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310 Cards in this Set
- Front
- Back
- 3rd side (hint)
Who the poo
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u da poo
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What is this.
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auer rod
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What is this.
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auer rod
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What is this?
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BCC
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What is this?
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Clue Cell
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How do you treat this?
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metronidazole
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What infection is this?
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BV
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What dz does this indicate?
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AML
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What is this?
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Giardia
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Where do people classically contract this?
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camping
contaminated rivers and streams |
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How do you treat this?
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metronidazole
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What is this?
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Herpes Zoster
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Where does this virus live?
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dorsal root ganglion
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What is this?
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Kaposi Sarcoma
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This is commonly associated with what disease?
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HIV/AIDS
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What is this?
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Pneumothorax
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What is this?
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primary syphillis chancre
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How do you treat this?
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PCN
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What is this?
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psoriasis nails
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How do you treat this?
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surgical resection
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What is this?
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SCC
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SCC looks like an ulcer
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What is this?
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SCC
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What is this?
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strep pneumo
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What is this?
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target cells
REPRESENTS excess membrane relative to the amount of hemoglobin |
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What is this?
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tinea corporis
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What are these associated with?
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iron def
thalasemia liver disease |
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What is this?
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1st degree AVB
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What is this?
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1st degree AVB
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How do you treat this?
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Nothing.
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What is this?
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AF
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How do you treat this?
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rate control with BB or CCB
ASA or coumadin depending on chads2-vasc |
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78F presents with palpitations and this EKG. She has HTN and DM. Denies history of stroke or CHF. What type of anticoagulation does she require?
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coumadin
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What is this?
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STEMI
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What is this?
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asystole
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What is this?
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2nd degree AVB type 1 mobitz
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What is the treatment?
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nothing
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What is this?
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torsades
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What is this?
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Aflutter
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What is this?
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LBBB
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What is this?
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MAT
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What is the treatment?
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BB or CCB
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What is this?
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VT
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What is the treatment for this?
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cardioversion
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What is this?
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NSR
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What is this?
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PVC
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`
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What is this?
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inferior MI
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What is this?
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sinus tach
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What is this?
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3rd degree AVB
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How do you treat this?
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Magnesium, cardioversion
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What is this?
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AVNRT/SVT
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What is this?
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V flutter
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What is this?
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Vent trigeminy
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How do you treat this?
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cardioversion
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67M with DM, HTN, HL, presents with chest pain for the past 3 hours. Is hypotensive in triage. EKG shows this. What should you give?
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IV fluids
preload dependent |
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65M with DM, HTN, presents with 5 hours of palpitations. EKG shows this. BP 143/85. What should you give to treat this acutely?
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a fib
BB or CCB MTP 5mg IV or dilt 20mg IV. |
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70M with h/o CAD, presents with CP, and is still having CP. EKG shows this. What should you not give.
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NTG
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60M presents with melena and stool changes for 6m. This imaging indicates what dx?
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colon mass/cancer
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34F with h/o BRBPR and diarrhea for one year. Barium enema shows this. What is the likely diagnosis?
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UC
lead pipe |
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What dx is this?
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achalasia
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55M with lung cancer, presents with cp. This is the CXR. What is the dx?
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pericardial effusion
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65M presents with N/V x3 days. Xray is done. What does the pt have?
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sbo
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What is this?
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volvulus
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84M presents with N/V. Xray shows this. What is the next step in management?
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Has sbo. Keep NPO, and place NGT.
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55F with breast cancer, presents with chest pain, sob. Vitals shows HR 105, BP 90/65. PE shows JVD. Lungs are clear. CXR shows this. What is the next step in management?
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pericardial effusion with evidence of tamponade. Needs emergent pericardiocentesis.
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What is this?
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Rheumatoid arthritis
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What serology do you do the dx this?
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ANA, rheumatoid factor, anti-ccp
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What is this associated with?
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PCOS
DM (most common) in older people associated with cancer (like GI) |
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What is this called?
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bird's beak
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What dz does this indicate and how do you treat?
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Achalasia
Tx: lifestyle changes, meds, pneumoatic dilatation, surgery |
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What is this?
