Skin and Soft Tissue Infections
BOTOX: Link the Wrinkle to the Muscle
Hypertension Pearls
Heat-Related Illnesses
Reel Medicine: Medicine in Movies/TV
200
What imaging technique can help distinguish cellulitis from an abscess at bedside?
Point-of-care ultrasonography (POCUS)n
Cellulitis: cobblestoning, increased thickness of the dermis (compared with the normal side)
abscess:
- Irregular or ill-defined collection
- Evidence of echogenic debris, septation, or even gas bubbles in the middle of the abscess
200
What muscle causes horizontal forehead lines? (1)
Frontalis muscle
200
Recommended urine testing in patients with a diagnosis of HTN
urine microalbumin/cr ratio
200
What is the definition of heat stroke with associated symptoms
Heat stroke is a medical emergency characterized by elevated core temperature→ typically at least 104°F with CNS dysfunction (AMS, disorientation, LOC, seizures, coma) Dry skin
200
Popular TV show that ran from 1994-2008 starring George Clooney and Noah Wyle
ER
400
Which bacteria are the most common causes of mild skin and soft tissue infections?
Methicillin-sensitive Staphylococcus aureus and Streptococcus species
400
What muscle causes frown lines? (2)
Glabbellar complex
400
New term and definition for “hypertensive urgency”
severe hypertension—- NOT URGENT 180/110-120+ if NO signs of end-organ damage (AKI, HTN retinopathy, LVH, HF, CVA, CP)
400
In this condition, patients typically present with heavy sweating, weakness, nausea, and tachycardia, but without severe neurologic impairment
heat exhaustion
400
This psychological thriller starring Leonardo DiCaprio takes place at Medfield State Hospital, a historic former psychiatric hospital in CT
Shutter Island
600
Name three oral antibiotics that would cover for MRSA in skin and soft tissue infections?
Doxycycline
Bactrim
Clindamycin
Linezolid
600
What muscle causes crows feet? (3)
Orbicularis oculi
600
What is the recommendation for treating acute severe asymptomatic hypertension INPATIENT?
MONITOR, 40% cases BP decreases, avoid IV meds, gradual reduction in BP better—- IV antihypertensives actual associated with AKI and STROKE
600
Treatment for heat stroke (be specific temp goals, time frame goals)
Rapid cooling— Ice bath goal temp 102.2°F (39°C) within 30 minutes (Wilderness Medicine Society recommends cooling temperature goal of 100.9°F to 101.8°F (38.3°C–38.8°C)). After 100.4 degrees endogenous thermoregulation process take over and body can naturally cool itself
600
This internist turned actor is most known for his roles in The Hangover and Community”
Ken Jeong, M.D
800
What kind of skin infection is considered a medical emergency? What are the most common organisms that cause it?
necrotizing fasciitis- spreads rapidly!!
E. coli and Enterococcus spp are commonly involved.
800
What muscle causes chin lines?
Mentalis muscle (8)
800
what is the BP threshold for stage 1 HTN AND recommendations for treatment
Stage 1 Hypertension: (130–139) systolic or (80–89) diastolic:
Stage 1 HTN + higher risk groups (stroke, MI, CKD, and/or PREVENT greater than equal to 7.5% =--> aim for agressive treatment with meds
In lower risk groups: 3-6 months of lifestyle factors if no change then start med
800
Diagnostic triad of exertional rhabdomyolysis
myalgia, generalized weakness, and myoglobinuria
800
Hollywood loves a pandemic…this movie starring Will Smith takes place in a post apocalyptic world after an airborne virus pandemic
I am Legend
1000
What is the primary treatment for an uncomplicated abscess?
I&D
followed by antibiotics such as clindamycin or trimethoprim/sulfamethoxazole to reduce the risk of treatment failure
1000
What muscle causes marionette lines? (7)
Depressor anguli oris muscle
1000
Preferred medication class for reproductive-age women diagnosed with HTN without albuminuria
if no microalbuminuria, go for CCB/amlodipine/nifedipine
Reproductive age women: if microalbumuria def keep on ARB but stop once you find out they are pregnant SWITCH, ARBs are teratogenic in the second trimester, have a buffer in the first trimester
1000
This medication class can impair internal thermoregulation and increase the risk of heat illness by decreasing sweating
anticholinergics
1000
The fictional hospital that was the center of the show House, was located in this US state
New Jersey (Princeton-Plainsboro Hospital)