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QUICK HITTERS PANCE
Quick Hits word assoc for PANCE
220
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Graduate
05/29/2012

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Term
Chancroid
Definition
painful
Term
Syphilis chancre
Definition
painless
Term
Gout arthritis
Definition
1st line is NSAID
Term
Incomplete Abortion
Definition
open os, blood, +/- tissue
Term
Inevitable Abortion
Definition
ROM w/ cervical dilation
Term
Threatened Abortion
Definition
1st trimester bleed w/o fluid or tissue
Term
Acne
Definition
topical antibx 1st line; oral doxy + topical is 2nd line
Term
H2 blocker
Definition
30 min onset so take 30 min before meal
Term
Allergic rhinitis
Definition
pale/blue turbinates
Term
Addison Dz
Definition
Weakness, weight loss, anorexia, hypoTN, hyperpigmentation
Term
SLE
Definition
monitor ANA
Term
RA
Definition
monoitor RF
Term
Obstructing PFTs
Definition
increased residual vol, decreased FEV1, increased FVC
Term
Restrictive PFTs
Definition
decrease TC, decreased FVC, normal or increased FEV1
Term
Asthma PFTs
Definition
FEV1/FVC decreased, better with bronchodilator
Term
Anterior nosebleed
Definition
Kiesselbach plexus
Term
Hypertrophic cardiomyopathy
Definition
Beta-block, no strenuous activity
Term
Young adult w/ unexplained thrombosis or long gum bleeds
Definition
Factor V Leiden is common
Term
Acute psychosis w/ schizophrenia
Definition
fluphenazone, haloperidol, olanzapine
Term
+ECC on colpo
Definition
conization
Term
Tet of Fallot
Definition
palpable right ventricle lift
Term
Narcisstic personality disorder
Definition
lithium and antidepressants
Term
Mononucleosis
Definition
check heterophile test
Term
Mechanical heart valve
Definition
lifelong anticoagulation
Term
Terry nails (ground glass, distal red line, white plate)
Definition
liver cirrhosis
Term
Trigeminal neuralgia
Definition
1st carbamazepine; 2nd surgery (gamma knife)
Term
CML
Definition
splenomegaly, NO NODES
Term
Chemicals in the eye
Definition
saline flush only
Term
Argyll-Robertson
Definition
small, irregular pupils, react to near vision, no reaction to light
Term
Swimming pool viral conjunctivitis, usually from adenovirus 3
Definition
Topical sulfonamides to avoid secondary bacterial infection
Term
MVA, rapid onset dyspnea, CXR normal heart, bilateral infiltrates sparing costophrenic angles
Definition
ARDS; intubate
Term
Acute angle closure glaucoma
Definition
old/asian/hyperopes, rapid onset of pain, vision loss, halos around lights, steamy cornea, dilated pupil, tense / hard globe
Term
LV aneurysm
Definition
10-20% post ant wall infarction, ST elevation beyond 4-8 wks, paradoxical bulge in systole
Term
Post-infarct ischemia
Definition
recurrent ischemia w/ NSTEMI, w/ post-infarct angina
Term
Ischemic cardiomyopathy
Definition
decreased EF, wall motion changes, NOT assoc w/ ST elevation or bulge / scarring
Term
Constrictive pericarditis
Definition
sx of rt heart failure, increase JV pressure, septal bounce
Term
HIV mother, >1000 viral load
Definition
c/s before ROM / labor
Term
Increased 2nd heart sound split w/ inspiration
Definition
common in preggo
Term
Ascites
Definition
80% due to portal hypertension secondary to chronic liver dz
Term
Malignant hypertension
Definition
very hi BP, retinopathy, papiledema, headache, encephalopathy
Term
CXR: ground glass
Definition
fibrosis (irritant or medication induced)
Term
Anorexia
Definition
teens to 20s, wrestler/ballet, gay male
Term
MRSA
Definition
Vanco
Term
C. Diff
Definition
1st flagyl; 2nd oral vanco
Term
Low molecular wt heparin dosing
Definition
based on WEIGHT
Term
Gonorrhea
Definition
gram (-) diplococci, pus penile discharge, scrotal pain
Term
Bacterial meningitis: contact prophylaxis
Definition
cipro, azith, levaquin, rocephin, rifampin
Term
Boxer Fx
Definition
ulnar gutter until referral for casting
Term
Myocarditis
Definition
coxsackie B, Hep C, adenovirus, HIV
Term
U-Waves
Definition
