Notes in Mehlman HY 3

To Subscribe, use this Key

Status	Last Update	Fields
Published	02/28/2024	72F + radical mastectomy 25 years ago + hard, raised purple lesion above the elbow:{{c1::lymphangiosarcoma (Stewart-Treves syndrome)}}
Published	02/28/2024	Neonate + spongy 1 cm red lesion on chest:{{c1::strawberry hemangioma}}
Published	02/28/2024	Strawberry hemangioma Tx:{{c1::don't treat; spontaneously regress}}
Published	02/28/2024	Neonate + large vascular lesion on leg + thrombocytopenia; Dx:{{c1::Kasabach-Merritt syndrome (hemangioma with thrombocytopenia}}
Published	02/28/2024	Neonate + large vascular lesion on leg + thrombocytopenia; cause of thrombocytopenia: {{c1::platelet sequestration}}
Published	02/28/2024	"cherry red blood/lips":{{c1::CO poisoning}}
Published	02/28/2024	"Brown blood" or "chocolate blood":{{c1::methemoglobinemia}}
Published	02/28/2024	Kid with brown blood and they ask you the mechanism:{{c1::deficiency in cytochrome reductase B5}}
Published	02/28/2024	22M + violaceous papules in a temporal distribution:{{c1::Sturge-Weber syndrome}}
Published	02/28/2024	44M alcoholic + winter + they show a feet and they're red; what electrolytes are we most worried about when rewarming?{{c1::hyperkalemia}}
Published	02/28/2024	14M + ataxia + cognitive decline over a few months:{{c1::glue }}
Published	02/28/2024	16M found unconscious on floor in school bathroom + normal vitals + no eye findings + a little sluggish:{{c1::butane (inhalant) toxicity}}
Published	02/28/2024	Medial malleolus ulcer + hyperpigmentation of lower legs; Dx:{{c1::chronic venous insufficiency}}
Published	02/28/2024	Punched-out ulcer on foot + intermittent claudication; Dx:{{c1::arterial insufficiency (peripheral vascular disease)}}
Published	02/28/2024	What causes venous insufficiency:{{c1::valvular incompetence (most commonly familial), resulting in venous reflux + insufficiency}}
Published	02/28/2024	What causes arterial insufficiency: {{c1::atherosclerosis}}
Published	02/28/2024	How do you Dx venous insufficiency:{{c1::ankle-brachial indices (ABI) first, then Doppler ultrasound of the calves or arteriography}}
Published	02/28/2024	Tx for venous insufficiency: {{c1::compression stockings}}
Published	02/28/2024	Tx for varicose veins: {{c1::compression stockings}}
Published	02/28/2024	Varicose veins and venous insufficiency same thing?{{c1::Varicose veins are one of the presentations of venous insufficiency}}
Published	02/28/2024	47F has varicose veins + painful palpable cord by the ankle: {{c1::Tx: subcutaneous enoxaparin}}
Published	02/28/2024	Tx for arterial insufficiency:{{c1::exercise regimen first, THEN cilostazol (phosphodiesterase 3 inhibitor)}}
Published	02/28/2024	What must you do before starting the exercise regimen in the Tx of arterial insufficiency: {{c1::ECG stress test to acertain patient's exercise tolera…
Published	02/28/2024	What if patient has abnormal baseline ECG (e.g., BBB) and can't exercise, do {{c1::dobutamine-echo stress test}}
Published	02/28/2024	What if the patient gets stable angina after merely walking up a flight of stairs:{{c1::skip stress test and go to myocardial perfusion scan (myocardi…
Published	02/28/2024	Patient has severe ischemia on stress test or myocardial perfusion scan: {{c1::do cornoary angiography}}
