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Medicine (MD/DO)
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First Aid
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First Aid for the USMLE Step 2 CK (10th Ed.)
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Respiratory Infections

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

Respiratory Infections
23 Picmonics to Learn | 45 mins
Pneumonia Assessment
Risk Factors
Older Adult
Immunocompromised
Long Term Care
Assessment
Shortness of Breath (SOB)
Hypoxemia
Cough and Sputum Production
Wheezing or Crackles
Fever
Pleuritic Pain
Diagnosis
Chest X-ray
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2 mins
Pneumonia Intervention
Interventions
Humidified Oxygen
Deep Breathing Exercises
Position of Comfort
Increase Fluid Intake
Manage Fever
Medications
Antibiotics
Mucolytics
Expectorants
Considerations
Pneumococcal Vaccine
Sepsis
Acute Respiratory Failure (ARF)
Prevention Education
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2 mins
Atypical Pneumonia
CHARACTERISTICS
Diffuse Patchy Inflammation
Interstitial Pattern
"Walking Pneumonia"
Etiologies
Mycoplasma pneumoniae
Chlamydia pneumoniae
Legionella pneumophila
Adenovirus
Respiratory Syncytial Virus (RSV)
Cytomegalovirus (CMV)
Influenza
Presentation
Dry Cough
Treatment
Macrolides
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2 mins
Streptococcus Pneumoniae Disease
Signs and Symptoms
Sickle Cell Anemia
Sepsis in Patients with Splenectomy
Rusty Sputum
MOPS
Meningitis
Otitis Media
Pneumonia
Sinusitis
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2 mins
Streptococcus Pneumoniae Characteristics
Characteristics
Gram-Positive
Diplococci
Lancet-Shaped
Catalase-Negative
Optochin-Sensitive
Bile Soluble
Alpha-Hemolytic
Polysaccharide Capsule
Positive Quellung Reaction
IgA Protease
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1 min
Mycoplasma Pneumoniae
Characteristics
No Cell Wall and No Gram Stain
Cholesterol Membrane
Eaton's Agar
Mulberry Colonies
Disease
Atypical pneumonia
Military Recruits
Cold IgM Autoimmune Hemolytic Anemia
Erythema Multiforme
Treatment
Tetracycline
Erythromycin
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2 mins
Common Causes of Pneumonia: Neonates (< 4 Weeks Old)
Group B Streptococci
E. coli
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44 secs
Common Causes of Pneumonia: Children (4 Weeks - 18 Years)
Runts May Cough Chunky Sputum
RSV (Viruses)
Mycoplasma
Chlamydia pneumoniae
Chlamydia trachomatis
Streptococcus pneumoniae
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1 min
Common Causes of Pneumonia: Adults (18 - 40 Years Old)
Mycoplasma
Streptococcus pneumoniae
Chlamydia pneumoniae
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41 secs
Common Causes of Pneumonia: Middle-Aged Adults (40 - 65 Years Old)
Streptococcus pneumoniae
Mycoplasma
Haemophilus influenzae
Anaerobes
Viruses
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1 min
Common Causes of Pneumonia: Elderly (65+ Years Old)
Influenza Virus
Haemophilus influenzae
Anaerobes
Streptococcus pneumoniae
Gram-Negative Rods
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59 secs
Mycobacterium Tuberculosis Characteristics
Characteristics
Mycolic Acid Cell Wall
Acid-fast
Carbolfuchsin Stain Red
Lowenstein-Jensen Agar
Serpentine Cord Factor
Primary TB
Primary TB
Caseating Granuloma
Ghon Focus
Hilar Lymph Nodes
Ghon Complex
Reactivation TB
Reactivation TB
Reactivation in Apex
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3 mins
Tuberculosis Assessment
Etiology
Airborne Droplet
Assessment
3 Week Productive Cough
Night Sweats
Chest Pain
Fever
Weight Loss
Fatigue
Diagnosis
Chest X-Ray
Blood Tests
Mantoux Skin Test
3 Positive Sputum Tests
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1 min
Tuberculosis Intervention
Hospital Care
Airborne Isolation
Drug Therapy
Combination Drug Therapy (RIPE)
6-12 Months
Considerations
DOT
BCG Vaccination
Medication Education
3 Negative Sputum Specimens
Infection Control
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2 mins
Mycobacterium Tuberculosis Disease
CONSTITUTIONAL SYMPTOMS/PULMONARY TUBERCULOSIS
Fever
Night Sweats
Weight Loss
Hemoptysis
EXTRA-PULMONARY TUBERCULOSIS
Extrapulmonary Disease
Addison's Disease
CNS
Liver
Kidneys
GI
Bones
Pott's Disease
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3 mins
Ghon Complex
Calcified Focus of Infection
Hilar Lymph Nodes
Primary Tuberculosis
Typically in Children
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1 min
Tuberculosis Skin Mantoux Test (PPD)
Delayed Hypersensitivity (Cell Mediated Response)
Intradermal Injection
Read 48-72 hours
Positive Results
≥ 5 mm Induration
Immunosuppressed
≥ 10 mm Induration
High Risk Patients
≥ 15 mm Induration
Considerations
Chest X-Ray
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3 mins
Aspergillus fumigatus
Characteristics
Fungi
Monomorphic
Septate Hyphae
Branch at Acute Angles
Fruiting Bodies
Disease
Allergic Bronchopulmonary Aspergillosis (ABPA)
Eosinophilia
Increased IgE
Glucocorticoids +/- Azoles
Pulmonary Aspergillosis
TB Cavity
Lung Aspergilloma
Hemoptysis
Invasive Aspergillosis
AIDS/Immunocompromised
Chronic Granulomatous Disease
Hemorrhagic Infarction
Necrotizing Bronchopneumonia
Voriconazole +/- Caspofungin
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3 mins
Mumps Virus
Characteristics
Paramyxovirus
Signs and Symptoms
Parotitis
Increased Serum Amylase
Orchitis
Oophoritis
Aseptic Meningitis
Pancreatitis
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59 secs
Rhinosinusitis Assessment
Pathology
Sinus Obstruction
Assessment
Nasal Drainage
Facial Pain
Lower Forehead
Cheeks
Nose
Retro-orbital
Fever
Persistent Symptoms
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2 mins
Influenza Virus
Characteristics
RNA Virus
Orthomyxovirus
Enveloped
Negative Sense
8 Segments
Helical
Hemagglutinin for Viral Entry
Neuraminidase for Virion Release
Genetic Shift
Reassortment of genome to cause major change
Genetic Drift
Minor Antigenic Mutations
Considerations
Reye Syndrome with Aspirin Use
Guillain-Barre Syndrome
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3 mins
Ascariasis Characteristics and Life Cycle
Characteristics
Nematode (Roundworm)
Most Common Helminth Infection
Fecal-Oral Transmission
Life Cycle
Eggs Deposited in Soil
Embryo Ingested
Larvae Hatch in Intestines
Larvae Migrate to Lungs Through Bloodstream
Larvae Coughed Up and Swallowed
Mature into Adults in Intestine
Mature Adults Lay Eggs which are Passed in Stool
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3 mins
Ascariasis Clinical Features and Management
Early Clinical Manifestations
Cough
Eosinophilic Pneumonitis (Loffler Syndrome)
Late Clinical Manifestations
GI Upset
Bowel or Biliary Obstruction
Worms in Stool
Diagnosis
Stool Ova and Parasite Studies
Management
Albendazole
Pyrantel Pamoate In Pregnancy
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5 mins

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