lmyphocytes, Transplant rejecion, TB skin tests, Touching (contact dermatitis)
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ACID
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Hypersensitivity Types: 1=Anaphylactic/Atopic, 2=Cytotoxic, 3=Immune complex, 4=Delayed (cell-mediated)
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WIPE
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Wiscott-aldrich syndrome (decreased B-cell activation): Infections, thrombocytopenic Purpura, Eczema
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PAIR
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HLA B27 subtype associations: Psoriasis, Ankylosing spondylitis, Inflammatory bowel disease, Reiter's syndrome
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CREST
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Auto-immune Scleroderma, anti-centromere Ab's: Calcinosis, Raynaud's, Esophogeal dysmotiligy, Sclerodactyly, Telenangectasia
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B-hCG
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Elevated in Hydatidiform mole, Choriocarcionoma, Gestational trophoblastic tumors
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Lots of Bad Stuff Kills Glia
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Mets to Brain: Lung, Breast, Skin, Kedney, GI
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Cancer Sometimes Penetrates Benign Liver
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Mets to Liver: Colon > Stomach > Pancreas > Breast > Lung
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P.T. Barnum Loves Kids
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Mets to bone: Prostate, Thyroid/Testes, Breast, Lung, Kidney
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HAVe 1 M&M
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Gq (PLC) receptors: H1, a1, V1, M1, M3
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MAD 2's
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Gi (A-cyc) receptors: M2, a2, D2
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DUMBBELSS
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Cholisterase inhibitor poising: Diarrhea, Urination, Miosis, Bronchospasm, Bradycardia, Excitation of skeletal muscle and CNS, Lacrimation, Sweating, Salivation
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No pee, no see, no spit, no shit
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Atroping (Musc. Antag.): Blocks urination, lacrimation, salivation, defecation
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A BEAM of B1
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B1 selective blockers: Acebutolol, Betaxolol, Esmolol, Atenolol, Metoprolol
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LEAD
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Pb toxicity: Lines on gingivae/epiphysis, Encephalopathy/Erythrocyte basophilic stippling, Abdomical colic, sideroblastic Anemia, Drops (wrist/foot)
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Some Drugs Create Awesome Knockers
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Gynecomastia drugs: Spironolactone, Digitalis, Cimetidine, chronic Alochol, estrogens, Ketoconazole
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SAT for a photo
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Photosensitivity drugs: Sulfonamides, Amiodarone, Tetracycline
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its not HIPP to have lupus
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SLE-syndrome drugs: Hydralazine, INH, Procainamide, Phenytoin
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Queen Barb take Phen-phen and Refuses Greasy CarbS
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P450 inducers: Quinidine, Barbiturates, Phenytoin, Rifampin, Griseofulvin, Carbamazepine, St. john's wort
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Inhibitors Stop Cyber Kids from Eating Grapefruit
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Isoniazid, Sulfonamides, Cimietidine, Ketoconazole, Erythromycin, Grapefruit juice
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Nagging Pests Must Breathe
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Obligate Aerobes: Nocardia, Pseudomonas, Mycobacterium tb, Bacillus
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stay inside when its Really Cold
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Obligate Intracellular: Rickettsia, Chlamydia
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Some Nasty Bugs May Live FacultativeLY
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Facultative intracellular: Salmonella, Neisseria, Brucella, Mycobacterium, Listeria, Francisella, Legionella, Yersinia
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COFFEe
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Capuslar, O antigen, Flagellar antigen, Ferment glucose, Enterobacteriaceae
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Lactose is KEE
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Lactose Fermenters: Klebsiella, E.coli, Enterbacter (citrobacter)
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Big BLT
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Spirochetes: Borrelia (big one), Leptospira, Treponema
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BAKE a key Lyme pie
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Lyme dx: Bell's palsy, Arthritis, Kardiac block, Erythema chronicum migrans
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Naked CPR
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Naked RNA viruses: Calicivirus, Picronavirus, Reovirus
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HHAPPPy
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DNA viruses: Hepadna, Herpes, Adeno, Pox, Parvo, Papova
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must be Naked for a PAP smear
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Naked DNA viruses: Parvo, Adeno, Papova
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Always Bring Polymerase Or Fail Replication
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Neg. strand virus: Arenaviruses, Bunya, Paramyxo, Orthomyxo, Filo, Rhabdo
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BOAR
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Segmented viruses: Bunyaviruses, Orthomyxo, Arena, Reo
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PERCH on a "Pic"
