Let's get physical
A tale of two pictures
Fresh air
Royal flush
New kid on the formulary
100
Spurling maneuver is a test you do in patients suspected of having this condition.
What is cervical radiculopathy
100
Picture 6
What is poison ivy or contact dermatitis
100
Picture 11
What is bowel perforation
100
This medication for raising HDL causes flushing
What is Niacin
100
Aliskiren is a new antihypertensive medication that works by this mechanism
What is renin blocker
200
A positive Hutchinson’s sign in a patient with herpes zoster ophthalmicus means he/she has blisters in this area
What is tip of the nose (nasociliary nerve, risk for corneal involvement)
200
Picture 6
What is hypothermia
200
Picture 12
What is emphysematous pyelonephritis
200
You can order urine 5-HIAA to rule out this condition that causes flushing especially after eating or drinking alcohol
What is carcinoid syndrome
200
This new drug for osteoporosis is a fully human monoclonal antibody to the receptor activator of nuclear factor-κB ligand (RANKL) that blocks its binding to RANK, inhibiting the development and activity of osteoclasts
What is Denosumab
300
This cardiac finding is an indication for urgent dialysis in a patient with renal failure
What is pericarial friction rub
300
Picture 7
What is aortic stenosis
300
Picture 13
What is emphysematous cystitis
300
Datura and Mushroom poisoning cause “dry flushing” due to this mechanism
What is anticholinergic
300
This relatively new drug for diabetes inhibits Dipeptidyl peptidase IV (DPP-IV) and increases GLP-1 (incretin)levels
What is Sitaglipin / Januvia
400
It is the disease you suspect if a patient has bilateral loss of pain and temperature of the upper extremities with preserved touch and deep sensations
What is syringomyelia (or epidural abscess)
400
Picture 9
What is iron deficiency from gastric bypass
400
Picture 14
What is necrotizing fasciitis
400
Patients with long standing diabetes develop flushing and sweating after eating due to this mechanism
What is autonomic neuropathy
400
It is the mechanism of action of the new asthma medication Omalizumab (Xolair)
What is anti-IgE antibody
500
It is the disease you suspect in a patient with absent deep sensations in the lower extremities with preserved pain and temperature (it is not something of the past anymore, it is making a comeback)
What is tabes dorsalis / neurosyphilis
500
Picture 10- one disease, two complications
What is diabetic retinopathy and nephropathy
500
Picture 15
What is pneumo-pericardium
500
Patients with Frey syndrome develop facial flushing and sweating after eating as a complication of this procedure
What is parotidectomy
500
This new drug for advanced small cell lung cancer is a tyrosine kinase inhibitor that acts on epidermal growth factor receptor
What is Erlotinib (Tarceva)