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Medicine (MD/DO)
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First Aid
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First Aid for the USMLE Step 1 (2023)
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First Aid for the USMLE Step 1 (2023) | Medicine (MD/DO) School Study Aid

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4 Picmonics to Learn | 11 mins
Polymyalgia Rheumatica
General Characteristics
Proximal Muscle Pain
Normal Muscle Strength
Morning Stiffness
Age Over 50
Associated With Temporal Arteritis
Diagnosis
Elevated ESR, CRP
Normal CK
Management
Corticosteroids
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4 mins
Fibromyalgia
Features
Chronic, Widespread Pain
Most Common in Adult Females
Symptoms
Tender Points
Stiffness
Paresthesias
Insomnia
Fatigue
Cognitive Impairment
Management
Regular Exercise
Tricyclic Antidepressants (TCAs)
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
Gabapentin
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2 mins
Polymyositis / Dermatomyositis Disease
Pathophysiology
Idiopathic Inflammatory Myopathy
More Common in Women
Endomysial Inflammation with CD8+ Cells (Polymyositis)
Perimysial Inflammation with CD4+ Cells (Dermatomyositis)
Signs and Symptoms (Both)
Symmetric Proximal Muscle Weakness
Dysphagia
Lung and Cardiac Involvement
Signs and Symptoms (Dermatomyositis)
Malar Rash
Shawl-like Shoulder Rash
Gottron Papules on Knuckles
Heliotrope Rash
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3 mins
Polymyositis / Dermatomyositis Diagnosis and Treatment
Diagnosis
Increased CK (CPK)
Increased Aldolase
Anti-JO-1 Antibody
Anti-SRP Antibody
Antinuclear Antibody
Abnormal EMG
Biopsy
Treatment
Corticosteroids
Methotrexate
Azathioprine
Treatment For Resistant Disease
Intravenous Immunoglobulin (IVIG)
Cyclophosphamide
Rituximab
Calcineurin Inhibitors
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2 mins

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