Foreign Body
The most common ingested foreign body in children.
What are coins?
Another common name for systemic sclerosis.
What is Scleroderma?
The former name of Bladder Pain Syndrome.
What is interstitial cystitis?
This occurs when exposed to high temperatures and the body's inability to efficiently dissipate heat.
What is heat-related illnesses?
The most trusted source of information on vaccinations and accurate counseling that addresses vaccine adverse effects.
What is a Primary Care Physician?
Although most ingestions are asymptomatic, these are the most common symptoms when they do occur. (Name at least 5).
What are choking, gagging, vomiting, dysphagia, odynophagia, cough and drooling?
Systemic Sclerosis affects women more than men peaking between ages 30 and 40. (T/F)
Peak age is 40-50. Female>Male at 5:1 ratio.
What is chronic, intermittent condition of at least 6 weeks duration, involving pain or discomfort localized to the bladder, often with bladder filling?
Aspirin and Clopidogrel increase risk of heat related illness with their attenuated vasodilation response (T/F).
What is True?
The first line treatment for cytoreductive therapy in essential thrombocythemia.
What is hydroxyurea?
The most common site for a foreign body to become lodged.
What is the proximal esophagus at the cricopharyngeal muscle?
The limited cutaneous subtype of systemic sclerosis presents with features of this.
What is CREST?
Calcinosis
Raynaud phenomenon
Esophageal Dysmotility
Sclerodactyly
Telangiectasias
These dietary triggers can increase symptoms of Bladder Pain Syndrome. (Name at least 3 of the 5).
What is caffeine, acidic foods, alcohol, sweeteners and carbonation?
This is recommended to reduce the risk of heat-related illnesses.
What is progressive increase in exercise intensity and duration (1hr per day with a gradual increase to 2 hr per day) over 7 to 14 days?
This gynecological anomaly when left untreated can decrease fertility as measured by pregnancy and live birth rates.
What is uterine leiomyoma?
The signs that can distinguish a button battery from a coin on radiographs. (Name 2).
What is
-Double shadow or halo sign along the edge in the AP view of the object
-Step Off Sign in the lateral view
indicating the difference in diameter between the positive and negative terminals of the battery?
These are selected signs and symptoms of Systemic Sclerosis. (Name at least 6-one in each category)
What is
Cutaneous: bilateral skin thickening, hyperpigmentation, nonpitting hand edema, paynaud phenomenon, telangiectasias, ulcerations
Gastrointestinal:Dry mouth, esophageal dysmotility
MSK: Arthralgias, Myalgias, Tendon friction rubs
Pulmonary: Dyspnea
The 3 areas related to pathophysiology and phenotypes of Bladder Pain Syndrome. (Name all 3)
What is
Urothelial damage
Central Pelvic Sensitization
Hunner Lesions
The three blood pressure medication classes that increase the risk of heat-related illness.
What are beta blockers, calcium channel blockers, diuretics?
The differential diagnosis of thrombocytosis includes these (name 3).
What is essential thrombocythemia and other myeloprolifereative neoplasms, secondary thrombocytosis, and rarely, hereditary thrombocytosis?
Lithium cells cause mucosal damage by this.
Extra: This is recommended by Poison Control to neutralize until intervention. (must have dose)
What is generating hydroxide free radicals in the mucosa, leading to caustic injury because of the high pH?
Extra: What is honey (pH-neutralizing)? 10mL q10 min x 6 doses before arrive at ED?
The autoantibodies that should be tested when evaluating for systemic sclerosis. (Name at least 3 of the 4).
What is
Antinuclear Ab
Anti-centromere Ab
Anti-RNA polymerase III Ab
Anti-topoisomerase I Ab?
These medications can be used to treat Bladder Pain Syndrome in a multimodal pain management plan. (Name at least 4)
What is
Nonsteroidal anti-inflammatory
Bladder soothing medications: such as phenazopyridine or methenamine-sodium,etc
Antihistamines: cimetidine or hydroxyzine
Gabapentinoids
Amitriptyline
Vaginal estrogen
These are the symptoms of heat stroke and this is the recommended treatment.
What is fatigue, hot/dry skin, respiratory distress, hypotension and tachycardia?
What is Rapid Cooling (immersion in ice cold water) to reach a temperature lower than 102.2 within 30 minutes of heat stroke recognition? (after ABC stabilization)
These 3 gene sequence variations should be tested in the setting of essential thrombocytosis to confirm underlying myeloproliferative neoplasm.
What is Janus kinase 2 (JAK 2) gene
Calreticulin
Myeloproliferative leukemia gene sequence variation