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92 Cards in this Set
- Front
- Back
Microcytic |
MCV <80, iron def & thalassemia |
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Normochromic |
32-36%; chronic disease or sickle cell |
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Hypochromic |
Color; <32% |
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Hyperchromic |
>36% |
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Macrocytic |
>100; folate or B12 |
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Iron def anemia |
Most common; microcytic hypochromic |
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Thalassemia |
Microcytic hypochromic; middle eastern |
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Folic acid anemia |
Macrocytic normochromic; beefy red tongue; + neuro sx |
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Pernicious anemia |
Macrocytic normochromic; lacks B12; beefy red tongue |
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Anemia of chronic disease |
Normocytic Normochromic; common in elderly |
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Sickle cell anemia |
Normocytic normochromic; genetic; give fluids |
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Guillian-barre |
Progressive symmetrical ascending paralysis; viral upper respiratory infection. Starts with feet!!! Csf dx with protein. |
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Myasthenia Gravia |
Extremity weakness; resp difficulty; acetylcholine antibodies found. Responds to tensilon. |
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Meningitis |
Fever & neuro sx; strep pneumonia. +bridzinski & + kernigs. Tx- dexamethasone & abx |
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Bacterial meningitis |
Protein increased; glucose decreased. Cloudy; elevated opening pressure. + wbc. Tx- PCN |
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Viral meningitis |
Normal glucose and protein. + wbc. |
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Cervical injury |
Quadriplegic; vent at C4 |
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Thoracic spinal cord injury |
Paraplegic; trunk control |
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T4-T6 |
Bladder/ bowel control |
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Lumbar injury |
Lower extremities |
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Parkinson’s |
Degenerative disease; decreased dopamine; tremor, bradykinesia, rigidity; thx- carbodopa |
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Asthma |
Obstructive: can’t get air out! Fev1- decreased? Hyperinflation; resp alkalosis |
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COPD |
Reduced FEVC1 & exploratory flows. Bronchitis & emphysema. |
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TB txment (4 drugs) |
Isoniazid, rifampin, pyrazinamide, ethanbutol |
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HAP |
48hrs or more will develop infection; staff aureus |
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Obstructive airway disease |
Asthma, COPD: asthma & emphysema- affects air flows |
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Restrictive lung diseases |
PNA, CF, plum fibrosis, libextomy, ARDS- restrict volume |
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OA |
Degenerative disease, Older pt, wt bearing joints, swell, NO red or heat. Herb & bouch nodes; better in am, worse with activity; relieved by rest; asa, ace, NSAIDs. |
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Herb nodes |
In OA; distal phalanges |
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Bouch nodes |
found in RA & degenerative joint disease; proximal phalanges |
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RA |
Autoimmune; younger, symmetrical, in PIPs & MCPs, wrists; swelling, edema, red, & heat. WORSE IN AM; ⬆️ ESR. Thx: salicylate, NSAIDs, corticosteroids. |
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Lupus (SLE) |
Butterfly rash, ANA +, tx- naps, sunscreen, topical steroids, NSAIDs, glucocorticoids |
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Giant cel arteritis |
Aka- temporal arthritis. High Fever, HA, visual sx, risk for blindness; normal wbc, ⬆️ ESR. Tx: prednisone & referral. |
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Conjunctivitis |
Pink eye; NO PAIN, itchy. |
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Eye pain |
Corneal abrasion or corneal ulcer |
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Glaucoma |
Diamox, mannitol, beta-blocker, cupping of disc, burry vision, PAIN, elevated IOP. |
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Cataracts |
PAINLESS, diplopia of 1 eye, aging risk. Tx- glasses or surgery |
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Hypovolemic shock |
Everything is low; ⬆️ SVR |
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Cardiogenic shock |
Pump issue; high cvp & wedge, low CO/CI. Tx- ivf & then presser |
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Obstructive shock |
PE cause; fluids, pressors, vent, fix underline cause. |
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Distributive shock |
Anaphylactic, septic, neurogenic. Blood is not getting distributed. |
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Septic shock |
High CO/CI initially!! The only one. |
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Signs for pancreatitis |
Grey-turners- flank discolor Cullens- umbilical discolor Chvostek & trouseau’s- ⬇️ ca and facial twitching |
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Cholecystitis sign |
Murphy’s- rib cage pressure & deep inspiration |
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Signs of appendicitis |
