Flick of the Wrist
What is the normal range for scapholunate angle?
What is 30-60 degrees.
What disease process, clinically similar to gout, involves deposition of calcium pyrophosphate in the wrist and other peripheral areas of the body?
What is pseudogout (or Chondrocalcinosis)
Name three physical characteristics of Apert's (Acrocephalosyndactyly I) disease?
What are: - Craniosynostosis - Midface hypoplasia - Syndactyly - MR (+/-) - Orbital retrusion - Decreased orbital volume - Hypertelorism - Exopthalamous - Lateral globe rotation - Ptosis - Strabismus - Refractive error - Down-slanted palpebral fissures - Exposure keratitis - Papiledema - Type III malocclusion - Anterior open-bite/cross-bite.
Name the three zones of injury associated with thermal burns.
What are the zones of coagulation, stasis and hyperemia?
What disease process results in superficial thrombophlebitis of the lateral thoracic and/or superficial thoracoepigastric veins and results in tendinous sub-cutaneous cords in the breast?
What is Mondor's disease.
Name three indications for ORIF of scaphoid #.
What are: - Displacement > 1mm - Angulation > 45 degrees (humpback deformity) - Unstable fracture patterns - RL angle > 15 degrees, SL angle > 60 degrees - Trans-scaphoid perilunate fracture dislocations - Patient desire to avoid prolonged immobility
What autosomal dominant disorder of terminal hair follicles of apocrine gland-bearing skin often results in suppurative disease with abcesses, fistulas and scarring?
What is Hidradenitis Suppurativa?
List one major physical way that Crouzons is different than Aperts
What is: - Worse proptosis - Less MR - Lesser facial deformities
Name four methods of assessing burn depth.
What are: - Observation - Biopsy - Ultrasound - Vital dye - Flourescien - Laser doppler - Flowmetry - Thermography - MRI - Infra-red camera.
Name five drugs known to cause gynecomastia?
What are: - Spironolactine - Marajuana - Cimitedine - Digoxin - Alcohol - Respiridone - Estrogen - Theophylline - Diazapam
What is the other name for Uremic Gangrene Syndrome? Hint: It may be a rare complications of ESRD.
What is Calciphylaxis?
What is otherwise known as Acrocephalosydactyly Type III? Hint: Craniosynostosis, facial symmetry, ptosis, deviated septum, low-set hairline, partial/simple syndactyly, FGF2 and FGF3 + TWIST genes.
What is Sathre-Chotzen Syndrome.
Name four vasodilatory burn injury mediators.
What is: - Histamine - Prostacyclin - Prostaglandin - Bradykinin - Seratonin Vasoconstrictive: - Thromboxane - ATIII - Vasopressin - Platelet aggregating factor - Catecholamines
List 3 types of invasive carcinoma of the breast.
What is: - Infiltrative ductal - Invasive lobular - Tubular - Medullary - Mucinous - Papillary - Pagets
The gene for what growth factor is involved in Crouzon syndrome (Type II Acrocephalosyndactyly).
What is FGF2.
List 10 admission criteria for a burn center.
What are: - PT/FT burns > 10 percent in patients <10 or >50 - PT/FT >20% - FT >5% in anyone - PT/FT to face/hands/feet/perinieum/genitals - Electrical burn - Chemical burn - Inhalational burn - Concomitant trauma - Pre-existing medical condition - Special needs
Which benign breast disorder is most commonly associated with bloody nipple discharge (in 70-80%). Hint: Tumor of major lactiferous ducts with multiple branching and a central fibrovascular core. Management is total duct excision.
What is an Intraductal Papilloma
Name three non-surgical treatment options for Hyperhydrosis.
What is: - Aluminum chloride - Astringents - Anticholinergics - Benzos - Botox - Itonopheresis
List two types of Aperts hand (based on the Upton classification of Apert's hand).
What is: I - Spade hand (aka obstetricians hand) II - Mitten/Spoon hand III - Rosebud/Hoof hand.
Name one treatment option for hydrogen cyanide toxicity?
What is: - Thiosulfate - Na nitrate.
Name 2 syndromes associated with an increased breast cancer risk.
What is: - Cowdens - Li Fraumeni - Peutz-Jeghers - Ataxia Telangiectasia - Muir Torre