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92 Cards in this Set

  • Front
  • Back

Microcytic

MCV <80, iron def & thalassemia

Normochromic

32-36%; chronic disease or sickle cell

Hypochromic

Color; <32%

Hyperchromic

>36%

Macrocytic

>100; folate or B12

Iron def anemia

Most common; microcytic hypochromic

Thalassemia

Microcytic hypochromic; middle eastern

Folic acid anemia

Macrocytic normochromic; beefy red tongue; + neuro sx

Pernicious anemia

Macrocytic normochromic; lacks B12; beefy red tongue

Anemia of chronic disease

Normocytic Normochromic; common in elderly

Sickle cell anemia

Normocytic normochromic; genetic; give fluids

Guillian-barre

Progressive symmetrical ascending paralysis; viral upper respiratory infection. Starts with feet!!! Csf dx with protein.

Myasthenia Gravia

Extremity weakness; resp difficulty; acetylcholine antibodies found. Responds to tensilon.

Meningitis

Fever & neuro sx; strep pneumonia. +bridzinski & + kernigs. Tx- dexamethasone & abx

Bacterial meningitis

Protein increased; glucose decreased. Cloudy; elevated opening pressure. + wbc. Tx- PCN

Viral meningitis

Normal glucose and protein. + wbc.

Cervical injury

Quadriplegic; vent at C4

Thoracic spinal cord injury

Paraplegic; trunk control

T4-T6

Bladder/ bowel control

Lumbar injury

Lower extremities

Parkinson’s

Degenerative disease; decreased dopamine; tremor, bradykinesia, rigidity; thx- carbodopa

Asthma

Obstructive: can’t get air out! Fev1- decreased?


Hyperinflation; resp alkalosis

COPD

Reduced FEVC1 & exploratory flows. Bronchitis & emphysema.

TB txment (4 drugs)

Isoniazid, rifampin, pyrazinamide, ethanbutol

HAP

48hrs or more will develop infection; staff aureus

Obstructive airway disease

Asthma, COPD: asthma & emphysema- affects air flows

Restrictive lung diseases

PNA, CF, plum fibrosis, libextomy, ARDS- restrict volume

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.

Herb nodes

In OA; distal phalanges

Bouch nodes

found in RA & degenerative joint disease; proximal phalanges

RA

Autoimmune; younger, symmetrical, in PIPs & MCPs, wrists; swelling, edema, red, & heat. WORSE IN AM; ⬆️ ESR. Thx: salicylate, NSAIDs, corticosteroids.

Lupus (SLE)

Butterfly rash, ANA +, tx- naps, sunscreen, topical steroids, NSAIDs, glucocorticoids

Giant cel arteritis

Aka- temporal arthritis. High Fever, HA, visual sx, risk for blindness; normal wbc, ⬆️ ESR. Tx: prednisone & referral.

Conjunctivitis

Pink eye; NO PAIN, itchy.

Eye pain

Corneal abrasion or corneal ulcer

Glaucoma

Diamox, mannitol, beta-blocker, cupping of disc, burry vision, PAIN, elevated IOP.

Cataracts

PAINLESS, diplopia of 1 eye, aging risk. Tx- glasses or surgery

Hypovolemic shock

Everything is low; ⬆️ SVR

Cardiogenic shock

Pump issue; high cvp & wedge, low CO/CI.


Tx- ivf & then presser

Obstructive shock

PE cause; fluids, pressors, vent, fix underline cause.

Distributive shock

Anaphylactic, septic, neurogenic. Blood is not getting distributed.

Septic shock

High CO/CI initially!! The only one.

Signs for pancreatitis

Grey-turners- flank discolor


Cullens- umbilical discolor


Chvostek & trouseau’s- ⬇️ ca and facial twitching

Cholecystitis sign

Murphy’s- rib cage pressure & deep inspiration

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

Lachman sign

Straight-leg raise that dx ACL tear. Instability of the knee

Battles sign

Bleeding behind ears

Battles sign

Bleeding behind ears

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.

A split S2 is best heard over what area?

Pulmonic

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.

Osteopenia vs osteoporosis T scores

Osteopenia between -1.0 & -2.5. Osteoporosis less than -2.5.

+ drawer sign

ACL tear; supine and knees 90 deg.

positive Finkelstein's sign

Dequer tenos- thumb

Ca channel blocker side effects

Peripheral edema, HA

Tx arthritis

Glucimine

Brudzinski sign

flexes the patient's neck while observing the patient's hips and legs for a reaction.

Asthma class : normal

normal FEV1 between exacerbations, FEV1 >80%),

mild persistent asthma

mild persistent (FEV1 >80%)

moderate persistent asthma

FEV1 60%-80%

Severe persistent asthma

FEV1 <60%

Auspitz sign

is simply bleeding that occurs after psoriasis scales have been removed.

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

HBsAg (-), anti-HBs (-), anti-HCV (-), anti-HAV (+)

Needs hep B vaccine & hep b immune globulin

anti-HBV is negative, HBsAg is positive, HBeAg is negative

Vaccine and immune globulin

Treponema pallidum

is a gram-negative spirochete that is the cause of syphilis

Organism that cause CAP

H. Influenza, mycoplasma PNA, moxerella catarrhalis

Lead poisoning can cause which type of anemia?

Microcytic

Straight leg test also checks for...

Sciatica

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.

Cardiac tamponade triad

Muffled heart sounds, Jvd, hypotension

Dig tox

Brady, pvcs, LBBB

Cushings triad

Too much cortisol/steroid. Widening pulse pressure, ⬇️resp rate, ⬇️ HR. HTN. Moon face. Tx with surgery or hold meds causing.

CML

Philadelphia

ALL

Pancytopenia w/ blasts

Lymphadenopathy

Non-hodgkins

CLL

Lymphocytosis

Pheochromocytoma

Tumors from adrenal and medulla; secrete nore & epi. Tachy, HA- looks like graves. R/o graves first. Tx the sx.

Mitral stenosis sound

Low pitched loud crescendo

Ca channel blockers

“Pine’s”, dilt, verapamil

Vasospastic angina

Prinzmetals. Has ST elevation but clear coronaries. Give ca channel blockers and rest improves.

Diastolic ❤️ fx

Unable to relax, on dilator. ⬇️CO

Systolic ❤️ fx

Unable to contract. Give dig. ⬇️CO.

Acute ❤️ fx

Left side; resp sx-sob, sudden onset. Cause- mi.

Chronic ❤️ fx

Right side, slower onset, edema, jvd, S3 or S4

V leads, V3, V4

Anterior

V1

Posterior

Leads I, aVL

Lateral

II, III, aVF

Inferior

HFpEF

Diastolic HF

HFrEF

Systolic HF

Addisons

Low cortisol. hypotension. Freckles. Tx- corticosteroids and mineralocorticoid