Psoas- R thigh extension Obturator- R internal leg rotate rovsings- pressure to LLQ causes px to RLQ. McBurney's point- tender abd |
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Lachman sign |
Straight-leg raise that dx ACL tear. Instability of the knee |
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Battles sign |
Bleeding behind ears |
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Battles sign |
Bleeding behind ears |
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Macula |
Macules are small, flat, discolored areas on the skin that are level with the skin surface. Examples are freckles and some rashes. Acne is not level with the skin surface. |
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A split S2 is best heard over what area? |
Pulmonic |
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The McMurray test |
is useful for evaluating the stability of an injured knee; used to detect a torn meniscus. With the patient supine, flex one knee completely with the foot flat on the table near the buttocks. |
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Osteopenia vs osteoporosis T scores |
Osteopenia between -1.0 & -2.5. Osteoporosis less than -2.5. |
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+ drawer sign |
ACL tear; supine and knees 90 deg. |
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positive Finkelstein's sign |
Dequer tenos- thumb |
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Ca channel blocker side effects |
Peripheral edema, HA |
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Tx arthritis |
Glucimine |
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Brudzinski sign |
flexes the patient's neck while observing the patient's hips and legs for a reaction. |
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Asthma class : normal |
normal FEV1 between exacerbations, FEV1 >80%), |
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mild persistent asthma |
mild persistent (FEV1 >80%) |
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moderate persistent asthma |
FEV1 60%-80% |
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Severe persistent asthma |
FEV1 <60% |
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Auspitz sign |
is simply bleeding that occurs after psoriasis scales have been removed. |
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Kernig's sign |
Kernig's sign is also performed with the patient supine. Lift up one leg at a time and attempt to straighten the leg. Pain in the lower back |
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HBsAg (-), anti-HBs (-), anti-HCV (-), anti-HAV (+) |
Needs hep B vaccine & hep b immune globulin |
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anti-HBV is negative, HBsAg is positive, HBeAg is negative |
Vaccine and immune globulin |
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Treponema pallidum |
is a gram-negative spirochete that is the cause of syphilis |
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Organism that cause CAP |
H. Influenza, mycoplasma PNA, moxerella catarrhalis |
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Lead poisoning can cause which type of anemia? |
Microcytic |
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Straight leg test also checks for... |
Sciatica |
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Phalen maneuver |
tests inflammation of median nerve; is a diagnostic test for carpal tunnel syndrome. The test is performed by pushing the back of the hands together for 1 minute. |
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Cardiac tamponade triad |
Muffled heart sounds, Jvd, hypotension |
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Dig tox |
Brady, pvcs, LBBB |
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Cushings triad |
Too much cortisol/steroid. Widening pulse pressure, ⬇️resp rate, ⬇️ HR. HTN. Moon face. Tx with surgery or hold meds causing. |
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CML |
Philadelphia |
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ALL |
Pancytopenia w/ blasts |
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Lymphadenopathy |
Non-hodgkins |
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CLL |
Lymphocytosis |
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Pheochromocytoma |
Tumors from adrenal and medulla; secrete nore & epi. Tachy, HA- looks like graves. R/o graves first. Tx the sx. |
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Mitral stenosis sound |
Low pitched loud crescendo |
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Ca channel blockers |
“Pine’s”, dilt, verapamil |
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Vasospastic angina |
Prinzmetals. Has ST elevation but clear coronaries. Give ca channel blockers and rest improves. |
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Diastolic ❤️ fx |
Unable to relax, on dilator. ⬇️CO |
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Systolic ❤️ fx |
Unable to contract. Give dig. ⬇️CO. |
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Acute ❤️ fx |
Left side; resp sx-sob, sudden onset. Cause- mi. |
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Chronic ❤️ fx |
Right side, slower onset, edema, jvd, S3 or S4 |
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V leads, V3, V4 |
Anterior |
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V1 |
Posterior |
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Leads I, aVL |
Lateral |
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II, III, aVF |
Inferior |
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HFpEF |
Diastolic HF |
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HFrEF |
Systolic HF |
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Addisons |
Low cortisol. hypotension. Freckles. Tx- corticosteroids and mineralocorticoid |