DIT day 12
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rx for skin abscess?
- i and D
- no antibiotics if <5 cm and low risk patient
mode of antibiotics for osteo, cellutlitx, skin abcess?
cellulitis--iv then po
blocked inflammed apocrine gland in groin or genital area
- same as acne---tetracycline
- 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?
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?
candida causing infection of skin creases
side effects of malation?
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?
basal cell carcinoma
most common type of melanoma?
dark papule on the legs or trunk bleeds easily
occurs on palms, soles, or beneath nail plate
- acral lentiginous
rx for xeroderma pigmentosum?
rx for melasma?
- avoid sun exposure
bleaching chemical that is used to match the skin to look like vitiligo?
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
definition of status epilepticus?
ongoing siezure for 10 minutes
rx for status epilepticus?
when is hospitalization of schizophrenic warranted?
- homicidal ideation
- suicidal ideation
- disorganized or threathing behavior
best initial test for duchenes?
ck and aldolase
most accurate is muscle biopsy or genetic study
steps to prevent pos operative atelectasis?
- chest physiotherapy
- incentive spirometry
- sitting up
gunshot or stab wound below what level is considered abdominal wound?
inguinal hernias are above or below the inguinal ligament?
magnesium sulfate treats or prevents siezures?
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?
winters formular for respiraotry compensation in metabolic acidosis?
the only reversible restrictive cardiomyopathy?
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?
criteria for oa?
- >50 age
- bony enlargement
- bony tenderness
- no warmth
- no stiffness in the morning
1st line rx for absence seizure?
1st line rx for partial seizures?
in what disease do you see athetosis?
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