Published	02/28/2024	Patient with CVD is on various medications + has hyperkalemia; why?{{c1::ACEi, ARB and spironolacton all cause hyperkalemia}}
Published	02/28/2024	Patient with CVD is on various medications + hypokalemia; why? {{c1::furosemide (loop diuretic)}}
Published	02/28/2024	When do we start patients on furosemide:{{c1::to fluid unload}}
Published	02/28/2024	Patient is started on furosemide + still has fluid overload; what's the next diuretic to use:{{c1::spironolactone}}
Published	02/28/2024	What's the MOA of spironolactone:{{c1::aldosterone receptor antagonist}}
Published	02/28/2024	Side-effects of spironolactone:{{c1::hyperkalemia; gynecomastia}}
Published	02/28/2024	What do we give patients with spironolactone apart from a step-up from loops?{{c1::added onto heart failure management after a patient is already on A…
Published	02/28/2024	Major side-effects of beta-blockers: {{c1::depression + sexual dysfunction (avoid in these patients)}}
Published	02/28/2024	Major side-effect of naproxen:{{c1::fluid retention (edema) due to increased renal retention of sodium}}
Published	02/28/2024	What is naproxen?{{c1::NSAID}}
Published	02/28/2024	What might NSAIDs cause fluid retention / renal retention of sodium?{{c1::knocking out COX -> decreased prostaglandin synthesis -> decreased ren…
Published	02/28/2024	BUN/Cr in someon with NSAID-induced interstitial nephropathy:{{c1::>20 (pre-renal)}}
Published	02/28/2024	What kind of vignette is a patient classically on naproxen? {{c1::osteoarthritis (OA)}}
Published	02/28/2024	How do we treat OA?{{c1::weight loss (biggest factor is obesity), then acetaminophen, then NSAIDs}}
Published	02/28/2024	What are the four beta-blockers that decrease mortality in heart failure?{{c1::Metoprolol (XR, extended release) + carvedilol, nebivolol, bisoprolol}}
Published	02/28/2024	When do we use "regular" metoprolol?{{c1::classically first-line for atrial fibrillation rate control}}
Published	02/28/2024	When do we use atenolol:{{c1::stage-fright}}
Published	02/28/2024	When do we use propranolol:{{c1::migrane prophylaxistachycardia in hyperthyroidism (decreases peripheral conversion of T4 ro T3)esophageal varices pro…
Published	02/28/2024	Patient takes medication for muscle pain relief + gets wheezing:{{c1::aspirin-indiced asthma}}
Published	02/28/2024	27F + intermittent headaches + blurry vision; Dx? {{c1::optic neuritis (multiple sclerosis)}}
Published	02/28/2024	Most specific eye finding in MS:{{c1::medial longitudinal fasiculus (MLF) syndrome: internuclear ophthalmoplegia }}
Published	02/28/2024	Tx for acute flare of MS:{{c1::IV steroids}}
Published	02/28/2024	Tx between flares of MS (patient must be asymptomatic):{{c1::INF-beta (interferon beta)}}
Published	02/28/2024	Dx of Multiple scelrosis:{{c1::choose MRI over CSF IgG oligoclonal bands if both are listed}}
Published	02/28/2024	Urinary incontinence in MS:{{c1::urge incontinence (hyperactive detrusor/detrusor instability)}}
Published	02/28/2024	65F + unilateral temporal headache + blurry vision; Dx:{{c1::temporal arteritis}}
Published	02/28/2024	Tx for temporal arteritis:{{c1::immediate IV methylprednisolone (IV steroids) to prevent blindness, then do temporal artery biopsy}}
Published	02/28/2024	What other condition is TA associated with:{{c1::Polymyalgia rheumatica}}