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Tinea cruris
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What is this? What is it caused by?
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Chancroid.
Haemophilus ducreyi |
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What is this?
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Cold sore
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What causes this? Tx?
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HSV
Acyclovir |
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What is this?
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epidural hematoma
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What vessel causes this?
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middle meningeal artery
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What are the sx's?
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Epidural Hematoma
lucid period after the trauma Then pts start to have somnelence, then obtundation, then the sx's get bad. |
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What dz is this associated with?
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Graves dz
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What is this?
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bullous pemphigoid
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What is this associated with?
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Reed sternberg cells
associated with hodgkins cells are multi-nucleated or have a bilobed nucleus resembling "owl's eyes" |
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What is this?
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sickle cell
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What is this?
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spherocytes
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What imaging would you do to dx the dz associated with this finding?
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Echo. This is splinter hemorrhage. Pt has endocarditis
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What is this?
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staghorn calculi
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What does this pt have?
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croup
steeple sign |
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What is this?
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subdural hematoma
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Which vessels cause this?
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bridging veins
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What is this?
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syphillis chancre
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What is this?
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vitiligo
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What is the absolute contraindication for treatment for the disease that this pt has?
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pregnancy
tx is radioactive iodine ablation |
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What medication can you use in the longterm management of this?
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hydroxyurea. Increases fetal hb
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What is this? Tx?
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SBO; if needed NGT, NPO and watch
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What is this? How do you tx?
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Sbo. NPO, NGT if needed.
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What this this?
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sbo
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50M comes in with h/o valve repair. Comes in with sob when laying down at night. Denies family/associoates of the illess. Wht imaging would you grt
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echo
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X-Ray Foot
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X-Ray Hand
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actinic keratosis
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actinic keratosis
premalignant condition thick, scaly, or crusty patches of skin |
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actinic keratosis
premalignant condition thick, scaly, or crusty patches of skin |
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Atopic Dermatitis Child
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Bacillary Angiomatosis
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Bacillary Angiomatosis
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is this cancerous?
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chalazion
granulomatous inflammation of the meibomian gland YES THIS IS PRE-MALIGNANT incision and curettage |
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chicken-pox
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eczema
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erythema multiforme
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impetigo
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impetigo
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infant with eczema
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kaposi sarcoma
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kaposi sarcoma
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Lentigo
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Lentigo
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lice infestation
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describe the 5 P's
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lichen planus lower lip
"5 Ps" well-defined pruritic, planar, purple, polygonal papules no cure try steroids to reduce |
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lichen planus shins
5 P's pruritic, planar, purple, polygonal papule |
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mycosis fungoides
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mycosis fungoides
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Necrotizing fasciitis
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What is the tx?
|
pityriasis rosea
no tx necessary benign condition |
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pityriasis rosea
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porphyria cutanea tarda
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psoriasis
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psoriasis
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Rosacea
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Rosacea
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scabies
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seborrheic dermatitis
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seborrheic keratosis
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seborrheic keratosis
"stuck-on" appearance |
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seborrheic keratosis
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sezary cells
late stage of mycosis fungoides is a form of cutaneous lymphoma in which T-cells fill up with mucopolysaccharidosis |
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Sezary Syndrome
(cutaneous lymphoma) part of mycosis fungoides |
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tinea capitis
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tinea corporis
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tinea cruris
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Tinea manuum
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tinea pedis
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urticaria
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vitiligo
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Dermatomyositis
Gottron's Papules |
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Dermatomyositis
Heliotrope Rash |
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Dermatomyositis
Shawl Sign |
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Ewing Sarcoma - Onion Skinning
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Ewing Sarcoma - Onion Skinning
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Galeazzi's Fracture
fracture of the radius with dislocation of the distal radioulnar joint |
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Giant Cell Tumor of Bone
Soap Bubble |
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Gout
Punched Out Lesions |
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Gout
Punched Out Lesions |
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Barlow-Ortolani Maneuver
|
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Legg-calve-perthes-disease
AVN |
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Monteggia's fracture
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Nightstick Fracture of Ulna
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Legg-Calve Perthes Disease
Petrie Cast |
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osgood-schlatter disease
tibial tubercle |
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Osteosarcoma
Periosteal Retraction Codman's Triangle |
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Osteosarcoma
Sunburst Pattern |
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Osteosarcoma
Sunburst Pattern |
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Pavlik Harness
Developmental Dysplasia of the Hip |
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Rheumatoid Arthritis
Boutonniere Deformity |
|
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Rheumatoid Arthritis
Swan Neck Deformity |
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Rheumatoid Arthritis - Xray
|
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Salter-Harris Fracture
Type V is a compression fracture |
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Scoliosis X-Ray
|
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Scoliosis
|
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Slipped Capital Femoral Epiphysis
Screw Fixation |
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Slipped Capital Femoral Epiphysis
|
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Spinal Brace
Scoliosis |
|
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Supracondylar Humerus Fractures
|
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Volkmann's contracture
Humerus Fracture Compartment Syndrome |
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What condition is this associated with?
