Jeet Shared "block 3 sd 5" - 70 Picmonics
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block 3 sd 5
Scleroderma (DELETED)
- Types of Scleroderma
- Diffuse scleroderma
- Limited Scleroderma with CREST syndrome
- Localized Scleroderma
- Facts
- Age of onset 30-50
- Phases of Scleroderma
- Comparison of symptoms
- Can cause pulmonary hypertension
- Can cause Interstitial Lung Disease
- Renal Involvement
- GI involvement
- Esophageal Involvement
- Not associated with arthritis
- Can be assotiated with arthalgia, reduced ROM, and carpal tunnel
- Can be associated with Cardiac disease, but this is poor prognosis
- 95% of scleroderma is positive for some type of ANA
Multiple Sclerosis Features and Mechanisms
- Features
- More Common in Women
- Presents in 20's and 30's
- Northern Europeans
- Mechanism
- Unknown mechanism, genetic factor
- HLA-DRB1
- Autoimmune Demyelination of CNS
- White Matter of Brain and Spinal Cord
- T Cell Mediated Inflammation
2 mins
Multiple Sclerosis Symptoms and Diagnosis
- Symptoms
- Optic Neuritis
- Internuclear Ophthalmoplegia
- Scanning Speech
- Urinary and Fecal Incontinence
- Motor Issues (Intention Tremor, Paresis)
- Numbness and Pain
- Depression
- Relapsing Symptoms
- Diagnosis
- Gold Standard = Plaques on MRI
- Increased CSF Immunoglobulins (IgG)
- Oligoclonal Bands
4 mins
Multiple Sclerosis Interventions
- Drug Therapy
- Corticosteroids
- Interferon Beta
- Dimethyl Fumarate (Tecfidera)
- Fingolimod (Gilenya)
- Mitoxantrone (Novantrone)
- Natalizumab (Tysabri)
- Considerations
- Increase Exercise
- Identify Triggers
2 mins
CREST Syndrome (Limited Scleroderma)
- Symptoms
- Calcinosis
- Raynauds phenomenon
- Esophageal Dysmotility
- Sclerodactyly
- Telangiectasias
- Pathogenesis
- Anticentromere antibodies
Parkinson's Disease Assessment
- Assessment
- Decreased Dopamine
- Older Adult
- Cogwheel Rigidity
- Bradykinesia
- Shuffling Gait
- Resting Tremor
- Pill-Rolling
- Mask-Like Face
- Cognitive Decline
2 mins
Chronic Complication of Diabetes
- Advanced glycation end products
- Increased VEGF, TFG-beta and smooth muscle
- AGEs crosslink ECM proteins
- Albumin
- Activation of protein kinase C
- Oxidative stress
- Cataract
- Fructose-6-phosphate
- Procoagulant effect
- Diabetic Nephropathy
- Visual impairment
- Diabetic neuropathy
- Enhanced susceptibility to infections
Polyarteritis Nodosa
- Pathophysiology
- Immune Complex-Mediated Transmural Vasculitis
- Hepatitis B Association
- Fibrinoid Necrosis
- Signs and Symptoms
- Black Stool (Melena)
- Neurologic Dysfunction
- Myalgia
- Fever
- Hypertension
- Diagnosis
- Vessels / Lesions in Different Stages
- Renal Microaneurysms (On Arteriogram)
- Spares Pulmonary Arteries (No Pulmonary Involvement)
- Treatment
- Corticosteroids
- Cyclophosphamide
2 mins
Guillain-Barre Syndrome Assessment
- Assessment
- Ascending Paralysis
- Muscle Weakness
- Paresthesias (Pins and Needles)
- Diplopia
- Difficulty Speaking
- Dysphagia
- Labile Blood Pressure
- Loss of Bowel and Bladder Control
- Considerations
- Aggressive Airway Management
2 mins
Mycobacterium Tuberculosis Characteristics
- Characteristics
- Mycolic Acid Cell Wall
- Acid-fast
- Carbolfuchsin Stain Red
- Lowenstein-Jensen Agar
- Serpentine Cord Factor
- Primary TB
- Primary TB
- Caseating Granuloma
- Ghon Focus
- Hilar Lymph Nodes
- Ghon Complex
- Reactivation TB
- Reactivation TB
- Reactivation in Apex
3 mins
Mycobacterium Tuberculosis Treatments
- Front Line
- Isoniazid (INH)
- Rifampin
- Ethambutol
- Pyrazinamide
- Fluoroquinolones
- Levofloxacin
- Moxifloxacin
- Injectables
- Amikacin
- Capreomycin
- Kanamycin
- Streptomycin
- Core or Add-on 2nd Line
- Ethionamide
- Cycloserine
- P-aminosalicylic acid (PAS)
- Combination Drug Therapy (RIPE)
Tuberculosis Skin Mantoux Test (PPD)
- Delayed Hypersensitivity (Cell Mediated Response)
- Intradermal Injection
- Read 48-72 hours
- Positive Results
- ≥ 5 mm Induration
- Immunosuppressed
- ≥ 10 mm Induration
- High Risk Patients
- ≥ 15 mm Induration
- Considerations
- Chest X-Ray
3 mins
Amyloidosis
- Etiologies
- Primary
- Multiple Myeloma
- Secondary
- Tuberculosis (TB)
- Rheumatoid Arthritis
- Pathology
- Congo Red Stain
- Apple Green Birefringence
- Complications
- Nephrotic Syndrome
2 mins
Human Immunodeficiency Virus (HIV) Assessment
- Assessment
- RNA Retrovirus
- CD4+ Helper T Cells
- Primary Infection
- Flu-like Symptoms
- Lymphadenopathy
- Symptomatic Stage
- Fatigue
- Diarrhea
- Unexplained Weight Loss
- White Spots on Tongue
- Persistent Fever
- Night Sweats
2 mins
HIV CD4+ 100
- Signs and Symptoms
- Aspergillus fumigatus
- Cryptococcus neoformans
- Candida albicans (Esophagitis)
- Mycobacterium avium complex (MAC)
- Cytomegalovirus (CMV)
- Epstein-Barr virus (EBV) B-cell lymphoma
- Toxoplasma gondii
- Cryptosporidium
- Bartonella henselae
5 mins
HIV CD4+ 200
- Signs and Symptoms
- Herpes Simplex Virus (HSV)
- JC Virus
- Progressive Multifocal Leukoencephalopathy (PML)
- Pneumocystis Pneumonia
- (HIV) Dementia
- Histoplasmosis
3 mins
HIV CD4+ 500
- Signs and Symptoms
- Candida albicans (Oral Thrush)
- Kaposi's Sarcoma (HHV-8)
- Human Papillomavirus (HPV)
- Epstein-Barr Virus (Oral Hairy Leukoplakia)
3 mins
HIV Prophylaxis Medications
- CD4+ < 200
- TMP-SMX
- Pneumocystis Pneumonia
- CD4+ < 100 Susceptible to Toxoplasma Gondii
- CD4+ < 50
- Mycobacterium Avium and Intracellulare
- Azithromycin If Delayed Therapy
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
Human Immunodeficiency Virus (HIV) Diagnosis
- HIV-1/2 Antigen/Antibody Immunoassay
- HIV-1/2 Antibody Differentiation Immunoassay
- Nucleic Acid Testing (NAT)
- Viral Load
- Polymerase Chain Reaction (PCR) in Neonates
3 mins