Published	02/28/2024	65F + unilateral temporal headache + muscle pain/stiffness:{{c1::temporal arteritis + polymyalgia rheumatica}}
Published	02/28/2024	Tx for polymyalgia rheumatica if patient doesn't also have temporal arteritis:{{c1::oral steroids are okay b/c not an emergency}}
Published	02/28/2024	Polymyalgia rheumatica vs polymyositis: PR presents with {{c1::stiffness/pain generally without weakness}}polymyositis can present with {{c1::pai…
Published	02/28/2024	Dx of polymyalia rheumatica: {{c1::clinical; no specific test}}
Published	02/28/2024	Dx of polymyositis:{{c1::same as with dermatomyositis, do anti-Jo1 and -Mi2 antibodies, then do confirmatory muscle biopsy}}
Published	02/28/2024	Oral + genital ulcers: {{c1::Behcet syndrome}}
Published	02/28/2024	Violaceous rash around the eyelids: heliotrope rash; Dx = {{c1::dermatomyositis}}
Published	02/28/2024	Violaceous papules on knuckles + cracked/dry palms = {{c1::dermatomyositis (Gottron papules + mechanics' hands)}}
Published	02/28/2024	Rash around back of neck + top of back + adult with proximal muscle weakness (difficulty standing from chair unassisted); "shaw rash":{{c1::dermatomyo…
Published	02/28/2024	Dx of dermatomyositis:{{c1::anti-Jo1 or -Mi2 antibodies first; muscle biopsy confirmatory}}
Published	02/28/2024	Polymyositis is like dermatomyositis, but {{c1::without the skin findings }}
Published	02/28/2024	In dermatomyositis, there is an increased risk of {{c1::malignancy (non-Hodgkin lymphoma)}}
Published	02/28/2024	Tx or flare of polymoyositis/dermatomyositis:{{c1::oral corticosteroids}}
Published	02/28/2024	Antibodies in pemphigus vulgaris?{{c1::antidesmoglein (anti-desmosome)}}
Published	02/28/2024	Antibodies in bullous pemphigoid:{{c1::anti-hemidesmosome}}
Published	02/28/2024	What is worse bullous pemphigoid or pemphigus vulgaris?{{c1::pemphigus vulgaris: PV gets bullae on the skin that rupture with friction (Nikolsky sign)…
Published	02/28/2024	What kind of immunofluorescence on biopsy in PV vs BV?{{c1::Linear}} in BV; {{c1::net-like}} in PV
Published	02/28/2024	What is associated with linear immunofluorescence on kidney or alveoli biopsy?{{c1::Goodpasture syndrome}}
Published	02/28/2024	Tx for PV and BV{{c1::oral corticosteroids}}
Published	02/28/2024	Mechanism for Goodpasture syndrome:{{c1::antibodies against type IV collagen}}
Published	02/28/2024	Hematuria + hemoptysis + "head-itis" (mastoiditis, sinusitis, otitis, nasal septal perforation):{{c1::Wegner granulomatosis}}
Published	02/28/2024	New name for Wegener:{{c1::granulomatosis with polyangiitis}}
Published	02/28/2024	Dx of Wegner:{{c1::c-ANCA (anti-PR3; anti-proteinase 3)}}
Published	02/28/2024	new name for Churg-Strauss:{{c1::eosinophilic granulomatosis with polyangiitis}}
Published	02/28/2024	Dx of Churg-Strauss: {{c1::p-ANCA (anti-MPO; anti-myeloperoxidase)}}
Published	02/28/2024	Severe renal disease in Wegner or Goodpasture or MP:{{c1::rapidly progressive glomerulonephritis (crescentric) }}
Published	02/28/2024	44M + hematuria + hemoptysis:{{c1::Goodpasture syndrome}}
Published	02/28/2024	44M + hematuria + hemopytisis + head-itis:{{c1::Wegener}}
Published	02/28/2024	What is polyarteritis nodosa:{{c1::medium-vessel vasculitis characterized by immune complex deposition in vascular walls and fibrinoid necrosis}}