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Picornaviruses: Poliovirus, Echovirus, Rhinovirus, Coxsackievirus, HAV
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SSEEK PP
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UTI bugs: Serratia, Staphlococcus saph., E.coli, Enterobacter cloacae, Klebsiella, Proteus, Pseudomonas
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ToRCHeS
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Dangerous Preg. Infections: Toxoplasma, Rubella, CMV, HSV/HIV, Syphilis
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TCP: Takes Care of Pseudomonas
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Ticarcillin, carbenicillin, piperacillin
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buy AT 30, CELL at 50
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Ribosomal Abx: 30S - Aminoglycocides, Tetracyclines / 50S Chloramphenicol, Erythromycin, Lincomycin, cLindamycin
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GNATS
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Aminoglycosides: Gentamicin, Neomycin, Amikacin, Tobramycin, Streptomycin
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RIPES
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TB Drugs: Rifampin, Isoniazid (INH), Pyrazinamide, Ethambutol, Streptomycin
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SAFE Moms Take Really Good Care
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Abx to Avoid in Preg: Sulfonamides, Aminoglycosides, Fluoroquinolones, Erythormycin, Metronidazole, Tetracyclines, Ribavirn, Griseofulvin, Chloramphenicol
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DQ CRIMES
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Abx w/Hepatic Metabolism: Doxycyline, Quinolone, Clindamycin, Rifampin, Isoniazid, Metronidazole, Erythromycin (macs), Sulfonamide
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SV CAP
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Stroke Volume affected by Contracitily, Afterload, Preload
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PROVe
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Tetralogy of Fallot: Pulmonary stenosis, RVH, Overriding Aora, VSD
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ABCCCD
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Dilated Cardiomyopathy: Alchohol abuse, Berberi, Coxsackie, Cocaine, Chagas diseas, Doxorubicin
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FAT BAT
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Embolus causes: Fat, Air, Thrombus, Bacteria, Amniotic fluid, Tumor
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bacteria FROM JANE
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bacterial endocarditis: Fever, Roth's spots, Osler's nodes, Murmur, Janeway lesions, Anemia, Nail-bed hemorrhage, Emboli
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FEVERSS
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Rheumatic heart disease: Fever, Erythema marginatum, Valvular damage, ESR up, Red-hot joints, Subcutaneous nodules, St. Vitus' dance (chorea)
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CAPTOPRIL
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ACE-I effects: Cough, Angioedema (Proteinuria), Taste changes, hypOtension, Pregnancy problems (renal), Rash, Increased renin, Lower angiotensin II
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Queen Amy Proclamis Diso's pyramid
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Class 1A antiarrhythmics: Quinidine, Amiodarone, Procainamide, Disopyramide
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I 8 10 EGCs AT 12
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Structures perforationg diaphragm: Ivc @8th vertebra, EsophaGus, vaGus @ 10th vertebra; Aorta, Thoracic duct @ 12th vertebra
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CADET face Right
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Right shift of O2-Hgb curve: Co2, Acid/Altitude, Dpg (2,3), Exercise, Temperature
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SPHERE of complications
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Lung cancer complications: Superior vena-cava syndrome, Pancoast's tumor, Horner's syndrome, Endocrine (paraneoplastic), Recurrent laryngeal symptoms (hoarseness), Effusions (pleural or pericardial)
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MUDPILES
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Increased anion gap metabolic acidosis: Methanol, Uremia, Diabetic ketoacidosis, Paraldehyde/Phenformin, Iron tablets/Inh, Lactic acidosis, Ethylene glycol, Salicylates
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WAGR complex
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Wilm's tumor, Aniridia, Genitourinary malformation, mental-motor Retardation
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Pee SAC
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transitional cell carcinoma: Phenacetin, Smoking, Aniline dyes, Cyclophosphamide
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OH DANG!
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Furosemide toxicity: Ototoxicity, Hypocalemia, Dehydration, Allergy (sulfa), Nephritis (interstitial), Gout
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HyperGLUC
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HCTZ Toxicity: hyperGlycemia, hyperLipidemia, hyperUricemia, hyperCalcemia
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Neutrophils Like Making Everything Better
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WBC diff from highest to lowest" Neturophils, Lymphoctes, Moncytes, Eosinophils, Basophils
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TAIL
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Basophilic Stippling in RBC's caused by: Thallassemias, Anemia of chronic disease, Iron deficiency anemia, Lead poisoning
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NAACP
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Causes of eosinophilia: Neoplastic, Asthma, Allergic processes, Collagen vascular diseases, Parasites
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HALT
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Target Cells: HbC disease, Asplenia, Liver diseas, Thalassemia
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PSaMMoma bodies
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Papillary (thyroid), Serous (ovary), Meningioma, Mesothelioma
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STOP Making New Thrombi!
