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[Show more]Acute bacterial rhinosinusitis 
Nasal congestion, obstruction • Purulent nasal discharge* • Maxillary tooth discomfort • Facial pain, 
pressure worse with bending forward* 
Symptoms >10 days without clinical improvement • Onset with severe symptoms (fever, purulent 
drainage) lasting at l...
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Add to cartAcute bacterial rhinosinusitis 
Nasal congestion, obstruction • Purulent nasal discharge* • Maxillary tooth discomfort • Facial pain, 
pressure worse with bending forward* 
Symptoms >10 days without clinical improvement • Onset with severe symptoms (fever, purulent 
drainage) lasting at l...
1 Lifts head, Equal movements in all extremities 
2 none to speak of 
3 Regards another's face • Human eyes are bright and shiny, so newborns should track caregivers' 
eyes 
4 Cry: communication tool for hunger, pain, attention, cold • High-pitched cry can indicate 
neurologic disorder 
5 Moro...
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Add to cart1 Lifts head, Equal movements in all extremities 
2 none to speak of 
3 Regards another's face • Human eyes are bright and shiny, so newborns should track caregivers' 
eyes 
4 Cry: communication tool for hunger, pain, attention, cold • High-pitched cry can indicate 
neurologic disorder 
5 Moro...
Anemia= 1. RBC count 2. Hemoglobin 3. Hematocrit - Reduction in one or more RBC 
measurement? 
less than 80 
between 80-96 
greater than 96 - size of the RBC MCV 
Microcytic? 
normocytic? 
macrocytic? 
too pale 
just right
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Add to cartAnemia= 1. RBC count 2. Hemoglobin 3. Hematocrit - Reduction in one or more RBC 
measurement? 
less than 80 
between 80-96 
greater than 96 - size of the RBC MCV 
Microcytic? 
normocytic? 
macrocytic? 
too pale 
just right
Neurotransmitters (NTs)= MAO system 
Norepinephrine 
Serotonin and GABA (aahhh) 
Dopamine 
Others - what controls mood? 
Neurotransmitters: • Serotonin (5-HT), GABA, norepinephrine, dopamine 
NTs: help communication between neurons in the synaptic cleft 
Transporters: help neurotransmitters move a...
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Add to cartNeurotransmitters (NTs)= MAO system 
Norepinephrine 
Serotonin and GABA (aahhh) 
Dopamine 
Others - what controls mood? 
Neurotransmitters: • Serotonin (5-HT), GABA, norepinephrine, dopamine 
NTs: help communication between neurons in the synaptic cleft 
Transporters: help neurotransmitters move a...
Idiopathic facial nerve palsy 
• Acute, spontaneous, unilateral facial paralysis 
• ??? Reactivation of herpes simplex virus - BELL'S PALSY 
Mild traumatic brain injury (GCS ≥13) 
• Physical rest 24-48 hours with gradual return to activities 
• Cognitive rest: minimize cognitive activitie...
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Add to cartIdiopathic facial nerve palsy 
• Acute, spontaneous, unilateral facial paralysis 
• ??? Reactivation of herpes simplex virus - BELL'S PALSY 
Mild traumatic brain injury (GCS ≥13) 
• Physical rest 24-48 hours with gradual return to activities 
• Cognitive rest: minimize cognitive activitie...
Osteoarthritis - Pain: exacerbated by activity; 
relieved by rest; 
sometimes occurring at night 
• AM stiffness resolving in ≤60 minutes 
• Tenderness to palpation of involved joints 
• Crepitus (audible) 
•Joint effusion may be present 
• Osteophytes palpable bony enlargements 
• Joi...
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Add to cartOsteoarthritis - Pain: exacerbated by activity; 
relieved by rest; 
sometimes occurring at night 
• AM stiffness resolving in ≤60 minutes 
• Tenderness to palpation of involved joints 
• Crepitus (audible) 
•Joint effusion may be present 
• Osteophytes palpable bony enlargements 
• Joi...