Published	02/28/2024	Polyarteritis nodosa is associated with what infection:{{c1::30% of patients are HepB positive}}
Published	02/28/2024	What do you see on renal artery angiogram in polyarteritis nodosa:{{c1::"beads onf a string"}}
Published	02/28/2024	Which vessels are notably not affected in polyarteritis nodosa:{{c1::pulmonary vessels}}
Published	02/28/2024	Tx for polyarteritis nodosa: {{c1::oral corticosteroids}}
Published	02/28/2024	32F + arthritis + mouth ulcer + low platelets; Dx: {{c1::SLE}}
Published	02/28/2024	80F has catheter; how to best decrease infxn risk in pt:{{c1::hand washing}}
Published	02/28/2024	17M has mononucleosis; how to best decrease risk of transmission:{{c1::hand washing}}
Published	02/28/2024	72M + intermittent claudication + absent distal pulses + Hx of cornoary artery bypass grafting + high BP that's been gradually increasing past two yea…
Published	02/28/2024	32F + migh BP + high aldosterone/renin:{{c1::fibromuscular dysplasia}}
Published	02/28/2024	Increased creatinine following medication administered to someone with renal artery stenosis; what was the drug?{{c1::ACEi or ARB}}
Published	02/28/2024	Tx for renal artery stenosis + fibromuscular dysplasia:{{c1::initially medical therapy with cautious use of ACEi and ARB; definitive is renal angiopla…
Published	02/28/2024	Dx of malaria: {{c1::thick + thin blood smears}}
Published	02/28/2024	Girl goes to Africa + is taking chloroquine prophylaxis, gets malaria; why?{{c1::resistance to chloroquine}}
Published	02/28/2024	What is the MOA of chloroquine:{{c1::inhibits Plasmodium heme polymerase}}
Published	02/28/2024	Which malaria type is the worst and why?{{c1::P. falciparum because it causes cerebral malaria}}
Published	02/28/2024	Fever cycles and malaria?{{c1::P. vivax/ovale have fever every 48 hrs; P. malariae every 72 hours; P. falciparum causes sporadic/unpredictable fever}}
Published	02/28/2024	Which drug is often given to people for malaria prophylaxis who go to chloroquine-resistant areas?{{c1::mefloquine}}safe to take in pregnancy
Published	02/28/2024	Girl goes to Africa + gets malaria + she is then treated after the fact with atovoquine + proquanil and the presentation subsides; then one month late…
Published	02/28/2024	What does primaquine do?{{c1::primaquine kills hypnozoites, or kills extra-erythrocytic forms}}
Published	02/28/2024	Why does sickle cell confer resistance to malaria:{{c1::decreased RBC lifespan }}
Published	02/28/2024	Travel + bloody diarrhea + RUQ pain; Dx?{{c1::Liver abscess due to Enatmoeba histolytica}}
Published	02/28/2024	How do you Tx E. histolytica liver abscess:{{c1::percutaneous drainage before antibiotics}}
Published	02/28/2024	Abx for E. histolytica? {{c1::metronidazole + iodoquinol (latter kills intraluminal parasite)}}
Published	02/28/2024	Watery diarrhea in immunocompromised patient:{{c1::Cryptosporidium parvum}}
Published	02/28/2024	How is Giardia transmitted?{{c1::water-borne}}
Published	02/28/2024	Steatorrhea in guy who went swimming or scuba diving{{c1::Giardia}}
Published	02/28/2024	Tx for Giardia:{{c1::metronidazole}}
Published	02/28/2024	Fever + periorbital edema + muscle aches + went to a BBQ; Dx?{{c1::Trichonella spiralis}}
Published	02/28/2024	How do you get trichinosis?{{c1::bear meat or pork (pork nematode, not cestode)}}
