Hernandez Shared "MedStep Exam #1" - 16 Picmonics
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MedStep Exam #1
Ankylosing Spondylitis
- Chronic Inflammatory Arthritis
- "Bamboo Spine"
- HLA-B27
- Uveitis
- Aortic Regurgitation
1 min
Gout Disease
- Acute Inflammatory Monoarthritis
- Epidemiology
- Primarily in Males
- Pathophysiology
- Precipitation of Monosodium Urate Crystals
- Underexcretion of Uric Acid
- Overproduction of Uric Acid
- Negatively Birefringent, Needle-Shaped
- Symptoms
- Swollen, Red, Painful Joint
- Asymmetric Joint Distribution
- Podagra
- Tophus
- After Large Meal or Alcohol
2 mins
Pseudogout
- Pathophysiology
- > 50 Years Old
- Arthritis of Large Joints (Classically the Knee)
- Calcium Pyrophosphate Crystals
- Diagnosis
- Positively Birefringent
- Chondrocalcinosis (On X-ray)
- Treatment
- NSAIDs
- Colchicine
- Steroids
1 min
Muscular Dystrophy
- Mechanism
- X-linked Recessive
- Signs and Symptoms
- Muscle Weakness
- Motor Problems
- Gower Sign
- Large Calves
- Waddling Gait
- Loss of Ambulation
- Consideration
- Cardiac and Respiratory Failure
2 mins
Osteoarthritis
- Mechanism
- Articular Cartilage Destruction
- Biomechanical Stress
- Aging
- Signs and Symptoms
- Asymmetric
- Pain Decreases with Rest
- Morning Stiffness Under 30 Minutes
- Crepitus
- DIP and PIP Joints
- Treatment
- Lifestyle Changes
- Acetaminophen or NSAIDs
2 mins
Osteogenesis Imperfecta
- Pathophysiology
- Autosomal Dominant
- Decreased Type I Collagen Production
- Symptoms
- Phenotypically Diverse
- Brittle Bone Disease
- Fractures from Minimal Trauma
- Confused with Child Abuse
- Hearing Loss
- Dental Imperfections
- Blue Sclera
1 min
Rickets/Osteomalacia
- Cause/Mechanism
- Defective Mineralization
- Vitamin D Deficiency
- Rickets
- Rickets in children w/ Bowing legs
- Craniotabes
- Rachitic rosary
- Epiphyseal Widening
- Metaphyseal Cupping
- Pigeon Breast Deformity
- Osteomalacia
- Looser Zone
- Osteomalacia in adults
- Fractures
- Lab Findings
- Increased ALP
- Increased PTH
- Decreased Calcium And Phosphate
Osteomyelitis
- Cause/Mechanism
- Bone Infection
- Assessment
- Warmth
- Edema
- Constant Bone Pain
- Fever
- Interventions
- IV Antibiotics
- Implanted Beads
- Hyperbaric Oxygen
- Surgical Removal of Ischemic Tissue
- Considerations
- Elevated ESR
3 mins
Osteopetrosis (Marble Bone Disease)
- Pathophysiology
- Defective Osteoclast Resorption
- Carbonic Anhydrase II Mutation
- Lack of Acidic Environment
- Symptoms
- Fractures
- Nerve Palsies
- Diagnosis
- Myelophthisic Anemia
- Erlenmeyer Flask Bones
- Normal ALP and PTH
- Normal Calcium and Phosphorus
- Bone-in-bone Appearance
- Treatment
- Bone Marrow Transplant
2 mins
Osteoporosis Assessment
- Highest Risk
- Postmenopausal Women
- Long Term Corticosteroids
- Assessment
- Kyphosis
- Dowager's Hump
- Loss of Height
- Back Pain
- Pathologic Fractures
- Spinal Compression Fracture
1 min
Paget's Disease of Bone
- Pathophysiology
- Men > Age 40
- Increased Osteoblast and Osteoclast activity
- Mosaic Pattern
- Signs and Symptoms
- Increased Skull Diameter
- Hearing Loss
- Fractures
- Bone Ache and Joint Pain
- High Output Heart Failure
- Diagnosis
- Bone Scan
- Normal Parathyroid hormone (PTH) and Calcium
- Elevated ALP
- Treatment
- Bisphosphonate
- Calcitonin
2 mins
Reactive Arthritis
- Bacteria
- Shigella
- Yersinia Pestis (Black Plague)
- Chlamydia
- Campylobacter Jejuni
- Salmonella
- Classic Triad Of Symptoms
- Conjunctivitis
- Urethritis
- Arthritis
- Sacroiliitis
Septic Arthritis
- Asymmetric Joint Distribution
- Synovial Fluid Aspirates
- Knee #1
- IV drug users
- Sickle Cell Anemia
- Neisseria Gonorrhoeae
- Haemophilus influenzae
- Lyme disease
Systemic Lupus Erythematosus (SLE) Diagnosis and Clinical Features
- IM DAMN SHARP acronym
- Immunoglobulins
- Malar rash
- Discoid rash
- Antinuclear antibody
- Mucositis
- Neurologic disorders
- Serositis
- Hematologic disorders
- Arthritis
- Renal disorders
- Photosensitivity
2 mins
Systemic Lupus Erythematosus (SLE) Mechanism, Treatment and Complications
- Mechanism and Characteristics
- Systemic Autoimmune Disease
- 9:1 female to male ratio
- Treatment
- Glucocorticoids
- NSAIDS
- Hydroxychloroquine
- Cyclophosphamide
- Complications
- Lupus nephritis
- Libman-Sacks Endocarditis
- Secondary Antiphospholipid Antibody Syndrome
- Other
- Drug-induced lupus
2 mins
Achondroplasia
- Mechanism
- Autosomal Dominant
- Advanced Paternal Age
- Most Common Cause of Dwarfism
- Mutation of FGFR3 (Fibroblast Growth Factor Receptor 3)
- Defective Endochondral Ossification
- Symptoms
- Delayed Motor Milestones
- Shortened Limbs with Normal Axial Skeleton Size
- May Develop Hydrocephalus
- Symptoms of Spinal Stenosis
- Normal Life Span and Fertility
2 mins
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