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First Aid for the USMLE Step 2 CK (10th Ed.) | Medicine (MD/DO) School Study Aid
Abdominal Aortic Aneurysm
- Screening
- Screen Males 65-75 Who've Ever Smoked
- Diagnosis
- Ultrasound
- Treatment
- Observation
- Asymptomatic and < 5 cm in Size
- Surgical Repair
- > 5.5 cm in Abdomen
- Emergent Surgery
- Ruptured or Symptomatic
2 mins
Abdominal Aortic Aneurysm (AAA) Assessment
- Mechanism
- Atherosclerosis
- Assessment
- Bruit
- Pulsation in Abdomen
- Abdominal or Lower Back Pain
- Tearing Pain
- Diagnosis
- Ultrasound
- Considerations
- Rupture
- Shock
- Surgical Repair
1 min
Abdominal Aortic Aneurysm Rupture
- Clinical Features
- Acute Tearing Pain
- Pulsatile Abdominal Mass
- Grey Turner Sign
- Cullen Sign
- Hypovolemic Shock
- Diagnosis
- Diagnosis by Clinical Impression
- Treatment
- Emergent Surgical Intervention
- Considerations
- Poor Prognosis
3 mins
Thoracic Aortic Aneurysm
- Characteristics
- Elderly Men
- Above the Diaphragm
- Usually Asymptomatic
- Risk Factors
- Hypertension
- Smoking
- Connective Tissue Disorders
- Vasculitis
- Diagnosis
- Chest X-Ray
- Chest CT Angiography
- Management
- Manage Risk Factors
- Surgery if Rupture or Dissection
- Observation if Asymptomatic
4 mins
Aortic Dissection
- Characteristics
- Tear in Aortic Intima
- Stanford Classification
- Type A: Tear of Ascending Aorta
- Type B: Tear of Descending Aorta
- Risk Factors
- Hypertension
- Aortic Aneurysm
- Marfan Syndrome
- Signs/Symptoms
- Chest Pain
- Blood Pressure Difference Between Arms
- Mediastinal Widening
- Treatment
- Surgery for Type A
- Beta Blockers for Type B
2 mins
Deep Vein Thrombosis (DVT) Characteristics
- Mechanism
- Virchow's Triad
- Venous Stasis
- Endothelial Damage
- Hypercoagulability
- Symptoms
- Tenderness
- Homan's Sign
- Warmth
- Redness
- Swelling
- Asymptomatic
1 min
Deep Vein Thrombosis (DVT) Management
- Diagnosis
- Compression Ultrasound (CUS) with Doppler
- D-Dimer
- Contrast Venography
- Treatment
- IVC Filter
- Heparin for Acute Management
- Warfarin for Long-term Management
- Thrombectomy/Thrombolysis
- Stockings
- Walking
4 mins
Peripheral Artery Disease (PAD)
- Mechanism
- Atherosclerosis
- Assessment
- Intermittent Claudication
- Pain with Exercise
- Paresthesias
- Arterial Ulcers
- Critical Limb Ischemia
- Amputation
- Consideration
- Ankle-Brachial Index (ABI)
2 mins
Arterial Ulcer Assessment
- Absent or Decreased Pulses
- Intermittent Claudication
- Sharp Pain
- Dependent Rubor
- Well Defined Edges
- Over Bony Areas
- Smooth, Shiny Skin
- Toes, Heels, Lateral Lower Legs
- Cool
2 mins
Mixed (Type II/III) Cryoglobulinemia
- Characteristics
- Rheumatoid Factor
- Monoclonal or Polyclonal
- Immune Complex Deposition in Cold Temperatures
- Associations
- Hepatitis C
- Autoimmune Diseases
- Clinical Features
- Meltzer's Triad
- Palpable Purpura
- Arthralgias
- General Malaise
- Vasculitis
- Glomerulonephritis
- Diagnosis
- Decreased Complement Proteins
- Management
- Treat Underlying Disorder
- Immunosuppressants
3 mins
Behcet Disease
- Characteristics
- Mediterranean and East Asian Populations
- HLA-B51
- Clinical Features
- Vasculitis
- Pulmonary Artery Aneurysm
- Recurrent Painful Ulcers
- Erythema Nodosum
- Uveitis
- Thrombosis
- Diagnosis
- Positive Pathergy Test
- Management
- Steroids
- Immunosuppressants
3 mins
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