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Physician Assistant (PA)
First Aid for the USMLE Step 1 (2021)
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First Aid for the USMLE Step 1 (2021) | Physician Assistant (PA) School Study Aid

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5 Picmonics to Learn | 15 mins
Mesenteric Ischemia
Signs and Symptoms
Severe Abdominal Pain
Bloody Diarrhea
Metabolic Acidosis
Increased WBC
Increased Lactate (Lactic Acid)
Air Within Bowel Wall
CT Angiography
Bowel Wall Edema
Emergent Surgical Intervention
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2 mins
Intestinal Obstruction
Partial/Early Obstruction
Severe Abdominal Pain
High Pitched Bowel Sounds
Abdominal Distention
Increased Peristalsis
Total/Neurogenic Obstruction
Absent Bowel Sounds
Paralytic Ileus
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1 min
Types of Intestinal Obstruction
Mesenteric Artery Occlusion
Spinal Injury
Paralytic Ileus
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2 mins
Necrotizing Fasciitis Pathophysiology and Characteristics
Bacterial Infection of Muscle Fascia and Subcutaneous Fat
Polymicrobial or Monomicrobial
Polymicrobial: Anaerobe + Gram Negative Enterobacteriaceae
Monomicrobial: Group A Streptococcus or Staph Aureus
Clinical Manifestations
Edema Extending Beyond Erythema
Pain Out of Proportion (POOP)
Anesthesia Over Affected Area (Late Finding)
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5 mins
Necrotizing Fasciitis Diagnosis and Treatment
Usually a Clinical Diagnosis
Soft Tissue Gas On CT
Emergent Surgical Debridement
Vasopressors and Fluids
IV Immune Globulin If Strep Toxic Shock Syndrome
Antibiotic Regimen
Carbapenem Or Piperacillin-Tazobactam
PLUS Clindamycin
PLUS MRSA Coverage
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4 mins

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