Lightning Round by Nkechi.docx - AANP Lightning Round#3 Follow up on the HIV confirmatory test discussion at my last lightning round I am being told

Lightning Round by Nkechi.docx - AANP Lightning Round#3...

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AANP Lightning Round #3 Follow up on the HIV confirmatory test discussion at my last lightning round, I am being told that for the exam (AS OF NOW) they are looking for the confirmatory test to be Western Blot, not the HIV 1 and 2 Antibodies as Leik 3 rd edition is indeed saying. SOO it sounds like we are to choose Western Blot then, fyi! Ok, for those of you watching for the first time I like to do a quick disclaimer that any and all information shared during this hour is either from Leik 3 rd edition, Hollier online review, or files in this group. I have yet to take the exam, but from what I’m hearing it’s straightforward IF you know the material and my school always preached to know “buzz words”. If there’s anything you don’t agree with during this hour or want to add to, PLEASE let me know. Ok, let’s begin! Metformin max dose – 2000mg consider Basal Insulin African American male first line htn med : CCB, thiazide Vitmin D 800 Ca 1200 SSRI PAXIL Do not use and use. Erectile dysfunction Coarctation of Aorta: Know that systolic BP on lower extremities is supposed to be higher compare to upper extremities. In COA case its vise versa. Look for weak radial and bounding femoral pulse. Medial Tibial (Splints), NO XRAY Just REST ,NSAIDS, Legg-Calve Perthes disease:  Key word: osteonecrosis of femur. 3-12 years Presentation: pain to hip or referral to medial aspect of knee Dx: Tredelenburg (positive in SCFE, Legg and dev dysplasia Xray:AP w/ Frog-leg view refer SCFE Risk: adolescent, obese male, Dx: Tredelenburg, no xray, resolves in about 14 days McMurrays Sign- Meniscus tears Lachmans- ACL It is a self limiting over use injury often seen in young boys following a growth spurt. The child may c/o anterior knee pain. Tx with NSAIDs/rest Drawer sign test- for knee stability- positive anterior drawer sign test for ACL, the positive drawers sign test for PCL Homans sign- lower leg pain on dorsiflexion of foot, assess for DVT Vitamin B12 deficiency-Red beefy tongue –also called Pernicious anemia Pt. with GERD and Barrett’s esophagus: Refer to Oncologist Nephritic and nephritic syndrome: Nephritis is blood ..... Nephrotic is protein RBC casts in UA ...... kidney biopsy Kawasaki disease- high fever enlarged lymph nodes red rash in groin are, conjunctivitis, dry cracked lips, strawberry tongue, swollen hands/feet, skin peels form hands/feet, TX high dose aspirin, gamma globulin
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