Pencil Villain Shared "Verified Picmonics - June 2020" - 131 Picmonics

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Verified Picmonics - June 2020

Verrucae
Warts
Characteristics
Papillary Cauliflower Like Growths
Low-Risk Human Papillomavirus
Epidermal Hyperplasia and Hyperkeratosis
Koilocytes
Management
No Treatment Needed
Topical Salicylic Acid
Cryotherapy
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2 mins
Pseudotumor Cerebri: Diagnosis and Management
Diagnosis
Lumbar Puncture with Increased Opening Pressure
Normal MRI or CT
Management
Weight Loss
Acetazolamide
Topiramate
Surgery
Avoid Triggers
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3 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
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5 mins
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
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3 mins
Familial Hypercholesterolemia (Type IIa Familial Dyslipidemia)
INHERITANCE
Autosomal Dominant
PATHOGENESIS
Defective or Absent LDL Receptors
Defective Apolipoprotein B-100 (ApoB-100)
Lab Findings
Increased LDL
Decreased HDL
Type IIb also has Increased VLDL
Symptoms/Findings
Accelerated Atherosclerosis
Achilles Tendon Xanthomas
Xanthelasma
Corneal Arcus
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4 mins
Hyperchylomicronemia (Type I Familial Dyslipidemia)
INHERITANCE
Autosomal Recessive
PATHOGENESIS
Lipoprotein Lipase Deficiency (LPL)
Altered Apolipoprotein C-II (Apo C-II)
Lab Findings
Increased Chylomicrons
Increased Cholesterol
Increased Triglycerides
Symptoms/Findings
Pancreatitis
Hepatosplenomegaly
No Increased Risk for Atherosclerosis
Eruptive/Pruritic Xanthomas
Milky White Appearance of Blood When Drawn
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3 mins
Dysbetalipoproteinemia (Type III Familial Dyslipidemia)
INHERITANCE
Autosomal Recessive
PATHOGENESIS
Defective Apolipoprotein E (Apo E)
Lab Findings
Increased Chylomicrons
Increased VLDL
Symptoms/Findings
Premature atherosclerosis
Tuberoeruptive xanthomas
Palmar xanthomas
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3 mins
Hypertriglyceridemia (Type IV Familial Dyslipidemia)
INHERITANCE
Autosomal Dominant
pathogenesis
Hepatic Overproduction of VLDL
Related to Insulin Resistance
Lab Findings
Increased VLDL
Increased Triglycerides (> 1000 mg/dL)
Symptoms/Findings
Acute Pancreatitis
Eruptive Xanthomas
Increased Risk for Coronary Artery Disease (CAD)
Increased Risk of Peripheral Vascular Disease
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3 mins
Leptospirosis and Weil's Disease
Epidemiology
Tropical Regions
Water Contaminated with Animal Urine
Characteristics
Leptospira interrogans
Spirochete
Hooked Shaped Ends
Clinical Features
Flu-like Symptoms
Conjunctival Suffusion
Photophobia
Weil's disease
Liver and Kidney Dysfunction
Jaundice
Hemorrhage
Anemia
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2 mins
Killed (Inactivated) Fractional Protein Vaccines
Subunit Vaccines
Subunit
Influenza (Intramuscular)
Bordetella Pertussis
Hepatitis B
Human Papillomavirus (HPV)
Bacillus anthracis (Anthrax)
Toxoid Vaccines
Toxoid
Corynebacterium diphtheriae (Diphtheria)
Clostridium tetani (Tetanus)
Considerations
DTaP and Tdap
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3 mins
Live Attenuated Vaccines
Characteristics
Humoral and Cellular Immune Response
May Revert to Virulent Form
Do Not Require Boosters
Vaccines
Varicella (Chickenpox)
Zoster (Shingles)
Polio (Sabin)
Smallpox
Yellow Fever
Influenza (Intranasal)
MMR
Rotavirus
Typhoid Fever (Oral)
BCG (Bacillus Calmette-Guérin)
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4 mins
Killed (Inactivated) Whole Vaccines
Characteristics
Mostly Humoral Immune Response
Require Booster Shots
Vaccines
Polio (Salk)
Rabies
Cholera
Hepatitis A
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53 secs
Trichinella Spiralis (Trichinellosis)
Characteristics
Nematode
Pathogenesis
Undercooked Meat (Especially Pork)
Larvae Enter Bloodstream and Encyst in Striated Muscle
Signs and Symptoms
Nausea and Vomiting
Myalgia
Fever
Periorbital Edema
Eosinophilia
Treatments
Albendazole 
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2 mins
Dandy-Walker Malformation
Characteristics
Cerebellar Vermis Hypoplasia
Cystic Enlargement of 4th Ventricle
Associations
Noncommunicating Hydrocephalus
Spina Bifida
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1 min
Mifepristone, Ulipristal (Antiprogestins)
Mechanism of Action
Progesterone Receptor Antagonist
Indications
Mifepristone
Pregnancy Termination With Misoprostol
Ulipristal
Emergency Contraception
Side effects
Abdominal Pain
Vomiting
Diarrhea
other mechanisms of action
At High Doses: Cortisol Antagonist
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2 mins
Streptococcus Bovis
Characteristics
Group D Streptococci
Catalase-Negative
Gram Positive Cocci
Does Not Grow in 6.5% NaCl
Grows in Bile
Clinical Features
Endocarditis
Bacteremia Associated with Liver Disease
Bacteremia Associated with Colon Cancer
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2 mins
Thoracic Aortic Aneurysm
Characteristics
Elderly Men
Above the Diaphragm
Usually Asymptomatic
Risk Factors
Hypertension
Smoking
Connective Tissue Disorders
Vasculitis
Diagnosis
Chest X-Ray
Chest CT Angiography
Management
Manage Risk Factors
Surgery if Rupture or Dissection
Observation if Asymptomatic
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4 mins
Hindgut Structures, Blood Supply and Innervation
Structures
Distal 1/3 of Transverse Colon
Descending Colon
Sigmoid Colon
Rectum
Pectinate (Dentate) Line
Urogenital Sinus
Vascular Supply
Inferior Mesenteric Artery
Innervation
Lumbar Splanchnic Nerves
Pelvic Splanchnic Nerves
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2 mins
Foregut Structures, Blood Supply and Innervation
Structures
Esophagus
Lower Respiratory Tract
Stomach
Proximal Duodenum
Liver
Gallbladder
Pancreas
Spleen
Vascular Supply
Celiac Artery
Innervation
Vagus Nerve
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2 mins
Midgut Structures, Blood Supply and Innervation
Structures
Distal Duodenum
Jejunum
Ileum
Appendix
Ascending Colon
Vascular Supply
Proximal 2/3 of Transverse Colon
Superior Mesenteric Artery
Innervation
Vagus Nerve
Lesser Splanchnic Nerve
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2 mins

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