|
Acoustic Neuroma
Neurofibromatosis |
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angiomyolipoma
benign tumour of the kidney Tuberous Sclerosis |
|
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ashleaf
Neurofibromatosis |
|
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axillary freckling
Neurofibromatosis |
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cafe au lait
Neurofibromatosis 1 |
|
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Central Retinal Artery Occlusion
has characteristic cherry red spot |
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Central Retinal Vein Occlusion
|
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Closed Angle Glaucoma
|
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Dural Tail
|
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Dural Tail
Meningioima |
|
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Exudative Macular Degeneration
|
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Fibrosis macular degeneration
|
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GBM
|
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Shagreen Skin Rash
Tuberous Sclerosis |
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Lisch Nodules
Neurofibromatosis Type 1 |
|
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Kyphoscoliosis
|
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Macular Degeneration
|
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meningiomas
|
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mulberry tumors
(yellow tumors) Tuberous Sclerosis |
|
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Neurofibromas
|
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open and closed angle glaucoma
|
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open angle glaucoma
trabecular network is not draining aqueous humor |
|
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Open-Angle Glaucoma
|
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Open-Angle Glaucoma
cupping of the optic disk |
|
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Open-Angle Glaucoma
|
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optic nerve glioma
remove surgically Neurofibromatosis 1 |
|
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Kyphoscoliosis
curvature of the spine in both a coronal and sagittal plane |
|
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phakoma
Tuberous Sclerosis |
|
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what disease does this finding suggest
|
rhabdomyoma in the heart
Tuberous Sclerosis |
|
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|
sebaceous adenomas
|
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x-ray foot
shows a fracture |
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x-ray hand
|
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Retinal hamartoma is seen in which disease
|
Tuberous Sclerosis
|
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Dacryocystitis
|
|
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What causes this and how do you treat?
|
Dacryocystitis
infection / inflammation of the nasolacrimal sac S aureus, S pneumo Tx: abx and warm compress |
|
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Episclerititis
|
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Hordeolum
|
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Hordeolum
|
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Orbital Cellulitis
|
|
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What causes this and how do you treat?
|
Orbital Cellulitis
bacterial infection spread by the paranasal sinuses S aureus, S pneumo TX IV abx with Vanco, clinda or doxycyclilne ABSCESS drain it |
|
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Subconjunctival hemorrhage
|
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Tophi from Gout
|
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Tophi in the Foot from Gout
|
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Tophi in the Hands from Gout
|
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X-ray of Tophi from Gout
|
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Beckwith–Wiedemann syndrome
macroglossia omphalocele gigantism Wilms tumor |
|
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Beckwith–Wiedemann syndrome
macroglossia omphalocele gigantism Wilms tumor |
|
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Bilateral wilms tumor or nephroblastoma
usually does not cross midline assoc with Beckwith-Wiedemann |
|
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Cecal-volvulus
|
|
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Chediak-Higashi
giant granules in neutrophils |
|
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Chediak-Higashi
giant granules in neutrophils |
|
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|
Chediak-Higashi
oculocutaneous albinism |
|
|
What is the defect?
