BSC MISC (BSCMISC)

Internal Medicine EOR Review Cardiology (20%) Angina Pectoris Stable Unstable Prinzmetal Predictable pattern* Aggravated c exertion; alleviated c rest or NTG; Caused by FIXED* plaque EKG: STd ONLY* Outpatient Setting Unpredictable pattern* New onset while RESTING*; NOT alleviated c rest EKG: STd or TWi* MUST ADMIT* Unpredictable/EPISODIC pattern* Triggered by COCAINE*, alcohol or triptans* EKG: STe +/- reciprocal changes MUST ADMIT* S/Sx & PE SUBSTERNAL CP usually brought on ...

Internal Medicine EOR Review Cardiology (20%) Angina Pectoris Stable Unstable Prinzmetal Predictable pattern* Aggravated c exertion; alleviated c rest or NTG; Caused by FIXED* plaque EKG: STd ONLY* Outpatient Setting Unpredictable pattern* New onset while RESTING*; NOT alleviated c rest EKG: STd or TWi* MUST ADMIT* Unpredictable/EPISODIC pattern* Triggered by COCAINE*, alcohol or triptans* EKG: STe +/- reciprocal changes MUST ADMIT* S/Sx & PE SUBSTERNAL CP usually brought on ...

CARDIOVASCULARACUTE/SUBACUTE BACTERIAL ENDOCARDITI

BSC MISC

BSC MIS CRESP FAILURE/ARREST

FAMILY MED EOR BLUEPRINT URGENT CARE (4%) RESP FAILURE/ARREST  RESP DYSFUNCTION resulting in abnormalities of OXYGENATION or VENTILATION (CO2 elimination) severe enough to threaten function of vital organs  pO2 <60 mmHg + PCO2 >50 mmHg  CAUSES (full list on p 316 in Current)  ASTHMA  OBST  PULM EDEMA 2T ARDS, INJURY, ↑ HYDROSTATIC PRESSURE, MITRAL REGURG  AIR EMBOLISM  RIB FX, FAIL CHEST, PNEUMO  FEVER, INFECTION, DRUGS  SSX  those of UNDERL...

A bacterial infection of the endocardium Duke criteria ◆ Positive blood culture for infective endocarditis (IE) ● Isolation of typical organisms from two positive cultures of blood samples drawn > 12 hours apart, or all of three or a majority of four separate cultures of blood ● Typical organisms include viridans strep, S. bovis, HACEK (H. aphrophilus, A. actinomycetemcomitans, C. hominis, E. corrodens, and K. kingae), or community-acquired S. aureus or enterococci ◆ Endoca...

Menstruation (15%) – 7  GTPAL o Gravida o Term o Preterm o Abortion o Living Normal Physiology  Phase 1 – Follicular phase [proliferative phase] Days 1-14 o ESTROGEN predominates  Endometrium thickens = proliferation  GnRH   FSH & LH o Ovaries   FSH = follicle stimulating hormone  follicle & egg maturation   LH = stimulates follicle to produce estrogen o ESTROGEN Causes NEGATIVE FEEDBACK to HPO system Stops new follicles from maturing ...

CARDIOVASCULAR ACUTE/SUBACUTE BACTERIAL ENDOCARDITIS A bacterial infection of the endocardium Duke criteria ◆ Positive blood culture for infective endocarditis (IE) ● Isolation of typical organisms from two positive cultures of blood samples drawn > 12 hours apart, or all of three or a majority of four separate cultures of blood ● Typical organisms include viridans strep, S. bovis, HACEK (H. aphrophilus, A. actinomycetemcomitans, C. hominis, E. corrodens, and K. kingae), or ...

Menstruation (15%) – 7  GTPAL o Gravida o Term o Preterm o Abortion o Living Normal Physiology  Phase 1 – Follicular phase [proliferative phase] Days 1-14 o ESTROGEN predominates  Endometrium thickens = proliferation  GnRH   FSH & LH o Ovaries   FSH = follicle stimulating hormone  follicle & egg maturation   LH = stimulates follicle to produce estrogen o ESTROGEN Causes NEGATIVE FEEDBACK to HPO system Stops new follicles from maturing ...