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Psychiatry + Behavioral Health
Psychiatry + Behavioral Health MOOD DISORDERS Bipolar I Disorder • Definition: >1 manic episode and occasional major depressive episodes • r/f: family history = strongest risk • mania: abnormal and persistently elevated, expansive or irritable mood at least 1 week with marked impairment of social / occupational function – 3+: o mood: euphoria, irritable, labile, dysphoric
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CARDIOVASCULAR Acute / Subacute Bacterial Endocarditis
twistoflemons.com§ penicillin/ampicillin + gentamicin § vancomycin in IVDU o prosthetic valve: § vanco + gentamicin + rifampin (for s.aureus) ... with injection of provoking agents into coronary artery = gold ... vital signs + BP in both arms; complete cardiovascular exam (JVD, PMI, chest wall tenderness to palpation, ...
INTERNAL MEDICINE - Twist of Lemons
twistoflemons.comwith injection of provoking agents into coronary artery = gold ... o Tx: Smoking cessation, lifestyle (BP, LDL/HDL, obesity) o “Primary prevention” = platelet inhibitors (Aspirin, etc.) = cornerstone ... § penicillin/ampicillin + gentamicin § vancomycin in IVDU o prosthetic valve: § vanco + gentamicin + rifampin (for s.aureus) ...
SURGERY EOR study guide - Twist of Lemons
twistoflemons.como Roux-en-Y Gastric Bypass (RNYGB): MC used bariatric surgery for tx of severe obesity in US – proximal gastric pouch created by transecting stomach; 75-85% excess body weight lost in first two years; less severe nutrition problems § Bypass of most of stomach, entire duodenum, and part of small intestine
DERMATOLOGY 15% - Twist of Lemons
twistoflemons.com• Infection occurs 48-72 hours after, MC in immunocompromised Clinical Manifestations • Isolated to perineal area & involves genitocrural folds • Satellite lesions may be visible – tiny, red papules & papulovesicles Diagnosis • Clinical, may use KOH prep Management • Hydrocortisone 1% BID + antifungal (Nystatin cream)
OBSTETRICS - Twist of Lemons
twistoflemons.combleeding disorders, seizure disorders), surgical (abdominal / pelvic), family (chromosomal abnormalities, ... o Latent HSV = antiviral prophylaxis at 36 weeks o GBS: 36 weeks . o External doppler + external stress gauge for uterine contractions = nonstress test (NST) – baseline
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www.ema.europa.euonly be used in exceptional cases and with close clinical monitoring (see sections 4.4, 4.8 and 5.1). Younger patients are at increased risk of experiencing adverse events associated with aripiprazole. Therefore, ABILIFY is not recommended for use in patients below 13 years of age (see sections 4.8 and 5.1).