Published	02/28/2024	What is nematode vs cestode vs trematode:nematode is {{c1::roundworm}}; cestode is {{c2::tapeworm}}; trematodes are {{c3::flukes}}
Published	02/28/2024	Nematode from pork:{{c1::Trichinella spiralis}}
Published	02/28/2024	What does T. solium cause?{{c1::cysticercosis (muscle cysts) or neurocysticercosis (brain cysts)}}
Published	02/28/2024	"swiss cheese appearance" of brain in someone who traveled abroad:{{c1::neurocystercisosis}}
Published	02/28/2024	Single cystic lesion seen on brain CT in someone who went to Mexico:{{c1::neurocysticercosis}}
Published	02/28/2024	Tx for cysticercosis/neurocysticercosis:{{c1::praziquantel or albendazole}}
Published	02/28/2024	Which helminth causes visceral larva migrans?{{c1::Toxicara canis}}
Published	02/28/2024	Worm in eye:{{c1::Loa Loa}}
Published	02/28/2024	How do you get Loa Loa: {{c1::deer, horse, or mango fly}}
Published	02/28/2024	HIV patient with lobar pneumonia:{{c1::Strep pneumon}}
Published	02/28/2024	Upper lobe nodular density in immunocompromised patient: {{c1::Aspergilloma}}
Published	02/28/2024	Dx of Aspergilloma:{{c1::open lung biopsy}}
Published	02/28/2024	13F with irregulat periods; next best step in Mx?{{c1::reexamine in one year (reassurance) }}
Published	02/28/2024	13F has never had a period + has suprapubic mass + nausea + vomiting; next best step Mx:{{c1::do beta-hCG}}
Published	02/28/2024	14F has massive unilateral breast mass + mom is freaking out because her sister died of breast cancer:{{c1::follow up in six mo; virginal breast hyper…
Published	02/28/2024	15M has unilateral mass behind his nipple +/- tenderness of it, Mx:{{c1::reassurance}}
Published	02/28/2024	Girl is Tanner stage 3; which of the following is true?{{c1::menarche is imminent}}
Published	02/28/2024	17F + really bad period pain + physical exam is normal{{c1::primary dysmenorrhea}}
Published	02/28/2024	23F + really bad period pain + P/E shows nodularity of uterosacral ligaments:{{c1::endometriosis-> do diagnostic laproscopy}}
Published	02/28/2024	13M is 3rd centile for height + bone age is less than chronologic age; Dx?:{{c1::constitutional short stature}}
Published	02/28/2024	14M in 3rd centile for height; next best step in Dx?{{c1::ask for information about parent's height trajectory}}
Published	02/28/2024	16F is Tanner stage II + wide neck + bone age is equal to chronologic age: Dx?{{c1::Turner syndrome}}
Published	02/28/2024	Adult male is 4 feet tall + head and trunk are large in comparison to limbs; Dx?{{c1::Achondroplasia}}
Published	02/28/2024	Adult male is 4 feet tall + head and trunk proportional to limbs; Dx?{{c1::Laron dwarfism}}
Published	02/28/2024	Diffusely enlarged uterus + per vaginum bleedings{{c1::adenomyosis}}
Published	02/28/2024	Globar uterus + per vaginum bleeding:{{c1::leiyomyomata uteri (uterine fibroids)}}
Published	02/28/2024	42M has surgery + two days later in hospital he has restlessness + tremulousness + tachycardia + diaphoresis; Dx?{{c1::delirium tremens (alcohol withd…
Published	02/28/2024	Tx of delirium tremens (alcohol withdrawal):{{c1::long-acting benzo (diazepam or lorazepam or chlordiazepoxide)}}
Published	02/28/2024	42M has surgery + two days later in hospital he has restlessness + tactile/visual hallucinations; Dx?{{c1::alcoholic hallucinosis}}
