Ace Your First Aid for the USMLE Step 2 CK (10th Ed.) Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Medicine (MD/DO) Students
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First Aid for the USMLE Step 2 CK (10th Ed.) | Medicine (MD/DO) School Study Aid
Primary Hypertension Risk Factors
- Excessive Alcohol Consumption
- High Sodium Diet
- Dyslipidemia
- Obesity
- People of African Descent
- Advanced Age
- Vitamin D Deficiency
- Reduced Nephron Number
- Diabetes
- Lack of Physical Activity
2 mins
Hypertension Assessment
- Mechanism
- Essential Hypertension
- Secondary Hypertension
- Assessment
- Headache
- Vision Changes
- Nosebleed (Epistaxis)
- Chest Pain
- Syncope (Fainting)
- Diagnosis
- Average 2 Sets, 2 Minutes Apart
- After 2 or More Visits (within 1-4 weeks)
- Nursing Considerations
- Take BP Both Arms
- Common in African Americans
2 mins
Hypertension Intervention
- Lifestyle Modifications
- Weight Reduction and Exercise
- Diet Changes
- Relaxation Techniques
- Smoking Cessation
- Medications
- Encourage Self Monitoring
1 min
Hypertension Medications
- Diuretics
- ACE Inhibitors
- Angiotensin Receptor Blockers (ARBs)
- Beta Blockers
- Dihydropyridine Calcium Channel Blockers
2 mins
Blood Pressure Classification (JNC 7)
- Classifications
- Normal
- Systolic (<120)
- Diastolic (< 80)
- Prehypertension
- Systolic +20 (120-139)
- Diastolic +10 (80-89)
- Stage 1 Hypertension
- Systolic +20 (140-159)
- Diastolic +10 (90-99)
- Stage 2 Hypertension
- Systolic + > 20 (160)
- Diastolic + > 10 (100)
- Hypertensive Crisis
- Systolic > 180
- Diastolic > 110
4 mins
Hypertension Management (JNC-8)
- Goal of Treatment
- Age Over 60 years (and Healthy)
- 150/90
- Age Under 60 years (and Healthy)
- Any Age with Diabetes or CKD
- 140/90
- Treatment
- ARB/ACE-I/Thiazide/CCB (Primary or Combo)
- CKD (w/wo Diabetes)
- ARB or ACE-I Primary
- African American
- Thiazide or CCB Primary
3 mins
Arteriolosclerosis
- Characteristics
- Small Arteries and Arterioles
- Thickening of Arteriole Wall
- Hyperplastic Arteriolosclerosis
- Hyperplastic
- Smooth Muscle Cell Hyperplasia
- "Onion Skin" Appearance
- Malignant Hypertension
- Hyaline Arteriolosclerosis
- Hyaline
- Subendothelial Protein Deposits
- Chronic Hypertension
- Diabetes Mellitus
- Aging
2 mins
Hypertensive Retinopathy
- Etiology
- Chronic Hypertension
- Fundoscopic Findings
- Flame Hemorrhages
- Arteriovenous Nicking
- Retinal Microaneurysms
- Cotton Wool Spots
- Macular Star
- Papilledema
- Treatment
- Lower Blood Pressure
2 mins
Hypertensive Emergency Diagnosis and Management
- Diagnosis
- Laboratory Tests
- Chest X-ray
- Management
- Decrease Blood Pressure Carefully
- Antihypertensives
- Monitor Vital Signs
2 mins
Hypertensive Emergency Characteristics and Presentation
- Characteristics
- Acute Increase in Blood Pressure
- ≥ 180/120
- End-Organ Dysfunction
- Clinical Features
- Stroke
- Hypertensive Retinopathy
- Acute Heart Failure
- Myocardial Infarction
- Acute Kidney Injury
2 mins
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