SURGERY EOR study guide - Twist of Lemons
o CT is more sensitive and confirms diagnosis (will also help locate abnormally placed appendix) o Leukocytosis (10,000-20,000) – higher levels suggest perforation and peritonitis o Some microscopic hematuria and pyuria Therapeutics: o Appendectomy o Reason to suspect abscess or perforation, broad spectrum abx administered before and after surgery
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Psychiatry + Behavioral Health
twistoflemons.comPsychiatry + 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
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) ...
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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