Published	02/28/2024	What is buspirone used for?{{c1::second-line Tx for generalized anxiety disorder (first-line is SSRI)}}
Published	02/28/2024	MOA of buspirone{{c1::serotonin receptor agonist}}
Published	02/28/2024	Biochemical disturbance in Addison?{{c1::Low Na, high K, low pH, low bicarb}}
Published	02/28/2024	Electrolyte disturbance in Conn syndrome?{{c1::High Na, Low K, High pH, High bicarb}}
Published	02/28/2024	Pt has fatribue + normal Na, high K, low pH, low bicarb; Dx?{{c1::Addison}}
Published	02/28/2024	22F + BP of 160/110 on multiple office visits + MR angiography of renal vessels to confirm diagnosis of fibromuscular dysplasia +labs show normal Na, …
Published	02/28/2024	2-year-old boy has writhing movements in his sleep + periventricular nodules seen on MRI of the head; what else would be seen in this pt?{{c1::renal a…
Published	02/28/2024	Adult + heart tumor:{{c1::cardiac myxoma}}
Published	02/28/2024	2-year-old boy has cardiac myxoma + perioral melanosis (hyperpigmentation around mouth/lips) + hyperthyroidism; Dx?{{c1::Carney complex}}
Published	02/28/2024	Electrolyte disturbance in DKA:{{c1::low}} Na{{c1::high}} serum K (hyperkalemia){{c1::low}} total body K{{c1::low}} bicarb{{c1::low}} pH{{c1::low}} CO…
Published	02/28/2024	Biochemical disturbance in aspirin toxicity first 20 minutes: normal O2, low CO2, high pH, normal bicarb:{{c1::respiratory alkalosis only}}
Published	02/28/2024	Electrolyte disturbance in aspirin toxicity after 20 minutes:{{c1::normal O2, low CO2, low pH, low bicarb}}
Published	02/28/2024	Patient has fever of 103F + Hb of 7 g/dL + platelet count of 50,000 + neutrophils are a few; next best step in Mx?{{c1::immediate IV broad-spectrum Ab…
Published	02/28/2024	AV-nicking on fundoscopy:{{c1::hypertensive retinopathy}}
Published	02/28/2024	Tx for hypertension:if patient has pre-diabetes, diabetes, or any cardiovascular/cerebrovascular dx: {{c1::ACEi or ARB first}}if pt does not have thos…
Published	02/28/2024	32F + pedal + forearm edema after commencing anti-hypertensive agent; Dx?:{{c1::fluid retention/edema caused by dihydropyridine CCB (e.g., nifedipine)…
Published	02/28/2024	Side-effects of thiazides:{{c1::hypergluc -> hyperglycemia, -lipidemia, -uricemia, -calcemia}}
Published	02/28/2024	Who should you never give thiazides to?{{c1::prediabetics of diabetics}}
Published	02/28/2024	Diabetic pt on HCTZ for HTN:{{c1::take them off thiazide and put them on ACEi or ARB}}
Published	02/28/2024	What is an important use of thiazide apart from HTC management in select patients:{{c1::decreased risk of nephro-/ureterolithiasis (stones)}}
Published	02/28/2024	Delirium in patient on thiazide:{{c1::hypercalcemia; high Ca can cause CNS dysfunction; "hypercalcemic crisis"}}
Published	02/28/2024	Renal issue + hypercalcemia; Dx?{{c1::nephrogenic diabetes insipidus}}
Published	02/28/2024	CNS disturbance due to an electrolyte problem:{{c1::high or low sodium; high calcium}}
Published	02/28/2024	Cardiac disturbance (arrhythmia) due to an electrolyte problem:{{c1::high or low potassium or calcium}}
Published	02/28/2024	Low calcium or potassium not responding to supplementation:{{c1::check serum magnesium}}
Published	02/28/2024	Who gets low Mg+?{{c1::alcoholics}}
Published	02/28/2024	Nutrition calorie counts:carbs + protein = {{c1::4 kcal/g}}; fat = {{c1::9 kcal/g}};EtOH = {{c1::7 kcal/g}}.
