Kathleen Shared "Family Med Rotation" - 113 Picmonics
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Family Med Rotation
Addison's Disease
- Mechanism
- Chronic 1° Adrenal Insufficiency
- Atrophy
- Destruction
- Symptoms
- Deficiency In Cortisol And Aldosterone
- Skin Hyperpigmentation
- Increased POMC
- Hypotension
- Hyperkalemia
- Acidosis
- Addisonian Crisis
- Diagnosis
- ACTH (Cosyntropin) Stimulation Test
- Treatment
- Exogenous Cortisol
2 mins
Addisonian Crisis
- Assessment
- Severe Symptoms
- Shock
- Interventions
- High-Dose Hydrocortisone
- Large Volumes of IV Fluid
- Insulin with Dextrose
- Kayexalate
- Loop or Thiazide Diuretics
2 mins
Scabies
- Pathophysiology
- Sarcoptes Scabiei Mite
- Signs & Symptoms
- Pruritus
- Papules with Burrows
- Webs of Fingers and Toes
- Axilla and Nipples
- Diagnosis
- Skin Scraping
- Dermoscopy
- Mites and Eggs on Magnification
- Treatment
- Permethrin Cream
- Oral Ivermectin
- Lindane Cream
- Considerations
- Wash All Linens In Hot Water
3 mins
Cushing's Syndrome Characteristics
- More Common in Women
- Exogenous Etiologies
- Glucocorticoids
- Endogenous Etiologies
- Decreased ACTH
- Primary Adrenal Disease
- Increased ACTH
- Pituitary Adenoma (Cushing's Disease)
- Paraneoplastic: Small Cell Carcinoma
- CRF-releasing Tumors
2 mins
Cushing's Syndrome Symptoms And Diagnosis
- Symptoms/Findings
- Osteoporosis
- Amenorrhea
- Truncal Obesity
- Skin Changes
- Buffalo Hump
- Immune Suppression
- Moon Facies
- Hypertension
- Decreased Insulin Sensitivity
- Diagnosis
- 24-hour urine free Cortisol
- Dexamethasone Suppression Test
2 mins
Gastroesophageal Reflux Disease (GERD) Assessment
- Pathophysiology
- Relaxed Lower Esophageal Sphincter
- Signs and Symptoms
- Dyspepsia (Indigestion)
- Belching
- Nighttime Coughing
- Dysphagia
- Epigastric Pain
- Regurgitation
- Heartburn (Pyrosis)
- Globus
2 mins
Barrett's Esophagus
- Histological findings
- Metaplasia in Lower Esophagus
- Columnar Epithelium
- Associated Pathologies
- Gastroesophageal Reflux Disease (GERD)
- Esophagitis
- Esophageal Ulcers
- Increased Risk of Esophageal Adenocarcinoma
1 min
Vitiligo
- Pathophysiology
- Autoimmune Destruction of Melanocytes
- Presentation
- Hypopigmentation
- Acral Areas and Around Orifices
- Diagnosis
- Clinical Presentation + Woods Lamp
- Risk Factors
- Other Autoimmune Diseases
- Treatment
- Glucocorticoids
- Tacrolimus
- Phototherapy
2 mins
Pelvic Inflammatory Disease (PID)
- Mechanism
- Neisseria gonorrhoeae
- Chlamydia Trachomatis
- Symptoms
- Cervical Motion Tenderness
- Chandelier Sign
- Salpingitis
- Tubo-ovarian abscess
- Hydrosalpinx
- Complications
- Ectopic Pregnancy
- Infertility
- Adhesions
- Fitz-Hugh-Curtis Syndrome
2 mins
Pelvic Inflammatory Disease (PID) Interventions
- Antibiotics
- No Intercourse for 3 Weeks
- Semi-Fowler's Position
- Analgesics
- Monitor Temperature
- Treat Partners
2 mins
Anorexia Nervosa Assessment
- Adolescent Girls
- Fear of Gaining Weight
- Assessment
- Excessive Dieting
- Distorted Body Image
- Decreased Bone Density
- Stress Fractures
- Lanugo
- Amenorrhea
- Anemia
- Diagnostic Criteria
- BMI < 18.5
3 mins
Anorexia Nervosa and Bulimia Nervosa Interventions
- Interventions
- Build Trust
- Plan Caloric Intake
- Supervise Meals
- Supervise Elimination
- Encourage Liquids
- Daily Weights
- Use Matter-of-Fact Statements
- Give Feelings of Control
- Considerations
- Tube Feedings If Further Weight Loss
2 mins
Bulimia Nervosa Assessment
- Assessment
- Normal Body Weight
- Binge and Purge
- Electrolyte Disturbances
- Alkalosis
- Hypokalemia
- Parotitis
- Enamel Erosion
- Russell's Sign
- Diagnosis
- Once Weekly For 3 Months
2 mins
Chlamydia
- Mechanism
- Chlamydia trachomatis
- Assessment
- May Be Asymptomatic
- Dysuria
- Epididymitis
- Discharge
- Dyspareunia
- Interventions
- Doxycycline
- Azithromycin
- No Intercourse for 1 Week
- Treat Partners
2 mins
Chlamydia trachomatis
- Characteristics
- A to C
- Trachoma
- Follicular Conjunctivitis
- Blindness
- Africa
- L1 to 3
- Lymphogranuloma venereum
- Buboes
- Genital Ulcer
- D to K
- Urethritis and PID
- Neonatal Pneumonia
- Staccato Cough
- Neonatal Conjunctivitis
2 mins
Chlamydia Characteristics
- Characteristics
- Cannot Make ATP
- Elementary body infects
- Intraepithelial
- Reticulate Body Replicates
- Diagnosis
- Cell Wall Lacks Muramic Acid
- Giemsa Stain
- Inclusion Bodies
- Treatment
- Azithromycin (Preferred)
- Doxycycline
2 mins
Gonorrhea
- Mechanism
- Neisseria gonorrhoeae
- Assessment
- Dysuria
- Yellowish-Green Discharge
- Increased Urinary Frequency
- Women Often Asymptomatic
- Interventions
- Ceftriaxone (IM)
- Chlamydia
- Doxycycline
- Azithromycin
- Considerations
- Treat Partners
2 mins
Neisseria gonorrhoeae Characteristics
- Characteristics
- Gram Negative
- Diplococci
- Chocolate Agar
- Thayer-Martin Media
- VPN
- Oxidase Positive
- Glucose Fermenting
- Pilus
- Opa Surface Protein
- Rapid Antigenic Variation
- IgA Protease
2 mins
Neisseria gonorrhoeae Disease
- Signs & Symptoms
- Dysuria
- Pelvic Inflammatory Disease (PID)
- Fitz-Hugh-Curtis Syndrome
- Neonatal Conjunctivitis
- Pharyngitis
- Septic Arthritis
- Tenosynovitis
- Pustules On Hands And Feet
- Treatment
- Ceftriaxone
- Azithromycin
- Doxycycline
- Considerations
- C5-9 Complement Deficiency (Recurrent Infections)
2 mins
Lyme Disease
- Mechanism
- Transmitted by Ticks (Vector-borne)
- Signs and Symptoms
- Flu-like Symptoms
- Bulls Eye Rash (Erythema Migrans)
- Joint Pain and Stiffness
- Facial Paralysis
- Considerations
- Antibiotics
- Prevention
2 mins
