at what age to start pneumoccocal vaccines
at age 65
at what age to start zoster recombinant vaccine
at age 50
how to do pneumococcal vaccines combinations
20 alone
21 alone
15 and 23
facial edema, redness, fever, flulike symptoms, burning skin and rash. morbilliform exanthem that starts on face and uppper trunk and spreads distally. oral mucosa involved sometimes. New meds given recently 2-6 weeks before
Drug induced hypersensitivity syndrome (AKA DRESS)
dusky purple pink macules or plaques on lips, face, fingers, genitals. Within the first 2 weeks of starting a new med.
for what age group do you calculate cardiovascular disease risk
AAA 4 to < 5.5
how often surveillance
6-12 months
AAA
equal or > 5.5cm
how often surveillance
CTA or MRA for repair
After upper resp or GI infection or in the setting of myelodysplastic syndrome, AML or other hematologic abnormalities.
papules and plaques on face, neck, extremities with high fevers, leukocytosis, high esr and joint pain
Sweet syndrome
aka acute febrile neutrophilic dermatosis
Does Bullous pemphigoid involve mucosa? do they rupture easily?
No it does not
No they do not
commonly caused by sulfas, allopurinol and anticonvulsants. morbilliform exanthem starts on face and upper trunk and spreads distally. Striking facial edema and redness,
Drug induced hypersensitivity syndrome
centor criteria
fever, tosillar exudates, tender anterior cervical lymphadenopathy, absence of cough
autoimmune blistering disorder, oropharyngeal erosions are common. Associated with NSAIDs, rifampin, cephalosporins, captopril, penicillamine.
pemphigus vulgaris
redness and scaling of 80% to 90% of the body surface area. common if pt with psoriasis finishes a course of steroids
Erythroderma
does secondary syphilis involve hands and soles?
yes
PE pattern on EKG
S1Q3T3
prominent S wave in lead I,
Q wave in lead III,
Inverted T wave in lead III)
variable extra thoracic obstruction
variable intra thoracic obstruction
fixed obstruction
restriction
type of stone
uric acid stone
cysteine stone
