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Medicine (MD/DO)
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First Aid
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First Aid for the USMLE Step 1 (2023)
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First Aid for the USMLE Step 1 (2023) | Medicine (MD/DO) School Study Aid

Page 535 -
10 Picmonics to Learn | 23 mins
Asterixis
Characteristics
Flapping Tremor
Periodic Loss of Postural Muscle Tone with Arms in Extension
Corrective Movements
Hyperammonemia
Associations
Liver Disease
Hepatic Encephalopathy
Kidney Disease
Uremia
Management
Treat Underlying Disorder
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2 mins
Hepatic Encephalopathy
Characteristics/Definition
Seen in the Setting of Cirrhosis
Hyperammonemia
Altered Mental Status
Coma
TIPS
Asterixis
Management
Lactulose
Rifaximin
Liver Transplant
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3 mins
Chorea and Athetosis
Characteristics
Sudden Jerky Movements
Athetosis
Snake-like, Writhing Movements
Basal Ganglia Lesions
Associations
Huntington's Disease
Acute Rheumatic Fever
Management
Treat Underlying Disorder
Tetrabenazine
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1 min
High Potency Antipsychotic Drugs
High Potency Drugs
Fluphenazine
Trifluoperazine
Haloperidol
Pimozide
Side Effects
Extrapyramidal Symptoms
Short Term
Dystonia
Restlessness (Akathisia)
Torticollis
Long Term
Tardive Dyskinesia
Parkinson's-Like Symptoms
Neuroleptic Malignant Syndrome
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3 mins
Essential Tremor
Characteristics
Most Common Tremor in Adults
Positive Family History
Clinical Findings
Bilateral Upper Extremities
Worse with Physical and Psychological Stress
Better with Rest and Alcohol
Management
Beta Blockers
Primidone
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1 min
Intention Tremor
More Apparent With Goal-Directed Movements Such as Using Eating Utensils
High-Amplitude, Low-Frequency
More Apparent as Extremity Approaches Target
Overshooting and Undershooting
Pathogenesis
Ipsilateral Cerebellar Damage
Diagnosis
Neurologic Exam
MRI
Treatment
Physical or Occupational Therapy
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3 mins
Ballismus and Hemiballismus
Characteristics
Involuntary Flailing Movements
Worse with Activity; Improved with Rest
Basal Ganglia Dysfunction
Subthalamic Nucleus
Associations
Stroke
Diabetes
Infection
Neoplasm
Treatment
Antidopaminergic Medications
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2 mins
Creutzfeldt-Jakob Disease (CJD)
Pathophysiology
Misfolded Prion Protein
Spongiform Encephalopathy
Subtypes
Sporadic Type
Familial Type
Variant Type
Iatrogenic Type
Clinical Manifestations
Rapidly Progressive
Dementia
Ataxia
Myoclonus
Diagnosis
Magnetic Resonance Imaging (MRI)
Increased Levels of 14-3-3 Protein
Periodic Sharp Waves On EEG
Management
Supportive Care
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4 mins
Restless Legs Syndrome
Pathophysiology
Idiopathic
Iron Deficiency
Parkinson's Disease
Signs and Symptoms
Urge to Move the Legs
Unpleasant Sensations in Legs
Worsens with Inactivity
Relieved by Movement
Treatment
Iron Supplementation
Self-care
Gabapentin
Pramipexole
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2 mins
Tremor Types
Resting Tremor
Postural Tremor
Essential Tremor
Physiologic Tremor (Reversible)
Intention Tremor
Asterixis (Flapping Tremor)
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1 min

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