-
rx for skin abscess?
- i and D
- no antibiotics if <5 cm and low risk patient
-
mode of antibiotics for osteo, cellutlitx, skin abcess?
osteo-- iv
cellulitis--iv then po
skin abcess--po
-
Hidradenitis suppurativa?
rx?
blocked inflammed apocrine gland in groin or genital area
- same as acne---tetracycline
- metro
- retinoic acid
-
presentation of necrotizing fascitis vs cellulitis?
- excruciating pain beyond the area of cellulitis
- bullae, crepitus in the skin
- all above are in necrotizing fascitis
in cellulitis---erythmea and tenderness in the skin involved
-
rx for necrotizing fascitis?
-
dry vs wet gangrene?
- dry--hard, dry necrotic tissue--poor perfusion
- wet--swollen, tender tissue--acute ischemia or infection
-
rx for dry gangrene?
wet gangrene?
auto amputation over time
debridement or amputation
-
-
how is a pt managed that was exposed to chicken pox?
vaccine and iv ig can be give 3 days post the exposure..after that its not effective
-
when do you treat shingles?
within 3 days of onset of symptoms
-
rx for tinea verisolocor?
-
intertrigo?
candida causing infection of skin creases
-
side effects of malation?
cholinergic symptoms
-
cradle cap?
seborrheic dermatitis
-
uv light fixes what two skin conditions?
-
-
rx for pemphigus vulgaris and bullous pemphigoid?
pemphigus vulgaris--po steroids
bullous pemphigoid--topical steroids
-
rx for acitinic keratosis?
-
shave biospy is ok for which cancers?
squamoius
basal cell carcinoma
-
most common type of melanoma?
non-pigmented
dark papule on the legs or trunk bleeds easily
occurs on palms, soles, or beneath nail plate
- superficial
- amelanotic
- nodular
- acral lentiginous
- superficial
-
rx for xeroderma pigmentosum?
avoid sunlight
-
rx for melasma?
- avoid sun exposure
- hydroquinone
-
bleaching chemical that is used to match the skin to look like vitiligo?
hydroquinone
-
rx for vitiligo?
steroids if <10%
-
purple red lesion on face no regress with age
infant with bright lesion that regress?
benign small red papule appears with age
bright lesion with radiating blanching vessels
blue compressible mass no regression
red pink nodule that confused with melanoma
- port wine stain
- strawberry hemangioma
- cherry hemangioma
- spider angioma
- cavernous hemangioma
- spitz nevus
-
-
most common side effect of methylphenidate?
- decreased appetitie
- insomnia
-
definition of status epilepticus?
ongoing siezure for 10 minutes
-
rx for status epilepticus?
- benzo
- phenytoin
- phenobarbital
- anesthesia
-
when is hospitalization of schizophrenic warranted?
- homicidal ideation
- suicidal ideation
- disorganized or threathing behavior
-
best initial test for duchenes?
most accurate?
gold standard?
ck and aldolase
most accurate is muscle biopsy or genetic study
genetic studies
-
steps to prevent pos operative atelectasis?
- chest physiotherapy
- incentive spirometry
- sitting up
-
gunshot or stab wound below what level is considered abdominal wound?
below T4--nipple
-
inguinal hernias are above or below the inguinal ligament?
above
-
magnesium sulfate treats or prevents siezures?
prevents seizures
-
what effect does serotonin have on prl?
increases the release of it
-
most effective way of avoiding burns in xeroderma pigmentosum, or phenylketonuria?
avoid sun exposure
-
most effective way of using sunscreen?
applying it 15-60 minutes before exposure
-
2 conditions that cause muffled, hot potato voice?
- tonsillar abscess
- retropharyngeal abscess
-
which one has bleeding? diverticulosis or diverticulitis?
diverticulosis has bleeding
diverticulitis has infectious symptoms
-
most common cause of lower gi bleed?
diverticulosis
-
winters formular for respiraotry compensation in metabolic acidosis?
1.5(HCO3) +8
-
the only reversible restrictive cardiomyopathy?
hemochromatosis
-
sign of an infection in a patient taking ptu or methimazole, next step?
stop the drug and check wbc
-
enthesitis or pain at the tendon insertion suggests what disesae?
ankylosing spondylitis
-
criteria for oa?
- >50 age
- bony enlargement
- crepitus
- bony tenderness
- no warmth
- no stiffness in the morning
-
1st line rx for absence seizure?
2nd line?
-
1st line rx for partial seizures?
phenytoin
-
in what disease do you see athetosis?
huntingtons
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