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DIC causes: Sepsis, Trauma, Obstetric complications, Pancreatitis, Malignancy, Nephrotic syndrome, Transfusion
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hypothalamus wears TAN HATS
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Thirst, Adenohypophysis control, Neurohypophysis hormone release, Hunger, Autonomic regulation, Temp reg, Sexual urges/emotions
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5 F's of the limbic system
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Feeding, Fighting, Feeling, Flight, and Fucking
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Randy Travis Drinks Cold Beer
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Brachial Plexus: Roots, Trunks, Divisions, Cords, Branches
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PED and TIP
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Peroneal Evets and Dorsiflexes (foot dropPED), Tibial Inverst and Plantarflexes (can't stand on TIPtoes)
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Radial nerve innervates BEST
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Brachioradialis, Extensors of wrist/fingers, Supinator, Triceps
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OAF
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Oppose Abduct and Flex (Thenar/Hypothenar muscles)
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Parkinson's TRAP
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Tremor (rest), Rigidity, Akinesia, Postural instability
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MS is a SIN
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Scanning speech, Intention tremor, Nystagmus
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BALSA
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Parkinson't Drugs: Bromocriptine, Amantadine, Levodopa (w/carbidopa), Selegiline, Antimuscarinics
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BB King on OPIATES PROPOses FOOLishly
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IV anesthetics: Barbiturates, Benzodiazepine, Ketamine, Opiates, Propofol
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5 is Standing Room Only
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CN V Exit: Superior Orbital Fissure, foramen Rotundum, Ovale
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Californians Like Girls in String Bikinis
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Epidermis layers: Stratum Corneum, Lucidum, Granulosum, Spinosum, Basalis
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SItS
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Rotator Cuff Muscles: Supraspinatus, Infraspinatus, teres minor, Subscapularis
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I'M DAMN SHARP
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SLE: Immunoglobulins, Malar rash, Discoid rash, Antinuclear antibody, Mucositis, Neurologic disorders, Serositis, Hematologic disorders, Arthirits, Renal disorders, Photosensitivity
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GRAIN
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Sarcoidosis: Gammaglobulinemia, Rheumatoid arthritis, ACE increase, Interstitial fibrosis, Noncaseating granulomas
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FAN MY SKIN On Wednesday
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Takayasu's arteritis: Fever, Arthritis, Night sweats, Myalgia, SKIN nodules, Ocular distrubances, Weak pulese in upper extremities
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N(AVEL)
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Femoral region (lat to med): Nerve (Artery, Venin, Empty space, Lymphatics) - () = femoral sheats
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Old MDs don't Lie
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Hernias: Old guys have Medial to inf epigastric a. = Direct (Lat = indirect)
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ABCDEF
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Esophageal cancer: Alcohol, Barrett's esophagus, Cigarettes, Diverticuli, Esophageal web (plummer-vinson) / Esophagitis (reflux), Familial
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Fat Granny and an old Crone skip down a Cobblestone road away from the Wreck!
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Crohn's: creeping Fat, Granulomas (noncaseating), Skip Lesions, Cobblestone mucosa, Rectal sparing
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5 2's of Meckel's diverticulum
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2 inches long, 2 feet from ileocecal valve, 2% of population, first 2 years, 2 epithelia types (gastric/pancreatic)
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ABCD of Wilson's disease
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Asterixis, Basal ganglia degeneration (parkinsonian sx), Ceruloplamin (low) / Corneal deposits (Kayser-Fleischer rings) / Copper accumulation / Choreiform movements, Dementia
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4 F's of Gallstones
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Female, Fat, Fertile, Forty
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GET SMASHeD
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Acute Pancreatitis: Gallstones, Ethanol, Trauma, Steriods, Mumps, Autoimmune disease, Scorpion sting, Hypercalcemia/Hyperlipidemia, Drugs
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GCU
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Hyperbilirubinemias: Gilbert's and Crigler-Najar are Uncongugated (Dubin-Johnson and Rotor are Conj.)
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GFR
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Adrenal Cortex Layers: Glomerulosa, Fasciculata, Reticularis (Salt, Sugar, Sex, the deeper you go, the sweeter it gets)
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FLAT PiG
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Anterior Pituatary hormones: FSH, LH, ACTH, TSH, Prolactin, GH
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B FLAT
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Basophils: FSH, LH, ACTH, TSH
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Men are #1
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21 and 11B hydroxylase deficiencies: female pseudohermaphrotidism
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Wasted at 21
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21 Hydroxylase deficiency: salt wasting (can't make aldo) - 11B, 17a salt retaining/hypertension
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PET CAT
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Steriod/thyroid hormones: Progesterone, Estrogen, Testosterone, Cortisol, Aldosterone, Thyroxine/T3 (delayed onset b/c transcription/protein synthesis)
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4 B's of T3
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Brain maturation, Bone growth, Beta adrenergic effects, BMR (increased)
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5 P's of Pheo
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Pressure (bp up), Pain (headache), Perspiration (tachy), Palpitations, Pallor
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Pheo "Rule of 10's"
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10%: malignant, bilateral, extra-adrenal, calcify, kids, familial
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3 P's of MEN 1
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Pancreas, Pituitary, Parathyroid
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CHIMPANZEES
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Hypercalcemia: Calcium ingestion, Hyper-parathyroid/thyroid, Iatrogenic (thiazides), Multiple myeloma, Paget's disease, Addison's disease, Neoplasms, Zollinger-Ellison syndrome, Exces vitamin D, Excess vitamin A, Sarcoidosis
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Carcinoid syndrome "Rule of Thirds"
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1/3 metastasize, present with 2nd malignancy, multiple
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SEVEN UP
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Sperm path: Seminiferous tubules, Epididymis, Vas deferens, Ejaculatory ducts, Nothing, Urethra, Penis
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Menopause causes HAVOC
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Hot flashes, Atrophy of the Vagina, Osteoporosis, Coronary artery disease
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HELLP
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Preeclampsia associated syndrome: Hemolysis, Elevated LFTs, Low Platelets
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