|
Chediak-Higashi
microtubule defect --> cannot phagocytose --> recurrent pyogenic infections oculocutaneous albinism |
|
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|
Club foot
|
|
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|
DiGeorge
Absent Thymic Shadow |
|
|
this is a complication of what infection
|
Fetal Hydrops
complication of Parvovirus B19 infection |
|
|
|
Foot Deformities
|
|
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Foot Deformities
|
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|
Gaucher's Cells
wrinkled paper enlarged cytoplasm |
|
|
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Hunter and Hurler
Gargoylism (structural defects and MR) |
|
|
1 - Name the locations of the fluid collections
2 - Name immune vs non-immune causes. |
Hydrops Fetalis
pleural effusion / pericardial effusion / ascites / scalp IMMUNE CAUSES --> Rh incompatibility NON-IMMUNE iron def anemia / 0/4 alpha thalassemia (Hb Barts) lysosomal storage (def of beta-glucuronidase) Parvovirus B19 CMV / Syphilis twin-twin transufsion (recipient twin is affected) |
|
|
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Intussusception
Ultrasound showing target sign |
|
|
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Job Syndrome
Hyper IgE failure to lose primary teeth |
|
|
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Larrge Wilms Tumor
usually does not cross midline |
|
|
|
Neuroblastoma
large, distended and multiple skin nodules |
|
|
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Neuroblastoma Tumor
|
|
|
|
Neuroblastoma Tumor
|
|
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Neuroblastoma Tumor
|
|
|
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Neuroblastoma Tumor
|
|
|
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Neuroblastoma Tumor
|
|
|
|
Niemann-Pick Disease
Tay-Sachs Central Retinal Artery Occlusion Cherry Red Spot |
|
|
|
Otitis Media
Cholesteatoma a destructive and expanding growth consisting of keratinizing squamous epithelium in the middle ear or mastoid process |
|
|
|
Patau - Trisomy 13
punched out scalp lesions |
|
|
|
Peritonsillar abscess with uvular deviation
|
|
|
|
Peritonsillar abscess sometimes shows uvular deviation
|
|
|
|
Pneumatosis intestinalis
air in the bowel wall |
|
|
|
Pneumatosis intestinalis
air in the bowel wall |
|
|
|
Pneumatosis intestinalis
air in the bowel wall |
|
|
|
Retropharyngeal abscess
|
|
|
|
Retropharyngeal abscess
|
|
|
|
Retropharyngeal abscess CT
|
|
|
|
Sigmoid Volvulus
|
|
|
|
Thymic Shadow in DiGeorge and SCID
|
|
|
|
Volvulus
twisting of bowel around itself |
|
|
|
Volvulus
CT Scan |
|
|
|
WAGR
aniridia |
|
|
|
WAGR
aniridia |
|
|
What syndrome is associated with this finding?
|
Wilms Tumor or nephroblastoma
encapsulated and vascularized and do not cross midline assoc with Beckwith-Wiedemann |
|
|
what condition is associated with this
|
Wilms Tumor or nephroblastoma
encapsulated and vascularized and do not cross midline assoc with Beckwith-Wiedemann |
|
|
|
A psammoma body in papillary carcinoma of the thyroid
|
|
|
|
AML can present with chloroma, a greeny tumor
|
|
|
|
DiGeorge
Absent Thymic Shadow |
|
|
|
DiGeorge
Absent Thymic Shadow |
|
|
|
Bartholin Cyst Duct and Abscess
|
|
|
|
Bartholin's Gland Abscess
after an incision reveals purulent fluid |
|
|
|
Bulb of Vestibule
|
|
|
|
cavernous hemangiomas
soft blue and compressible |
|
|
|
Cherry Hemangiomas
usually appear in adult, multiply and never go away |
|
|
|
Cul-de-Sac - Pouch of Douglas
|
|
|
|
Cystic hygraoma
consists of lymphatic cysts usually near lateral neck benign can be found in Turners and Downs |
|
|
1 - where does the fluid accumulate
2 - is it painful |
hydrocele testis is an accumulation of clear fluid in the tunica vaginalis, the most internal of membranes containing a testicle
painless enlargement |
|
|
|
Intraductal papilloma
bleeding from one nipple only |
|
|
Describe the nipple discharge.
