James Shared "Doc's Picmonics" - 2029 Picmonics
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Doc's Picmonics
AV Heart Blocks (DELETED)
- First Degree
- First Degree: PR> 200 msec
- No Treatment Needed
- Second Degree
- Mobitz I (Wenkebach): Progressive lengthening of PR intervals leading to dropped beat
- Exercise improves, Vagal maneuvers worsen
- Mobitz II: Dropped beats with no preceding PR Prolongation
- Atropine
- Electrical pacing
- Third Degree
- Third Degree (complete): P waves and QRS Beat independently
- Treated with pacing
- Lyme Can Cause 3rd Degree Block
2 mins
Acetaminophen-Hydrocodone (Vicodin)
- Mechanism of Action
- Combination Analgesic
- Opioid Receptor Agonist
- Hydrocodone
- Reversible Inhibition of COX
- Acetaminophen
- Indication
- Moderate to Severe Pain
- Side Effects
- CNS Depression
- Respiratory Depression
- Hepatotoxicity
- Considerations
- Addiction
2 mins
Asthma Assessment
- Assessment
- Triggers (Cold air, Dander, Dust, Infection, Mold, Pollen, Smoke)
- Shortness of Breath (SOB)
- Tachypnea and Tachycardia
- Wheezing
- Diaphoresis
- Accessory Muscles
- Decreased Pulmonary Function Tests
2 mins
Asthma Implementation and Education
- Medication
- Oxygen
- Corticosteroids
- Ipratropium (Anticholinergic)
- Albuterol
- Implementation
- Inhaler/nebulizer
- Pulse Oximetry
- Pursed Lip Breathing
- Education
- Carry Inhaler
- Rinse Mouth after Inhaler
- Identify Trigger (Cold Air, Dander, Dust, Infection, Mold, Pollen, Smoke)
2 mins
Coccidioidomycosis (OLD VERSION)
- Characteristics
- Fungi
- Dimorphic
- Southwest
- After earthquakes
- Spherule
- 20-60 um
- Signs and Symptoms
- Pneumonia
- Meningitis
- Bone Infection
- Skin infections
- Erythema Nodosum
- Granulomatous Inflammation
- Caseous Necrosis
2 mins
Diabetic Glomerulonephropathy (OLD VERSION)
- Nonenzymatic glycosylation of glomerular basement membrane
- Nonenzymatic glycosylation of arterioles
- Hyaline arteriolosclerosis
- Increased GFR
- Mesangial expansion
- Type IV collagen deposition
- Kimmelstiel Wilson lesions
- Nephrotic
3 mins
Digoxin (Lanoxin)
- Mechanism of Action
- Increases Inotropy
- Indications
- Heart Failure
- Atrial Fibrillation
- Side Effects
- Bradycardia
- Fatigue
- Contraindications
- Heart Block
- Nursing Considerations
- Heart Rate Below 60
- Hypokalemia
- Monitor for Toxicity and Visual Changes
- Digibind
2 mins
Familial Adenomatous Polyposis (FAP)
- Pathophysiology
- Autosomal Dominant
- Mutation on Chromosome 5
- APC Tumor Suppressor Gene Mutation
- Overexpression of β-catenin
- Two-Hit Hypothesis
- manifestations
- Postpubertal Appearance of Thousands of Polyps
- Always Involves Rectum
- Pancolonic
- Associations
- Hepatoblastoma
- Most Patients Develop Colorectal Carcinoma (CRC) by 40 years of age
- Interventions
- Prophylactic Colectomy
3 mins
Gardner Syndrome
- Pathophysiology
- Familial Adenomatous Polyposis (FAP) with Extraintestinal Benign Growths
- Autosomal Dominant
- APC Gene Mutation
- Extraintestinal and Benign Manifestations
- Desmoid Tumors
- Nasal Angiofibromas
- Osteomas
- Congenital Hypertrophy of Retinal Pigment Epithelium (CHRPE)
- Dental Abnormalities
- Cutaneous Lesions
- Adrenal Adenomas
- Associated Malignancies
- Thyroid Cancer
- Duodenum/Periampullary Cancer
- Pancreatic Cancer
- Hepatoblastoma
Ixodes
- meaning
- Tick
26 secs
Juvenile Polyposis Syndrome
- PATHOPHYSIOLOGY
- Autosomal Dominant
- Children < 5 Years Old
- manifestations
- Hamartomatous Polyps
- Found in the Stomach, Small Intestine and Colon
- Large Number Increases Risk of Colorectal Carcinoma
2 mins
Kartagener Syndrome (Primary Ciliary Dyskinesia)
- inheritance pattern
- Autosomal Recessive
- pathogenesis
- Immotile Cilia Due to a Dynein Arm Defect
- Symptoms
- Decreased Male and Female Fertility
- Immotile Sperm
- Dysfunctional Fallopian Tube Cilia
- Increased Risk of Ectopic Pregnancy
- Bronchiectasis
- Recurrent Sinusitis
- Chronic Ear Infections
- Conductive Hearing Loss
- Situs Inversus (Dextrocardia on Chest X-Ray)
- SCreening
- Decreased Nasal Nitric Oxide Used as Screening Test
5 mins
Mumps (Parotitis)
- Mechanism
- Paramyxovirus
- Signs and Symptoms
- Fever
- Headache
- Earache
- Orchitis
- Pain and Swelling of Parotid Glands
- Considerations
- MMR Vaccination
1 min
Mycobacterium tuberculosis (OLD VERSION)
- Mycolic acid cell wall
- Acid Fast
- Carbolfuchsin Stain Red
- Serpentine cord factor
- 1st degree TB
- Ghon focus
- Perihilar lobar lymph nodes
- Ghon complex
- 2nd degree TB
- Reactivation in apex
- Caseating granuloma
- Fever
- Weight loss
- Night Sweats
- Hemoptysis
- Extrapulmonary disease
- Addison's when affects adrenal glands
- Kidneys
- GI
- Central Nervous System (CNS)
- Liver
- Bones
- Pott's disease
3 mins
Orchi/o or Orchid/o
- Meaning
- Testes
39 secs
Renal Corpuscle (OLD VERSION)
- Characteristics
- Arterioles
- Glomerulus
- Capillaries
- Fenestrations
- Plasma Solutes And Proteins Secreted As Ultrafiltrate
- Bowman's Capsule Encapsulates Glomerulus
2 mins
Seizure Interventions
- Maintain Airway
- Side-lying Position
- Support Head
- Move to Floor
- Benzodiazepines
- Considerations
- Never Restrain
- No Objects in Mouth
- Document Details
2 mins
Seizure Precautions
- Reduce Environmental Stimuli
- Identify Triggers
- Aura
- Pad Side Rails
- Bed Lowest Position
- Oxygen and Suction Available
- Consideration
- Monitor Therapeutic Drug Levels
2 mins
Tricuspid Regurgitation (OLD VERSION)
- Holosystolic
- Blowing Murmur
- Radiates to Left Sternal Border
- Enhanced by inspiration
40 secs
Xeroderma Pigmentosum
- Pathophysiology
- Defective Nucleotide Excision Repair
- Pyrimidine Dimer Accumulation
- Autosomal Recessive
- Susceptible to UVA and UVB Rays
- Presentation
- Actinic Keratosis
- Neurodegeneration
- Photosensitivity
- Corneal Ulcers
- Hyperpigmented Lentigines
- Considerations
- Increased Risk of Skin Cancer
3 mins
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