AANP FNP
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AANP FNP Cranial Nerves, Cranial Nerves molecular diagnostic
Teacher 113 terms 12 terms 248 terms
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-painless, pearly, ulcerated nodule
with overlying telangiectasis
Basal Cell Carcinoma
-found on sun areas
-slightly rough, pink or flesh-colored
lesion in sun-exposed area
-pharmacological treatment: 5-
Actinic Keratoses fluorouracil (topical chemotherapy)
-non-pharmacological treatment:
chemical peel, cryotherapy, laser
resurfacing
, I. Transmission
A. Mycobacterium tuberculosis carried
in airborne droplets
B. Active Pulmonary or Laryngeal
Tuberculosis transmitted
1. Sneeze, cough, speak, or sing
II. Symptoms
A. Latent Tuberculosis is asymptomatic
B. Active Tuberculosis presentation
often mimics cancer presentation
1. Non-specific presentation (most
common)
a. Fatigue
b. Weight loss
c. Cachexia
d. Night Sweats
C. Pulmonary Tuberculosis symptoms
Tuberculosis 1. Productive cough (typically 2-3
weeks)
2. Hemoptysis (uncommon)
3. Pleuritic Chest Pain
4. Dyspnea
III. Signs
A. Sites of Involvement
1. Primary infection: lung involvement
B. Disseminated Disease
IV. Management
A. Latent Tuberculosis
1. Positive PPD without signs of Active
Tb
2. Treatment indicated if risk of Tb
Progression from latent to active
disease
B. Active Tuberculosis
, I. Pathophysiology
A. Gout occurs when Uric Acid levels
exceed solubility limits
1. Monosodium urate crystals deposit
in joints, Kidney, and soft tissues
2. Crystal deposition triggers a
inflammatory response from cytokines
and Neutrophils
3. Joint space is irreversibly injured with
ongoing attacks
II. Risk Factors
A. Most common
1. Obesity
2. Alcohol use (especially beer)
3. High purine diet (red meats, turkey
and wild game, organ meats, seafood)
4. Drinks sweetened with high fructose
corn syrup
5. Diuretic therapy including Thiazide
Diuretics
6. Other risks
a. Diabetes Mellitus
b. Hyperlipidemia
c. Hypertension
d. Atherosclerosis
e. Renal Insufficiency
f. Myeloproliferative disease
III. Symptoms
A. Associated Symptoms
1. Chills
2. Fever as high as 104 F (40 C)
3. Severity: Very severe pain
a. Unable to bear weight
b. Too painful to put on socks
c. Intollerant to light touch from
blankets
Gout
B. Regions Lower extremities
1. First Metatarsophalangeal joint of
great toe (most common)
a. Known as Podagra
i. Affected in 50% of first gout attacks
Mid-tarsal joints
2. Ankle Joints
3. Knee Joints
C. Regions upper extremities
1. Fingers
2. Wrists
3. Elbows
D. Characteristics: Joint Pain
1. Excruciating, crushing type pain
2. Timing: Joint Pain
3. Acute onset of lower extremity Joint
Pain
4. Wakens patient from sleep
, IV. Signs
A. Acute
1. Joint Inflammation
2. Erythema, tenderness and swelling
at affected joint
a. Pain extends well beyond joint
b. Entire foot involved in some cases
3. Asymmetric joint involvement
a. May only involve one side with the
first attack
4. Skin over joint is tense and shiny
B. Chronic
1. Gouty Tophi (develop after 10 years)
a. Subcutaneous Nodules of
monosodium urate crystals and lipids,
proteins and mucopolysaccharides
C. Chronic Arthritis
1. Chronic deposition occurs with
recurrent attacks
Dix-Hallpike Maneuver