Melissa Shared "Module 4 Fall 2020" - 28 Picmonics
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Module 4 Fall 2020
Genital Herpes
- Mechanism
- Herpes Simplex Virus 1 and 2 (HSV)
- Assessment
- May Be Asymptomatic
- Oral or Genital Lesions
- Vesicles in Clusters
- Pain
- Flu-like Symptoms
- Antiviral Medications
- Acyclovir
- Valacyclovir
- Famciclovir
- Considerations
- Infectious During Recurrences
2 mins
Acyclovir (Zovirax)
- Mechanism
- Guanosine Analog
- Inhibits Viral Replication
- Thymidine Kinase Activation
- Indications
- Herpes Simplex Virus (HSV)
- Varicella Zoster Virus (VZV)
- Side Effects (Oral)
- Headache
- GI Distress
- Side Effects (IV)
- CNS Toxicity
- Nephrotoxicity (Crystalline Nephropathy)
- Considerations
- Prevents Recurrent Episodes
- Slow IV Infusion
2 mins
HIV CD4+ 200
- Signs and Symptoms
- Herpes Simplex Virus (HSV)
- JC Virus
- Progressive Multifocal Leukoencephalopathy (PML)
- Pneumocystis Pneumonia
- (HIV) Dementia
- Histoplasmosis
3 mins
Systemic Lupus Erythematosus (SLE) Interventions
- Avoid Sunlight
- Drug Therapy
- Glucocorticoids
- Methotrexate
- NSAIDs
- Hydroxychloroquine
- Azathioprine
- Considerations
- Monitor for Renal Failure (ARF)
- Manage Pain
2 mins
Phenylketonuria (PKU)
- Cause
- Autosomal Recessive Genetic Disorder
- Enzyme Deficiency
- Assessment
- Failure to Thrive
- Irritability
- Musty or Mousy Odor
- Cognitive Impairment
- Interventions
- Low Phenylalanine Diet
- Low Protein Foods (Diet)
- Avoid Aspartame
- Sapropterin (Kuvan)
- Considerations
- Guthrie Blood Test
2 mins
Human Papillomavirus (HPV)
- Characteristics
- Non-enveloped
- Circular
- Double Stranded DNA
- Disease
- Warts 1, 2, 6, 11
- Condyloma acuminata
- Type 16, 18
- Cervical Carcinoma
- Penile Carcinoma
- AIDS/Immunocompromised
- Worsened by Smoking
- Diagnosis
- Koilocytic change in squamous epithelium
- Pyknotic Nuclei Surrounded by Clear Halo
- Treatment
- Vaccine Available
4 mins
Genital Warts - Condylomata Acuminata
- Mechanism
- Human Papillomavirus (HPV)
- Assessment
- Papillary Cauliflower Like Growths
- Bleeding
- Vaginal Discharge
- Interventions
- Wart Removal
- Trichloroacetic acid (TCA)
- Podophyllin resin
- Cryotherapy
- Considerations
- HPV Vaccine
- Cervical Cancer
2 mins
Hepatitis B (HBV) Assessment
- Transmission
- Bodily Fluids
- Blood Transmission
- People Who Use IV Drugs
- Incubation
- Variable 1-6 Months
- Assessment
- Fever
- Nausea and Vomiting
- Hepatomegaly
- Chronic Disease
- Cirrhosis
- Hepatocellular Carcinoma
- Considerations
- Vaccination
2 mins
Hepatitis A (HAV) Assessment
- Transmission
- Fecal-Oral
- Ingestion of Contaminated Food or Water
- Incubation
- 4 Weeks
- Assessment
- Fever
- General Malaise
- Hepatomegaly
- Considerations
- Self-Limiting
- Proper Hand Washing
2 mins
Hepatitis C (HCV) Assessment
- Transmission
- Blood Transmission
- High Risk Sex (rare)
- IV Drug Users
- Incubation
- 7 Weeks
- Chronic Disease
- Cirrhosis
- Considerations
- Barrier Protection
2 mins
Human Immunodeficiency Virus (HIV) Stages
- Primary Infection
- Within 3 Weeks
- Flu-like Symptoms
- Asymptomatic Stage
- Years
- Symptomatic Stage
- CD4+ < 500
- AIDS
- Opportunistic Infections
- CD4+ < 200
2 mins
Hepatitis B Virus Characteristics
- Hepadnavirus
- Enveloped
- Circular
- Partially Double-stranded DNA
- Has Reverse Transcriptase
- IV Drug Use
- Sex
- Maternal Fetal Routes
- 3 Month Incubation Period
2 mins
Vaginitis
- Cause/Mechanism
- Infection
- Postmenopausal Atrophy
- Assessment
- Vaginal Discharge
- Pruritus
- Interventions
- Antifungals (Miconazole, Clotrimazole)
- Antibiotics
- Estrogen Hormones
- Abstinence
- Considerations
- Good Hygiene
- Recurrent Vaginitis
2 mins
Syphilis TORCH
- Signs and Symptoms
- Nonspecific TORCH Symptoms
- Often Results in Stillbirth
- Hydrops Fetalis
- Saber Shins
- Notched Teeth
- Saddle Nose
- Blindness
- Deafness
- Hepatitis
3 mins
Syphilis
- Characteristics
- Treponema pallidum
- Spirochete with characteristic motility
- Signs and Symptoms
- Painless chancre
- Condylomata lata
- Generalized lymphadenopathy
- Rash on palms and soles
- Aortitis
- Gummas
- Neurosyphilis
- Argyll Robertson pupils
- Vasa vasorum
- Tabes dorsalis
- Treatment
- Penicillin
- Jarisch-Herxheimer reaction
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
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
Pelvic Inflammatory Disease (PID) Interventions
- Antibiotics
- No Intercourse for 3 Weeks
- Semi-Fowler's Position
- Analgesics
- Monitor Temperature
- Treat Partners
2 mins
Pelvic Inflammatory Disease (PID) Assessment
- Mechanism
- Untreated Cervicitis
- Assessment
- May Be Asymptomatic
- Dysuria
- Vaginal Discharge with Odor
- Fever
- Dyspareunia
- Lower Abdominal Pain
- Spotting
- Cervical Motion Tenderness
2 mins
Alcohol Use Disorder Assessment (Formerly Alcohol Abuse Assessment)
- Intoxication
- CNS Depression
- Withdrawal
- Wernicke-Korsakoff Syndrome
- Medical Complications
- GI Distress
- Cardiomyopathy
- Pancreatitis
- Cirrhosis
- Immunosuppression
- Sexual Dysfunction
- Considerations
- Screening (Assessments)
3 mins
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