Gram positive organisms - Streptococcus spp. (loves mucus membranes, lungs, dental, group B ) 
Staphylococcus spp. (skin bug, MRSA) 
Enterococcus (UTI) 
C. Diff 
all others are gram negative
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Add to cartGram positive organisms - Streptococcus spp. (loves mucus membranes, lungs, dental, group B ) 
Staphylococcus spp. (skin bug, MRSA) 
Enterococcus (UTI) 
C. Diff 
all others are gram negative
greater than or equal to 140/90 with CKD and DM less than 60 
Greater than or equal to 150/90 and greater than 60 
130-139 mm Hg or 80-89 mm Hg 
≥140 mm Hg or ≥90 mm Hg - When to start BP TX according to JNC 8? 
Stage 1 ? 
Stage 2? 
-50% reduction: atorvastatin 40, 8 
-50% reduction
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Add to cartgreater than or equal to 140/90 with CKD and DM less than 60 
Greater than or equal to 150/90 and greater than 60 
130-139 mm Hg or 80-89 mm Hg 
≥140 mm Hg or ≥90 mm Hg - When to start BP TX according to JNC 8? 
Stage 1 ? 
Stage 2? 
-50% reduction: atorvastatin 40, 8 
-50% reduction
1) Abscess = furuncle = boil: 
2)Bulla or blister: 
3) Macule: 
4) Nodule: 
5) Papule: 
6) Plaque: 
7) Vesicle: 
8) Wheal (hive): - 1. deep infection of hair follicles 
2. fluid-filled or pus-filled >0.5 cm 
3. flat change in skin with a color change (brown, blue, red, or hypopigmented) 
4. solid...
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Add to cart1) Abscess = furuncle = boil: 
2)Bulla or blister: 
3) Macule: 
4) Nodule: 
5) Papule: 
6) Plaque: 
7) Vesicle: 
8) Wheal (hive): - 1. deep infection of hair follicles 
2. fluid-filled or pus-filled >0.5 cm 
3. flat change in skin with a color change (brown, blue, red, or hypopigmented) 
4. solid...
1. Metofrmin 
2. Glimepiride (Amaryl), glipizide (Glucotrol), glyburide (Diabeta, Micronase) 
3. Repaglinide (Prandin), nateglinide (Starlix) 
4. Alogliptin (Nesina), linagliptin (Tradjenta), saxagliptin (Onglyza), sitagliptin (Januvia) 
5. Exenatide (Byetta, Bydureon), liraglutide (Victoza), dulagl...
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Add to cart1. Metofrmin 
2. Glimepiride (Amaryl), glipizide (Glucotrol), glyburide (Diabeta, Micronase) 
3. Repaglinide (Prandin), nateglinide (Starlix) 
4. Alogliptin (Nesina), linagliptin (Tradjenta), saxagliptin (Onglyza), sitagliptin (Januvia) 
5. Exenatide (Byetta, Bydureon), liraglutide (Victoza), dulagl...
S. saprophyticus: 
Proteus: 
Klebsiella: 
Intercourse, inadequate hydration Voiding infrequently (every 2-3 hours = normal): - most 
common bacteria in women who have STI? 
if have stone what bacteria it causes? 
If have catheter in place what bacteria it causes? 
What pathogenisis of UTI? 
• Scre...
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Add to cartS. saprophyticus: 
Proteus: 
Klebsiella: 
Intercourse, inadequate hydration Voiding infrequently (every 2-3 hours = normal): - most 
common bacteria in women who have STI? 
if have stone what bacteria it causes? 
If have catheter in place what bacteria it causes? 
What pathogenisis of UTI? 
• Scre...
Nutritional Supplementation (ensure) in underweight patients - low BMI is associated with worse 
outcome for COPD patients so consider? 
H. influenza (gram negative) and streptococcus pneumoiae (gram positive) - When treating 
COPD patients pick an antibiotic that has coverage against both? 
SABA or...
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Add to cartNutritional Supplementation (ensure) in underweight patients - low BMI is associated with worse 
outcome for COPD patients so consider? 
H. influenza (gram negative) and streptococcus pneumoiae (gram positive) - When treating 
COPD patients pick an antibiotic that has coverage against both? 
SABA or...