Published	02/28/2024	Tx for pulmonary hypertension:{{c1::most patients respond to dihydropyridine CCBs (e.g., nifedipine)}}
Published	02/28/2024	MOA of bosetan:{{c1::endothelin-1 receptor antagonist}}
Published	02/28/2024	28F non-smoker has loud P2 + RVH; Dx?{{c1::primary pulmonary hypertension}}
Published	02/28/2024	VSD is repaired with a prosthetic patch; how will LV, RV and LA pressures change?{{c1::LV pressure goes up, RV pressure goes down, LA pressure goes do…
Published	02/28/2024	Kid is given over-the-counter med by his mom for a cold + gets mental status changes; Dx{{c1::Anticholinergic delirium}}
Published	02/28/2024	22M takes a drug + gets nystagmus + bellicosity (wants to fight):{{c1::PCP}}
Published	02/28/2024	22M takes a recreational drug + gets mutism + has constricted pupils:{{c1::PCP}}
Published	02/28/2024	2-year-old boy running +playing with 8 yo sister + they were holding hands + now he holds arm pronated by his side; Dx?{{c1::nursemaid's elbow}}
Published	02/28/2024	Tx for nursemaid's elbow:{{c1::hyperpronation or gentle supination}}
Published	02/28/2024	Kid falls on outstrestched arm + pain over anatomical snuffbox; Dx?{{c1::Scaphoid fracture}} next best step Mx? {{c2::x-ray}}
Published	02/28/2024	Kid falls on outstretched arm + pain over anatomical snuffbox + x-ray is negative; next best step in Mx?{{c1::thumb-spica cast}}
Published	02/28/2024	When is figure-of-8-strap the answer?{{c1::clavicular fracture}}
Published	02/28/2024	What part of the clavicle gets fractured the easiest?{{c1::middle-third}}
Published	02/28/2024	First Tx for carpal tunnel syndrome in patient who can't stop offending activity (e.g., office worker):{{c1::wrist splint first; then triamcinolone (s…
Published	02/28/2024	Tx for cubital tunnel syndrome:{{c1::elbow splint}}
Published	02/28/2024	What is cubital tunnel syndrome:{{c1::ulnar nerve entrapment at elbow}}
Published	02/28/2024	What is Guyon canal syndrome?{{c1::ulnar nerve entrapment at the wrist - hook of hamate fracture or chronic handle bar impaction in avid cyclist}}
Published	02/28/2024	Most likely organism causing impetigo:{{c1::S. aureus now exceeds Group A strep for non-bullous ("regular") impetigo; for bullous, S. aureus has alway…
Published	02/28/2024	Golden crusty lesions around the mouth in school-aged child:{{c1::impetigo, not HSV}}
Published	02/28/2024	32F + sharply demarcated firey red lesion extending from the knee to ankle + fever of 101F{{c1::erysipelas}}
Published	02/28/2024	Most common organism for erysipelas?{{c1::Group A Strep far exceeds S. aureus}}
Published	02/28/2024	Most common organism for cellulitis?{{c1::S. aureus exceeds Group A Strep.}}
Published	02/28/2024	Treatment for erysipelas + cellulitis:{{c1::oral dicloxacillin or oral cephalexin}}{{c2::IV cefazolin}} is indicated for treatment of erysipelas with …
Published	02/28/2024	Severe skin infection involving fascial planes (Scarpa's fascia) + cutaneous crepitus; organism?{{c1::Clostridium perfingens causing necrotizing fasci…
Published	02/28/2024	Tx for nec fasc:{{c1::surgical debridement + IV broad-based Abx with anaerobic coverage}}
Published	02/28/2024	Perineal gangrene in 50M diabetic:{{c1::Fournier gangrene}}
Published	02/28/2024	17M comes to emergency with cellulitis + getting worse + holding amoxicillin canister he got from GP; Dx?{{c1::improper Abx treatment}}
Published	02/28/2024	comes to emergency with cellulitis + getting worse + holding amoxicillin canister he got from GP; Above 17M; what do you do?{{c1::Stat dose of IV fluc…
Published	02/28/2024	Why doesn't amoxicillin or penicillin cover Staph?{{c1::Most commonly Staph (not MRSA; just MSSA) produces beta-lactamase, so must give beta-lactamase…
Published	02/28/2024	Renal issue + beta-lactam or cephalosporin:{{c1::interstitial nephropathy (aka tubulointerstitial nephritis)}}
Published	02/28/2024	Stress incontinence -> weakened pelvic floor muscles resulting in loss of urine with increased abdominal pressure (coughing, sneezing, la…
Published	02/28/2024	Urge incontinence: {{c1::"hyperactive detrusor" or "detrusor instability"}}
Status	Last Update	Fields