What is the recommended treatment for cat scratch disease?
usually self-limiting and presents with lymphadenopathy that goes away on it's own; severe
... [Show More] cases may benefit from azithromycin
What is the most common cause of traveler's diarrhea?
e coli
What bacteria is responsible for causing cat scratch disease?
bartonella henselae
What are the 4 different components of tetralogy of fallot?
overriding aorta, pulmonary stenosis, right ventricular hypertrophy, and a ventricular septal defect
What does the murmur auscultated in tetralogy of fallot sound like?
systolic murmur best heard at the left upper sternal border
What does the murmur auscultated in a ventricular septal defect sound like?
systolic murmur best heard at the left lower sternal border
Where is the aorta best auscultated?
at the second ICS to to the right of the sternum
Where is the pulmonary artery best auscultated?
at the second ICS to the left of the sternum
What is a scotoma?
a blind spot or aura that obstructs part of your vision
Is presbyopia nearsightedness or farsightedness?
farsightedness meaning it can be harder to see things up close, such as reading a newspaper and may need to hold it farther away or use reading glasses
Is myopia nearsightedness or farsightedness?
nearsightedness meaning it is hard to see things far away
Do cataracts cause myopia or presbyopia?
myopia; meaning nearsightedness and they make things blurry that are farther away which is why driving at night becomes difficult
What is the USPSTF's recommendation on scoliosis screening for adolescents?
insufficient
When should adolescent girls be screened for scoliosis?
as early as 10 years old and then again at age 12
When should adolescent boys be screening for scoliosis?
between age 12-13
What is Auspitz sign?
the appearance of small bleeding points after successive layers of scale have been removed from the surface of psoriatic papules or plaques
A positive Auspitz sign is indicative of what?
psoriasis
When are pregnant women screening for gestational diabetes?
week 24-28
What is round ligament pain?
a deep, sharp, stabbing or stretching sensation that begins or worsens with movement and can be unilateral or bilateral. This is a normal and benign part of pregnancy
What are the components of the fetal biophysical profile?
nonstress test (heart rate monitoring), amniotic fluid analysis, fetal movements, fetal tone, and fetal breathing
How is the fetal biophysical profile performed?
via ultrasound and fetal heart rate monitoring
When is the fetal biophysical profile often performed?
in the third trimester, often after week 28-32
What is a normal kick count in pregnancy?
at least 10 kicks in a consecutive two hour period
How much weight should an underweight woman gain in pregnancy?
28-40 pounds
How much weight should a normal weight woman gain in pregnancy?
25-35 pounds
How much weight should an overweight woman gain in pregnancy?
15-25 pounds
How much weight should an obese woman gain in pregnancy?
11-20 pounds
Underweight and normal weight woman should be gaining how much weight per week in their second and third trimesters?
1 pound
Overweight and obese women should be gaining how much weight per week in their second and third trimesters?
0.5 pounds
What is the biggest risk associated with scabies?
secondary infection due to itching
What do scabies look like on the skin?
red papular bumps that have s shaped burrows on them; may have fluid coming from them
Sickle cell anemia is what type of anemia?
normocytic
How is sickle cell anemia diagnosed?
hemoglobin electrophoresis
Which age group is rheumatic fever most common in?
children ages 5-15
What are the major symptoms of rheumatic fever?
carditis, arthritis, chorea, erythema marginatum (rash), subcutaneous nodules
What are the minor symptoms of rheumatic fever?
fever, elevated ESR, prolonged PR interval
How do we treat rheumatic fever?
refer to the hospital
What is chorea?
abnormal involuntary movements
What are the main s/s of rubeiola (measles)
Koplick spots + the 3 c's - cough, coryza, conjunctivitis
GABHS infection puts individuals at the highest risk of developing what sequelae?
peritonsillar abscess, glomerulonephritis, rheumatic fever
What is the diagnostic criteria for acute rheumatic fever?
2 major criteria OR 1 major + 2 minor criteria PLUS evidence of a recent strep infection
When can a breastfeeding mother breast feed again after drinking alcohol?
wait 2-3 hours per drink consumed before breastfeeding again
Can a mother take methadone while pregnant and breastfeeding?
yes
Does subsequent mean before or after?
after
What is the recommended treatment for Kawasaki disease?
refer to the ED, will likely need IVIG and high dose aspirin
What are the s/s of Kawasaki disease?
fever + CREAM (conjunctivitis, rash, erythema of palms and soles, adenopathy cervical, mucous membranes)
Kawasaki disease is caused by what?
an acute vasculitis of the small and medium blood vessels
What is the main difference between Kawasaki disease and scarlet fever?
KD has conjunctivitis and scarlet fever does not
The rash associated with acute rheumatic fever
erythema marginatum
The rash associated with parvovirus aka slapped cheek aka fifth disease
erythema infectiosum
What does erythema marginatum of rheumatic fever look like?
erythematous with a central clearing, not itchy
The medical term for tennis elbow
lateral epicondylitis
What is the leading cause of death in anorexia?
suicide
Erikson stage from birth to 18 months
trust vs mistrust
Erikson stage from 18 months to 3 years
autonomy vs shame and doubt
Erikson stage from 3-5 years
initiative vs guilt
Erikson stage from 5-13 years
industry vs inferiority
Erikson stage from 13-21 years
identity vs role confusion [Show Less]