Pencil Villain Shared "Verified Picmonics - September 2020" - 161 Picmonics

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Verified Picmonics - September 2020

Abdominal Aortic Aneurysm Rupture
Clinical Features
Acute Tearing Pain
Pulsatile Abdominal Mass
Grey Turner Sign
Cullen Sign
Hypovolemic Shock
Diagnosis
Diagnosis by Clinical Impression
Treatment
Emergent Surgical Intervention
Considerations
Poor Prognosis
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3 mins
Abetalipoproteinemia
Pathophysiology
Autosomal Recessive
Deficiency of Apolipoproteins B-48 and B-100
MTTP Gene Mutation
Clinical Features
Malabsorption
Steatorrhea
Failure to Thrive
Ataxia
Retinitis Pigmentosa
Spinocerebellar Degeneration
Diagnosis
Lipid-Laden Enterocytes
Acanthocytes
Decreased Cholesterol and LDL
Treatment
Vitamin E (Alpha-Tocopherol)
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4 mins
Acne Vulgaris Presentation and Pathophysiology
Presentation
Papules/Comedones in Mild Cases
Blackheads Open, Whiteheads Closed
Pustules in Mild-Moderate Cases
Nodules/Cysts in Severe Cases
Pathophysiology
Inflammation at Hair Follicle/Sebaceous Gland
Increased Androgens
Colonization by Cutibacterium Acnes
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3 mins
Acting Out
Mechanism
Subconscious
Type of defense
Immature Ego Defense Mechanism
Result
Actions Rather Than Reflections
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1 min
Agoraphobia
Characteristics
Fear of Anticipating ≥ 2 Situations
Symptoms > 6 Months
Associations
Panic Disorder
Treatment
Cognitive Behavioral Therapy
Selective Serotonin Reuptake Inhibitors (SSRI)
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1 min
Altruism
Mechanism
Unconscious And Conscious
Mature Ego Defense
Example
Making Donation
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59 secs
Anaplasmosis
Characteristics
Ixodes Tick
Deer and Mice Reservoirs
Clinical Features
Flu-Like Symptoms
Fever
Rash is Rare
Diagnosis
Granulocytes with Cytoplasmic Morulae
Antibody Testing
Pancytopenia
Management
Doxycycline
Rifampin
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2 mins
Angiotensin II Effects
Effects On Vasculature
Increases Vascular Smooth Muscle Contraction
Increases Blood Pressure
Effects on Kidney
Efferent Arteriole Vasoconstriction
Increases GFR
Proximal Tubule
Sodium and Water Reabsorption
Adrenal Cortex
Increases Aldosterone Secretion
Effects on CNS
Stimulates Posterior Pituitary Gland to Secrete Vasopressin (ADH)
Stimulates Thirst in Hypothalamus
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2 mins
Angiotensin II Synthesis
Juxtaglomerular Apparatus
Juxtaglomerular Cells
Mesangial Cells
Macula Densa
Distal Tubule
KEY MEDIATORS
Angiotensinogen
Secreted from Liver
Renin
Secreted from Juxtaglomerular Cells
Catalyzes Angiotensinogen to Angiotensin I
Angiotensin Converting Enzyme (ACE)
Pulmonary Capillaries
Catalyzes Angiotensin I to Angiotensin II
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3 mins
Anterior Inferior Cerebellar Artery Stroke Assessment
Characteristics
Anterior Inferior Cerebellar Artery
Lateral Pontine Syndrome
Ipsilateral Clinical Findings
Decreased Facial Pain and Temperature Sensation
Facial Muscle Weakness
Decreased Taste from Anterior 2/3 of Tongue
Deceased Salivation and Lacrimation
Nystagmus and Hearing Loss
Horner Syndrome
Ataxia
Contralateral Clinical Findings
Decreased Body Pain and Temperature Sensation
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3 mins
Antidepressant Discontinuation Syndrome
Symptoms
Flu-Like Symptoms
Insomnia
Nausea
Ataxia
Agitation
Psychosis
Treatment
Restart And Taper
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2 mins
Antiphospholipid Syndrome
Characteristics
Antiphospholipid Antibodies
Hypercoagulability
Clinical Features
Recurrent Thromboembolisms
Recurrent Miscarriages
Diagnosis
Anticardiolipin Antibodies
Anti-Beta-2-Glycoprotein Antibodies
Lupus Anticoagulant
Management
Anticoagulation
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2 mins
Aortic Dissection
Characteristics
Tear in Aortic Intima
Stanford Classification
Type A: Tear of Ascending Aorta
Type B: Tear of Descending Aorta
Risk Factors
Hypertension
Aortic Aneurysm
Marfan Syndrome
Signs/Symptoms
Chest Pain
Blood Pressure Difference Between Arms
Mediastinal Widening
Treatment
Surgery for Type A
Beta Blockers for Type B
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2 mins
Ascariasis Characteristics and Life Cycle
Characteristics
Nematode (Roundworm)
Most Common Helminth Infection
Fecal-Oral Transmission
Life Cycle
Eggs Deposited in Soil
Embryo Ingested
Larvae Hatch in Intestines
Larvae Migrate to Lungs Through Bloodstream
Larvae Coughed Up and Swallowed
Mature into Adults in Intestine
Mature Adults Lay Eggs which are Passed in Stool
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3 mins
Ascariasis Clinical Features and Management
Early Clinical Manifestations
Cough
Eosinophilic Pneumonitis (Loffler Syndrome)
Late Clinical Manifestations
GI Upset
Bowel or Biliary Obstruction
Worms in Stool
Diagnosis
Stool Ova and Parasite Studies
Management
Albendazole
Pyrantel Pamoate In Pregnancy
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5 mins
Acute Cholangitis Characteristics and Clinical Features
Characteristics
Biliary Tract Infection
Biliary Tract Obstruction
Clinical Features
Charcot's Triad
Fever
Jaundice
Abdominal Pain
Reynold's Pentad
+ Hypotension
+ Altered Mental Status
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2 mins
Ascending Cholangitis Diagnosis and Treatment
Imaging
ERCP
CT Scan
Ultrasound
Biliary Duct Dilation and/or Stones
Labs
Hyperbilirubinemia
Elevated Alkaline Phosphatase
Elevated GGT
Treatment
Broad Spectrum Antibiotics
Biliary Drainage
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4 mins
Atrioventricular Block Types
First Degree
First Degree
PR Interval > 200ms
No Treatment Needed
Second Degree
Second Degree
Mobitz I (Wenckebach)
Progressive PR Interval Lengthening with Nonconducted QRS Complex
Mobitz II
Constant PR Interval with Nonconducted QRS Complex
Third Degree
Third Degree
Atrioventricular Dissociation
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3 mins
Baker's Cyst
Pathophysiology
Due To Enlargement Of Bursa Between Gastrocnemius And Semimembranosus Muscles
Often Related To Rheumatoid Arthritis Or Osteoarthritis
Clinical Manifestations
Often Asymptomatic
Mass Or Swelling Behind Knee
Acute Pain If Rupture
Crescent Sign
Diagnosis
Ultrasound
Management
Treat Underlying Condition
Arthrocentesis
Glucocorticoid Injection
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4 mins
Basilar Artery Stroke Assessment
Characteristics
Brainstem Structures
Lateral Corticospinal and Corticobulbar Tracts
Clinical Findings
Locked-in Syndrome
Motor Dysfunction
Preserved Vertical Eye Movements
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2 mins

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