hypoK, quinidine, procaineamide, dispyramide
Term
MS: longterm
Definition
Interferon
Term
MS: acute flare
Definition
add steroid
Term
ACEI
Definition
can get hyperK
Term
Constrictive pericarditis: assoc with TB, radiation, cardiac surgery
Definition
Rt side failure, septal bounce, reduced mitral inflow velocities with inspiration on ECHO
Term
Pertusis
Definition
Azith, ampicillin (or Bactrim) if no macrolides
Term
Pyelonephritis on UA
Definition
white casts
Term
IBD
Definition
sulfasalzine, other 5-aminosalicylic drugs
Term
Malaria
Definition
1: chloroquine; 2: atovaquone
Term
Biceps reflex
Definition
C5
Term
Triceps reflex
Definition
C6
Term
Brachioradialis
Definition
C7
Term
Leads II, III, aFV
Definition
inferior wall MI
Term
Aspergillus
Definition
fungus, so Amphotercin B
Term
Variable decels
Definition
change maternal position
Term
Dec freq of migraines
Definition
Propranolol
Term
MVP
Definition
midsystolic click +/- murmur
Term
Early relapse testicular CA
Definition
monitor alpha fetoprotein
Term
Mild persistent asthma
Definition
low dose inhaled corticosteroid
Term
etOH cessation
Definition
BZD for short-term use
Term
Primary hyperthyroid
Definition
dec TSH and inc T3/T4
Term
Lyme Dz
Definition
stiff neck, fever, chills, arthralgais, fatigue, central-clearing skin lesions
Term
New murmur, fever, polyarthralgia, (+) antistreptolysin
Definition
PCN G
Term
Vertebrabasilar insuff
Definition
use MRI to Dx
Term
10-13 weeks preggo
Definition
use US and PPA for eval of aneuploidy
Term
Tamponade
Definition
tachypnea, tachycardia, electrical alternans, non-specific t wave changes
Term
pin worms
Definition
mebendazole
Term
Bulimia
Definition
antidepressants
Term
Long-time PPI use
Definition
vit B12 def
Term
Bloody diarrhea
Definition
inflamm cause
Term
Emphysema in young non-smoker
Definition
alpha-1 antitrypsin def
Term
Bulimia
Definition
hypoMg, hypoCl, hypoK, metabolic alkalosis
Term
Fundal ht > gestational age
Definition
get US
Term
OA
Definition
ulcerated cartilage, spurs, bone eburration
Term
Hep A close contacts who are naïve
Definition
immunoglobulin
Term
Sharp, sided chest pain, no radiation, post viral infection
Definition
pleuritis
Term
Ant Pit Tumor
Definition
growth failure, short, delayed puberty, dry skin, facial wrinkles
Term
Acute DVT
Definition
Anticoags
Term
LE edema post DVT
Definition
Stockings
Term
Secondary HTN
Definition
renal parenchymal dz
Term
65 yo chronic etOH
Definition
PneumoVax
Term
Post MI, EF < 40%, statin, B-block, ASA, nitro AND add ACEI
Definition
prevent LV dilation
Term
Acute pancreatits
Definition
abd pain, N/V, very hi TRIs, hi BS
Term
Placenta delivery
Definition
gush of blood, elongation of cord, uterus rises and balls up
Term
B12 def
Definition
pallor, glossitis, dec vibratory sense, gastric bypass
Term
Ankylosing Spondylitits
Definition
uveitits, square vertebrae on xray, morning stiffness
Term
Rt homonymous hemianopsia
Definition
L nasal and R temporal loss, lesion in L optic test
Term
Bell's palsy
Definition
facial weakness, loss of taste, ipsilateral restriction of eye closure
Term
Sarcoidosis
Definition
gets steroids
Term
Fibromyalgia
Definition
abnormal pain processing in CNS
Term
Seasonal allergic rhinitis
Definition
intranasal steroid first
Term
Dressler syn
Definition
pericarditis 2-5 days post MI
Term
Apnea
Definition
Definitive tx is tracheostomy
Term
Prostrate CA risk
Definition
famhx, hi fat diet, age NOT smoking, prostatitis, or BPH
Term
Spinal stenosis
Definition
first line is NSAIDS
Term
Ear pain, auricular drainage, tragal tenderness
Definition
Cipro drops for OE
Term
Cluster HA
Definition
miosis, dyshidrosis, prosis
Term
MS: MRI with multifocal periventricular white matter dz
Definition
3 mos spastic paresis, diplopia, scotoma, dec vision one eye
Term
Consolidation in lung
Definition
dull to percuss, inc tactile fremitis
Term
Enuresis
Definition
use desmopressin (watch hypoNa) and eat salt
Term
Borderline PDO
Definition
