mitral regurgitation {Ans: Radiates to axilla 5th intercostal space (ICS) by mid clavicular line (MCL), apex, apical area}MRSA: Treatment {Ans: Bactrim Doxycycline Minocycline Clindamycin --> If patient is allergic to Sulfa do not use Bactrim}Risk factors for skin cancer(melanoma and both non-melanoma) {Ans: Blistering sunburn as a child, history of sunburns, light skin, chronic exposure to UV light (sunlight/tanning beds), moles, family hx for skin cancer}Acute Otitis Media (AOM)(Think of Media for Middle Ear): Strain & symptoms & treatment {Ans: Bacteria: Streptococcus pneumonia (others: Haemophilus influenza, Moraxella catarrhalis) High rate of beta-lactamase resistance Symptoms: Unilateral ear pain (otalgia) Popping noises, and muffled hearing, Either afebrile or low-grade fever, The tympanic membrane can rupture. Blood and pus can be seen on the pillow upon awakening with relief of ear pain ,TM will be red. Bulging and the cone of light will be abnormal or displaced ,Most objective finding: Decreased mobility per the tympanogram which will be a flat line Treatment: NO antibiotic use in the prior month: o Amoxicillin high dose (first line): 1000 mg TID x 5-7 days Next antibiotic choices are: 23 Augmentin x 5-7 days o Omnicef or cefpodoxime BID x 5-7 days Penicillin