The USPSTF and AAP have differing recommendations regarding screening for this in asymptomatic children 9 to 12 months of age
Anemia
USPSTF - insufficient evidence to recommend for or against
AAP - recommends
(AAFP Dec 2024)
Two main drug classes for slowing progression of CKD
SGLT2 inhibitors and ACE/ARBS
Name for the first line management in shoulder dystocia involving exaggerated flexion of the patient's legs (knee-chest position)
McRobert's (William Alexander McRoberts Jr)
Calculator from the AHA which builds on its original ASCVD risk calculator by utilizing a significantly larger cohort of patients, incorporating more factors of kidney function, omits race and adds Zip code, and has seperate outputs for ASCVD vs overall cardiovascular disease vs heart failure
PREVENT
From the Latin word meaning "dark" and Greek word meaning "fleeting," these two words are used to describe painless transient unilateral vision loss
Amaurosis Fugax
What is the highest independent risk factor for SIDS
Pre term birth (risk persists after infant reaches expected due date)
Most typical first line antibiotic for acute rhinosinusitis
No antibiotic
Just kidding:
Amoxicillin or Amoxicillin-Clavulanate (Augmentin)
_____
The NNT of adults with acute rhinosinusitis to achieve an additional cure with antibiotics is 18, vs the NNH one adult with adverse events is 8. Therefore, for every 100 adults treated with antibiotics, five benefit and 12 are harmed
(AAFP Jan 2025)
quantitative measurement of radio density used in the interpretation of computed tomography (CT) images.
Hounsfield units (Sir Godfrey Newbold Hounsfield)
What scoring system for certain patients with abdominal pain goes by "PAS"
Pediatric Appendicitis Score
35 year old male with a history of anxiety presents with 3 months of intermittent left chest pain. It occurs sporadically, with both rest and exertion. He has no known history of diabetes, HTN, smoking, hyperlipidemia. EKG done in clinic is normal sinus rhythm without other abnormalities. He insists on further testing but does not want a stress test. What test could you order to further evaluate his cardiac risk?
Coronary artery calcium scoring
https://qxmd.com/calculate/calculator_287/pre-test-probability-of-cad-cad-consortium
(AAFP Dec 2024)
AAFP and AAP recommend to stop this at 6 to 12 months of age
Pacifier use
Two First line pharmacologic treatments for androgenetic alopecia (one topical and one oral)
Topical minoxidil, oral finasteride
(AAFP Sep 2024)
sudden and typically transient reaction that may occur within 24 hours of being administered antibiotic for spirochete infection
Jarisch–Herxheimer reaction
Adolf Jarisch - Austrian dermatologist
Karl Herxheimer - German-Jewish dermatologist
Preliminary research shows this scoring system is more accurate than previous systems for predicting bleeding risk in patients starting a direct oral anticoagulant (DOAC) for A fib.
DOAC score
(AAFP Dec 2024)
Recommend testing for this infection in a patient with urethritis whose testing for gonorrhea, chlamydia, and trichomonas have been negative.
Mycoplasma genitalium
Common cause of in-toeing in infants 0-1 year old
Metatarsus Adductus
Most of the time, the foot remains flexible (forefoot can be abducted past the midline of the heel bisector angle). If rigid, then refer to peds ortho for manipulation/casting/surgery
Class of antibiotics recommended in treatment of chronic bacterial prostatitis
Fluoroquinolones
(AAFP July 2024)
a clinical finding in dermatology that describes the separation of the epidermis (top layer of skin) from the underlying dermis (lower layer of skin) when gentle pressure is applied
Nikolsky sign (Piotr Vasiliyevich Nikolskiy - Russian dermatologist)
-seen in blistering skin conditions such as Pemphigoid vulgaris, Bullous pemphigoid, TEN, Staph scalded skin syndrome
This calculation for the evaluation of microcytic anemia can help in differentiating thalassemia vs iron deficiency
Mentzer's index= MCV/red blood cell count.
Levels less than 13 suggest thalassemia instead of iron defiency
medical term that describes shortness of breath when a person bends forward
Bendopnea
name of this radiographic finding on ultrasound and the associated condition which is a cause of abdominal pain in infants and children
"Target Sign" and Intussusception
Recent research suggests injection of this substance may be superior to 5FU and corticosteroids for keloids and hypertrophic scars
Botox!
(AAFP Dec 2024)
Other advanced treatments which have evidence include liquid nitrogen, laser ablation, radiation
Cause of jaundice in which gallstones within the gallbladder mechanically compress the common hepatic duct
Mirizzi syndrome (Pablo Luis Mirizzi - Argentinian surgeon)
What are the components of FIB 4 Score?
Age, AST, ALT, Platelet count
https://www.mdcalc.com/calc/2200/fibrosis-4-fib-4-index-liver-fibrosis
Can be used to stratify patients at risk for liver fibrosis/who would benefit from further testing
Femoral neck. Especially "tension side" due to possibility of blood flow disruption