fear of abandonment
Term
Antisocial
Definition
disregard safety of others, criminal behaviors
Term
DM target BP
Definition
130/80
Term
Impetigo
Definition
topical mupirocin, oral Keflex
Term
Small cell lung CA
Definition
combo chemo
Term
Monteggia fx
Definition
fx proximal 1/3 ulna, dislocation of radial head
Term
Famhx MEN1
Definition
monitor Ca
Term
Corneal light reflex
Definition
strabismus
Term
1st line for panic d/o
Definition
SSRI
Term
Vit A def
Definition
night blindness, white conjunctival patches, poor diet, chronic mineral oil laxatives
Term
RF
Definition
F, macules with central clearing, inc ESR, leukocytosis, mitral regurg
Term
Rockey Mtn Spotted Fever
Definition
HA, F/C, macular eruptions on ankles/wrists = doxy x 7 d
Term
Palate petechiae, hi pitched holosystolic murmur at apex, splinter hemms
Definition
Infectious endocarditis; get ECHO
Term
Treating for Tb
Definition
watch AST/ALT d/t hepatotoxic drugs used, red-green color blind
Term
First degree famhx colon CA
Definition
colonoscopy starts age 40
Term
Indomethacin
Definition
potential renal toxicity (NSAIDS)
Term
Ewing sarcoma
Definition
child, painful joint, small round cells on aspirate
Term
Septic arthritis
Definition
Yersina or Salmonella
Term
GnRH
Definition
regulates menstrual cycle
Term
Child with ALL
Definition
combo chemo, NO RADIATION
Term
Baker cyst
Definition
first line is steroid injection
Term
Herpes
Definition
PCR (better than tzanck)
Term
False positive on PPD
Definition
anything that can decrease immune response
Term
Gout crystals
Definition
negative birefringence
Term
Cryptogenic CVA, <55 yo
Definition
PDA
Term
Infective endocarditis
Definition
S. aureus, Strep, Enterococci
Term
Painless testicular mass that cannot be separated
Definition
CA
Term
Chvostek sign
Definition
hypoparathyroid = lo serum Ca
Term
Chronic sinusitis
Definition
coronal CT
Term
Allopurinol
Definition
three or more gout flares per year = hyperuricemia
Term
etOH
Definition
Wernicke's = thiamine
Term
essential tremor
Definition
better with etOH
Term
pseudogout
Definition
Ca pyrophosphate = prefers the knees
Term
pigmented skin, glossitis, diarrhea, dementia = corn only diet can cause
Definition
Pellegra = niacin def
Term
VSD
Definition
lower sternal border, tricuspid areas
Term
PDA
Definition
upper sternal borders
Term
Gynecomastia tx
Definition
SERMs (tamfoxifen, raloxifene)
Term
Developmental dysplasia of hip
Definition
best found with PE
Term
Rib notching, UE/LE pulse diff
Definition
coarctation of aorta
Term
Bulbar pain, dec vision, nausea, ciliary injection, mid-dilation
Definition
glaucoma = pilocarpine
Term
Displaced C1 fx
Definition
halo
Term
CAP from mycoplasma
Definition
azith or doxy
Term
Seizure increases which lab value?
Definition
prolactin: pseudoseizure does not
Term
Transudative Pulm Effusion
Definition
CHF
Term
Exudative Pulm Effusion
Definition
lung CA, pneumonia, PE
Term
Status epilepticus
Definition
lorazepam
Term
Schizophrenia
Definition
ssx > 6 mos
Term
schizoaffective
Definition
ssx < 6 mos
Term
Horner's
Definition
ptosis, anhydrosis, miosis =sympathetic dysfunction, assoc with apical lung CA
Term
Preg, before 20wk, HTN
Definition
chronic HTN (HTN before the 20th week or before preggo)
Term
Cardiomyopathy
Definition
B-block first line
Term
Atypical antidepressants
Definition
watch fast blood sugar for diabetics
Term
AIDS pathonmonic infection
Definition
myco avium complexes
Term
CKMB
Definition
3-6 hours to rise, 24-48 hrs back to normal
Term
Cobb angle 60-90 degrees
Definition
pulm function testing
Term
Hemarthrosis / Arthropathy
Definition
Factor VIII def (Hemophilia A)
Term
Machine Murmur' in child
Definition
PDA
Term
osteomalcia
Definition
gets vit D
Term
Nephritic syn
Definition
hematuria, HTN, dependent edema
Term
HTN emergency
Definition
nitroprusside sodium
Term
PE post surgery with normal ventricular function
Definition
anticoags
Term
r/0 BCC
Definition
punch biopsy
Term
urease-producing bacteria stone type?
