This Little Piggy went to the Market
This is the most common needle type of needle (gauge and length) used in foot and ankle injections.
What is a 25 gauge, 1-1.5 inch needle?
These types of infections account for approximately 60% of infections
What is cellulitis and abscesses?
This is the medical term for frown lines.
What is glabellar lines?
This is said to be the most common cause of severe hypertension in the outpatient setting.
What is medication nonadherence?
This infection is common in patient's with HIV and according to the picture quiz involves "armpit eating".
What is candidal intertrigo?
This thick, fibrous aponeurosis located on the plantar aspect of the foot is a common place for pain in people with increased BMI and poor biomechanics.
What is the plantar fascia?
This clinical prediction tool was developed in the emergency department and helps distinguish between cellulitis or other causes.
What is the ALT-70 score?
Name all the residents who need botox injections. Need 5 or more for full points awarded
Daily Double
Who is ...?
Name the key difference between severe hypertension and hypertensive emergency.
What is evidence of "new or worsening end organ damage?"
Name this condition in which patient's experience skin and nail changes from excessive silver ingestion.
What is argyria?
These two anatomical points should be identified as a reference when identifying placement for plantar fascial injection.
What are the medial malleolus and medial tubercle of the calcaneus?
Name 5 or more types of skin of soft tissue infections.
What is:
1. Abscess
2. Carbuncle
3. Cellulitis
4. Erysipelas
5. Furuncle
6. Impetigo
7. Necrotizing Fasciitis
This protein is involved in the prevention of vesicle fusion and acetylcholine release.
What is the SNAP-25 protein?
Give the percentage and time frame for which patient's who presented with severe hypertension spontaneously decreased to 140/90 during hospitalization.
What is 44% and within 3 hours?
Name a common communication technique employed by the skilled physician to frame symptoms clearly and provide education to an otherwise benign diagnosis.
What is reassurance?
This Evidence rating (A, B, C) was given to the following clinical recommendation:
Ultrasound-guided injections improve accuracy and may reduce the risk of neurovascular injury and inadvertent tendinous injection.
What is Evidence Rating B?
A 64 year old male a PMHx with HFrEF and obesity presents with concerns for cellulitis. He has bilateral, LE swelling to the mid calf with erythema and warmth. He was hospitalized 3 months prior with cellulitis and is very concern. Patient also has a 2 cm gluteal swelling, that is erythematous, warm, fluctuant with tenderness to palpation. Name the treatment for each condition including antibiotics if indicated.
What is:
1. No treatment for leg swelling since it is unlikely to cellulitis
2. I&D
Name 5 contraindications or precautions to botox injections.
What is:
1. body dysmorphic disorder
2. Gross motor weakness in the area
3. Immunocompromized
4. Infection in area
5. Neuromuscular disorder
6. Pregnancy or breastfeeding
7. Dermatoses in area
8. dependency on facial expressions for work
9. previous allergy
10. medications that inhibit neuromuscular signaling
Give the evidence rating (A, B, C) for the following statement:
Diagnostic evaluation for severe hypertension is not indicated unless there is concern for new or worsening end organ damage or secondary hypertension
What is evidence rating C?
This "funded educational content" found within the journal provides a short summary on why muscle and mental health have become primary care responsibilities in this "Era." (medication type)
What is the GLP-1 Era?
Name 3 or more tips for reducing pain during injections.
What is:
1. Use of coolant spray
2. Advising patient to look away
3. Pinching of the skin
4. administering lidocaine slowly
5. Warming the injection solution
6. Buffering solution with sodium bicarbonate
Name the 5 oral antibiotics used to treat MRSA infections in the outpatient setting
What is:
1. TMP/SMX
2. Linezolid
3. Doxycycline
4. Clindamycin
5. Minocycline
Name 3 common sites for botox injections. (can use common or anatomical sites)
What are the:
1. Frontalis muscles (horizontal forehead lines)
2. Glabellar complex (frown lines)
3. Orbicularis oculi (crow's feet)
4. Nasalis m. (bunny lines)
5. Levator labii superioris (nasolabial folds)
6. Orbicularis oris (radial lip lines)
7. Depressor anguli oris (Marionette lines)
8. Mentalis (chin lines)
Name 2 or more organizations and their diagnostic criteria (BP measurement) for severe hypertension.
What is:
1. ACEP - >160/100
2. AHA/ACC - >180/120
3. ESC - >180/110
4. Hypertension Canada - Diastolic > 130
5. NIHCE - > 180/120
These types of vaccines are contraindicated in people with HIV infection and a CD4 cell count of less than 200 cells/uL.
What are Live Vaccines?