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#1 Risk Factor for Testicular & Penile Cancer
- answer-Cryptochordism
Eye Emergencies
- answer-Papilledema - r/t Increased ICP, Swollen Optic Disc, and Engorged
Tortuous Vein
Acute Closed-Angle Glaucoma - Sudden onset severe eye pain and Rapid loss of
vision
Eye exam findings in DM & HTN
- answer-- AV Nicking = Arteries indent and displace veins
- Cotton Wool Spots = White or grayish fluffy lesions on the retina
- Flame Hemorrhages = Flame-like hemorrhages along the retinal nerve fiber layer
- Dot & Blot Hemorrhages = Small hemorrhages caused by rupture of weakened
blood vessels - Hallmark sign of diabetic retinopathy
Facts about Acne Vulgaris
- answer-- Inflammatory skin disorder where androgen-dependent sebaceous
glands produce excess sebum.
- Usually affects face, anterior & posterior chest, Upper Back, Shoulders, and
Arms
- Treatment consists of Erythromycin/Benzoyl Peroxide (Benzamycin)
- Education r/t Erythromycin/Benzoyl Peroxide includes limit exposure to sunlight
and can decrease resistance to erythromycin
Facts about Atopic Dermatitis
- answer-- Patchy plaque-like rash
- Can occur in people with other atopic conditions such as Asthma and Allergic
Rhinitis (Hay Fever)
Facts about Contact Dermatitis (Eczema)
- answer-- Papules or Vesicles typically 5mm or less which are red, raised bumps
,- Skin becomes dry, scaly, and rough leading to formation of crusts or flakes on
skin surface
- If scratched or irritated, the skin may ooze
- Treatment consists of Corticosteroids, Antihistamines, Calcineurin Inhibitors
(Tacrolimus)
Facts about Shingles (Herpes Zoster)
- answer-- Unilateral Dermatomal Rash which starts as a painful red rash (patch)
and progresses to blisters (vesicles).
- Post herpetic neuralgia pain is common and can last longer than 1 month after
rash resolves.
- May transmit chickenpox virus to unvaccinated & susceptible patients.
- Treatment consists of Acyclovir, Valacyclovir, or Famciclovir and most effective
if started within 48-72hrs of rash appearance.
Fat Pad Sign
- answer-radiographic finding that can indicate an underlying injury or fracture in
the elbow joint, specifically around the olecranon process of the ulna bone.
Foreign Object in Eye
- answer-Only attempt to remove with wet cotton swab and if not able send to
ophthamologist stat
Fundal Height
- answer-Distance from the pubic bone to the top of the uterus in centimeters. After
24 weeks fundal height should equal the number of weeks the patient has been
pregnant. i.e. 24cm = 24wks
Gastroenteritis Common Pathogens
- answer-Adults:
Norovirus, Enteric Adenovirus, Astrovirus
Salmonella - Most Common Foodborne Illness
Giardia Lambia - Most Common Parasitic
Infants:
Norovirus, Enteric Adenovirus, Astrovirus
Campylobacter jejuni
, Osteoarthritis Treatment
- answer-Weight-bearing exercise, weight loss, Cymbalta, duloxetine, tramadol.
RICE = Rest, Ice, Compression, Elevation. Acetaminophen not recommended.
Short acting NSAIDs are ok. Refer to ortho for injections.
Overflow Incontinence
- answer-The bladder cannot empty properly r/t bladder dysfunction, urinary tract
blockage, or underactive bladder muscles.
Tx: Behavior Training i.e. Kegels, Bethanechol, Foley, Alpha-Blockers
Paget's Disease of Breast
- answer-Red, itchy, swollen rash of nipple/areola. Can be scaly.
Parkinson's Disease
- answer-Deficiency of Dopamine and destruction of cells in the substantia nigra
Parkinson's Disease Presentation
- answer-Bradykinesia, rigidity, resting tremor ("pill rolling"), postural instability
Parkinson's Disease Treatment
- answer-Dopaminergic agents, Carbidopa/levadopa (Do not give to patients with
narrow angle glaucoma)
Peau D'Orange Breast Cancer
- answer-Nipple retraction, redness, persistent itching, warm skin
Pediatric medications for Sinusitis, Enuresis, Lead Poisoning
- answer-Sinusitis - Augmentin
Enuresis - DDAVP
Lead Poisoning - Succimer
Pediculosis Pubis
- answer-Tx: Permethrin (Nix)
1st line Treatment of UTI in pregnancy
- answer-Nitrofurantoin (Macrobid)