Skin
What skin disease causes the most itching out of all of the skin disorders?
Lichen plantus
What is the difference between Primary HTN and Secondary HTN?
90-95% of HTN is primary; There is no specific cause
Secondary HTN is caused by pregnancy, renal vein stenosis, drug use....
What is the biggest AE of ACE inhibitors?
Coughing/angieoedema
What is a hallmark sign of Tetrology of Fallot
Tet spells: acute episodes hypoxia triggerd by crying feeding or exertion
Squatting improves oxygenation by decreasing the right to left shunt
What is the biggest side effect of prostaglandin agonists
Turns blue eyes brown
What are classic identifiers of Eczema?
Hyperpigmentation, think indistinct borders
What is the pacemaker of the Heart
SA node
Vasodilation, which decreases the cardiac workload. Relief of acute angina.
- Tricuspid Atresia
- Transposition of the great vessels
- Truncus arteriosus
- tetralogy of fallot
M: Morphine
O: O2
N: Nitroglycerin
A: Aspirin
What skin disease is classified by a herald patch that advances to a Christmas Tree rash?
Pityriasis Rosea
What is the difference between Arteriostenosis and Atherostenosis?
Arteriostenosis: Abnormal thickening and hardening of the vessel walls.
Atherosclerosis: Caused by an accumulation of lipid plaques.
Stabilize atherosclerotic plaques, Lowered LDL and Increased HDL.
typical s/s of Heart defect in a child
- poor feeding - cyanosis -tachypnea - murmur
-clubbing in older children
what is happening:
P wave
QRS wave
T wave
P wave: Atrial depolarization
QRS: Ventricular depolarization and Atrial re-polarization
t wave: Ventricular re-polarization
What can trigger a flare-up of Discoid Lupus, and what are the s/s?
Stress, light exposure.
Butterfly rash
What are the s/s of right-sided HF
- spleenomegaly -hepatomegaly - ascities - edema
Name these classes of drugs and give me one S/E
Metoprolol, Lisinopril, Losartan, Amlodipine, Sprinolactone
Betablocker: Bradycardia
ACE inhibitor: Hyperkalemia (less aldosterone to excrete K), cough
Angiotensin II inhibitor: orthostatic hypotension
CCB: headache/flushing
Diuretic: Hyperkalemia
What are the 5 s/s of Kawasaki Disease
Conjunctivitis, Rash, Adenopathy, Strawberry tongue, hand and feet swelling. (5 days of fever)
MOA of PAD and what are some S/S
Chronic narrowing of the peripheral arteries, which decreases blood flow to the lower extremities.
s/s: Poor wound healing, ulcers, necrosis, and gangrene. Cool, pale skin, diminished pulses, hair loss, pain worse when elevated.
what does CREST stand for
Calcification, Raynaud's, Esophageal dysmotility, Sclerodactyly, Telangiectasias.
...
Your patient just started a new medication for HF and HTN. They explain to you that they have been experiencing new ringing in their ears since starting the medication.
What medication do you think this patient is on?
Name the 4 defects on Tetralogy of Fallot
- VSD
-right ventricular hypertrophy
- overriding aorta
- Pulmonary stenosis
Your patient is on Metoprolol, spironolactone, digoxin, and lisinopril. You are reviewing your patient's BMP. You notice that their potassium is 2.0. Which medication are you most concerned about?
Digoxin
Digtox: Yellow halo, blurred vision, n/v, confusion