Definition
struvite kidney stones
Term
Diptheria
Definition
gray membrane in pharynx
Term
Rt coronary serves inferior wall
Definition
leads II, III, aVF
Term
Herpangina
Definition
enterovirus, painful vesicles near tonsillar fauces
Term
(+) Rhomberg, loss of vibratory sense
Definition
posterior column
Term
Unprotected sex, joint pain, dysuria +/- skin lesions
Definition
gonorrhea
Term
COPD causes cor pulmonale
Definition
tender large liver, JVD, systolic murmur, edema, enlarged RV, normal LV
Term
CKD dialysis?
Definition
start dialysis at GFR <10, Cr = 8
Term
DM with CKD dialysis?
Definition
start dialysis at GFR <15, Cr = 6
Term
Addison's assoc with DM
Definition
hyperpigmentation or creases, decreased energy, vomit, diarrhea, abd pain, no menses
Term
Naloxone
Definition
opiod OD
Term
Lewy Body dementia
Definition
hallucinations, Parkinson's features, Alz features, extrapyramidal signs, sensitive to antiemetics / antipsychotics
Term
Ground glass CXR
Definition
silicosis
Term
Clonidine
Definition
1-2% of patients get agranulocytosis
Term
Endometriosis in young
Definition
oral contraceptives
Term
tamponade
Definition
ECHO
Term
Continuous dizzy after URI
Definition
vestibular neuritis
Term
Malaria ssx
Definition
F/C, sweating episodes, flu-like sympts, HA, myalgias, N/V
Term
PPI
Definition
reduce rebleed of ulcer
Term
Chronic aortic regurge
Definition
wide pulse pressures
Term
1-3 words; age?
Definition
by age 1 year
Term
Stye/hordeolum
Definition
erythromycin ointment
Term
Pemphigus with trauma and secondary skin detachment
Definition
Nikolsky sign
Term
Rhogam
Definition
at 28 weeks and 72 hours post-delivery
Term
Dicyclomine (Bentyl)
Definition
IBS
Term
DM2 vs. DM1
Definition
more chronic skin infections than DM1
Term
Akathisia
Definition
beginnings of neurolyptics (constant motion, can't sit still)
Term
Giardia
Definition
foul smell, oily/greasy stool, wt loss
Term
Schisto
Definition
abd pain, irregular BMs, blood in stool, F/C, organomegaly
Term
Ramsay Hunt
Definition
rash around ear with Zoster of cranial/facial nerves (eardrum, EAC, tongue, roof of mouth)
Term
Adenocarconoma of lung
Definition
peripheral lesion on CXR
Term
Skin scrape
Definition
scabies
Term
Grey-Turner post MVA
Definition
splenic rupture
Term
Austin Flint Murmur (mitral valve)
Definition
mid/late diastolic, lo pitched with advanced aortic regurg (aortic regurge flow closes mitral partially)
Term
Lactose Def
Definition
hydrogen breath test
Term
Auspitz sign
Definition
pin-point bleed from scraping scale off psoriasis
Term
WBC casts on UA
Definition
kidney stones
Term
Hypervent with carpopedal spasm
Definition
hypoK
Term
Wide tachycardia
Definition
gets adenosine
Term
Bradycardia
Definition
gets atropine
Term
LBO
Definition
from cancer
Term
Moniliasis
Definition
yeast infection
Term
MC breast CA
Definition
intraductal carcinoma
Term
Fever and endometritis 24 hrs post-delivery
Definition
GBS
Term
PID tx
Definition
Rocephin IM and Doxy x10d
Term
Acute prostatitis tx
Definition
Cipro x4wks
Term
IVDA heart valve
Definition
Tricuspid
Term
Normal QRS
Definition
<0.12s (3 small boxes)
Term
MEN1 (Wermer's)
Definition
pituitary (ant), parathyroid, pancreas
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