Sarah Michelle Crash Course - Questions And Answers

Seborrheic keratosis {Ans: -"pasted on", older adults - benign}Rupturing AAA {Ans: -presents as a pulsating mass in the abdomen, typically accompanied by abdominal or back pain. -refer to ED.}Asthma {Ans: -GINA guidelines -develops at any age -most predominant sx: cough, often worse at night -other common sx: wheezing, SOB, chest tightness -sx typically triggered by allergens or exercise -physical exam: wheezing, tachypnea, accessory muscle use. -dx tool: PFT -FEV1: amount of air the patient can force out of their lungs in 1 second. -in asthma, this will demonstrate reversibility after the patient receives a bronchodilator to open the airways. -normal FEV1 is > 80% (generally decreases with asthma severity -cornerstone of treatment- inhaled corticosteroids (provide better control of sx, reduce risk of exacerbations) -short acting beta-agonists (SABAs)- albuterol, no longer recommended as the "go to" rescue inhaler. (don't do well for underlying inflammation or lung preservation). -never prescribe LABAs as monotherapy (increased risk of asthma-related deaths).}Otitis externa (swimmers' ear) in pediatrics {Ans: -drainage is very malodorous -external ear tenderness -usually, pathogen is pseudomonas aeruginosa -ABX ear gtt- ofloxacin, sometimes steroid gtts added}Mumps {Ans: - parathyroid gland swelling (also seen in bulimia) - salivary gland stone}Probable