|
mammary duct ectasia
blocked ducts nipple retraction bloody discharge |
|
|
|
Mccune Albright
bone disorder (Polyostotic fibrous dysplasia) prone to fractures skin pigmentation cafe au lait spots precocious puberty |
|
|
|
Mccune Albright
bone disorder (Polyostotic fibrous dysplasia) prone to fractures skin pigmentation cafe au lait spots precocious puberty |
|
|
|
Mccune Albright
bone disorder (Polyostotic fibrous dysplasia) prone to fractures skin pigmentation cafe au lait spots precocious puberty |
|
|
|
Mccune Albright
bone disorder (Polyostotic fibrous dysplasia) prone to fractures skin pigmentation cafe au lait spots precocious puberty |
|
|
Are these painful?
|
Porphyria Cutanea Tarda
painless blisters on back of hand |
|
|
|
Sarcoma Botryoides
bunches of grapes malignancy (rhabdomyosarcoma) |
|
|
|
Spider Angiomas
outward radiating vessels |
|
|
|
Spondylolisthesis
- occurs when the vertebra shifts forward due to instability from the pars interarticularis (facet joints) Spondylolysis -also is a defect of the pars interarticularis (facet joints) - this occurs as a stress fracture as in sports where back extension causes the facets to press hard against each other |
|
|
|
Strawberry Hemangiomas
appear in infancy and disappear in early childhood |
|
|
Describe the consistency of these lesions.
|
Tinea versicolor
Malassezia furfur spaghetti and meatballs pale and pink velvety macules |
|
|
|
Trichomonas Vaginitis
strawberry petechiae and frothy discharge |
|
|
How do you treat this?
|
Trichomoniasis flagellates
flagyl |
|
|
|
Varicocele
abnormal enlargement of the vein that is in the scrotum draining the testicles - can cause pain |
|
|
|
Vulvar Cancer
Late Stage Cauliflower, hard, ulcerated |
|
|
|
Vulvar Cancer
Early Stage thick, white, raised, nodular, ulcerated |
|
|
|
Orbital Septum
the part that covers the front of the eye and includes the eye lid, this is what gets infected and inflamed in orbital cellulitis |
|
|
Pt is anemic. What does this patient have?
|
lead poisoning
|
|
|
What is this?
|
Hypopyon: pus in the eye. Leukocytic exudate see in the anterior chamber of the eye.
|
|
|
How can you treat this?
|
achalasia;
tx: lifestyle modification; meds such as ccb or nitrates; pneumatic dilatation, or surgery |
|
|
35M with 3m of bloody diarrhea. what does he have?
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UC
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This patient has this disease. Where does it affect?
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colon to rectum
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Patient's with this disease has an increase risk of primary sclerosing cholangitis. true or false?
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true
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55F with breast cancer comes in with chest pain and has this cxr finding. what does she have?
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pericardial effusion
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How would you treat this?
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pericardiocentesis
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45M who is homeless complains of a rash. How do you treat his?
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permethrin cream
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67F with h/o CAD, presents with 3 months of orthopnea and BLE edema. CXR show this. What is the acute treatment for this finding?
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vascular congestion likely from cardiomyopathy; acute treatment lasix
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67F has RUq PAIN. Ct shows this. what does the pt have?
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Porceline GB
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39M has ruq pain, fevers for one week. CT shows this. What does he have?
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pyogenic abscess
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35F with bloody diarrhea, h/o oral ulcers. XRAY shows this.
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chrons, with cobblestoning
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Barium enema shows this. What is this called and what is the next step?
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apple core lesion, concerning for cancer. colonosocpy next
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what does the pt have?
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wilsons
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what is this
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melanoma
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35M had intercourse with a prostitute one month ago. He then started to have this rash as pictured. What does he have and what is the tx?
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secondary syphillis. Tx PCN
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What is this?
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spider angioma
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55M with h/o heavy etoh abuse, comes in with abdominal distension and with this lesion on his chest. What does this pt most likely have?
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liver dz
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What is this and what causes it?
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erysipilis, strep
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