Initiate thiazide- type diuretic or ACEI or ARB or CCB alone or in combination - No diabetes or 
CKD. greater than 60 years. BP less than 150/90 (non-black) 
A. Maximize first medication before adding second or 
B. Add second medication before reaching maximum dose of first medication or 
C. Start w...
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Add to cartInitiate thiazide- type diuretic or ACEI or ARB or CCB alone or in combination - No diabetes or 
CKD. greater than 60 years. BP less than 150/90 (non-black) 
A. Maximize first medication before adding second or 
B. Add second medication before reaching maximum dose of first medication or 
C. Start w...
carbamide peroxide - most common Debrox (ear wax removal) 
herpes keratosis - acute onset, photophobia, blurred vision 
refer to ophthalmologist stat 
corneal abrasion and keratitis - Use fluorescein strips to check for? 
Impetigo - Honey-crusted lesions. fragile bullae pruritic 
measles - koplick'...
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Add to cartcarbamide peroxide - most common Debrox (ear wax removal) 
herpes keratosis - acute onset, photophobia, blurred vision 
refer to ophthalmologist stat 
corneal abrasion and keratitis - Use fluorescein strips to check for? 
Impetigo - Honey-crusted lesions. fragile bullae pruritic 
measles - koplick'...
Pre pregnancy: 0.4 mg (400 mcg) 
• Pregnancy confirmed: 1 mg (1,000 mcg) - cdc folic acid 
• Ginger, saltines, ginger ale 
• Avoid ondansetron (Zofran), a 5-HT3 antagonist 
• Diclegis (FDA indication): first-line option Doxylamine succinate 10 mg (antihistamine) Pyridoxine 
10 mg (B6) Sig: 2...
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Add to cartPre pregnancy: 0.4 mg (400 mcg) 
• Pregnancy confirmed: 1 mg (1,000 mcg) - cdc folic acid 
• Ginger, saltines, ginger ale 
• Avoid ondansetron (Zofran), a 5-HT3 antagonist 
• Diclegis (FDA indication): first-line option Doxylamine succinate 10 mg (antihistamine) Pyridoxine 
10 mg (B6) Sig: 2...
Hospital credentialing committee - identifies WHO can perform certain procedures 
-ointment, aerosol Skin, MM 
-viscous solution/Oropharynx, Jelly/Urethra Ointment, suppository/ Rectum 
-cream Rectum, skin, MM - Topical: 
Benzocaine Cream? 
Lidocaine Solution? 
Tetracaine Ointment? 
Injected between...
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Add to cartHospital credentialing committee - identifies WHO can perform certain procedures 
-ointment, aerosol Skin, MM 
-viscous solution/Oropharynx, Jelly/Urethra Ointment, suppository/ Rectum 
-cream Rectum, skin, MM - Topical: 
Benzocaine Cream? 
Lidocaine Solution? 
Tetracaine Ointment? 
Injected between...
• Amoxicillin 1 gram three times daily (strong recommendation, moderate quality of evidence), OR 
• Doxycycline 100 mg twice daily (conditional recommendation, low quality of evidence), OR 
• Macrolide (azithromycin 500 mg on first day, then 250 mg daily or clarithromycin 500 mg twice 
daily o...
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Add to cart• Amoxicillin 1 gram three times daily (strong recommendation, moderate quality of evidence), OR 
• Doxycycline 100 mg twice daily (conditional recommendation, low quality of evidence), OR 
• Macrolide (azithromycin 500 mg on first day, then 250 mg daily or clarithromycin 500 mg twice 
daily o...
Fever (96%) 
Pharyngitis (70%) 
Nonpruritic macular skin rash (70%) 
Malaise 
Headache 
Lymphadenopathy (74%) - HIV initial infection usual duration less than 14 days? 
If high index of suspicion for HIV: 
NAT* HIV-1 RNA assay (Aptima) (detects viral load and HIV) 
NOTE: CDC does not recommend NAT f...
Preview 2 out of 9 pages
Add to cartFever (96%) 
Pharyngitis (70%) 
Nonpruritic macular skin rash (70%) 
Malaise 
Headache 
Lymphadenopathy (74%) - HIV initial infection usual duration less than 14 days? 
If high index of suspicion for HIV: 
NAT* HIV-1 RNA assay (Aptima) (detects viral load and HIV) 
NOTE: CDC does not recommend NAT f...
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