Review - Clinical - Presentations IV

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V5.5

[Intro: 120 BPM. Palm-muted electric guitars chug a catchy chord progression. A heavy kick drum builds the energy before the full band explodes into the groove.]

[Block 1: The beat drops with crunchy guitars and a bouncing bassline. The MC rides the rhythm with high energy, while the background vocals jump in for the uppercase shouts.]

Coxsackie, Rocky Mountain, syphilis. rash on palms and soles seen

Lyme “erythema migrans (macule/papule min 5cm ± central clearing), aseptic meningitis, Bell palsy, arthritis, heart block, (Shout) LAP, hepatosplenomegaly. Late intermittent monoarticular or oligoarticular arthritis, progressive encephalomyelitis.

Infectious mononucleosis “pharyngitis (can be exudative), posterior cervical or generalized (Shout) LAP, hepatosplenomegaly, atypical lymphocytes, morbilliform or papular rash

In (Shout) CMV mononucleosis exudative pharyngitis and cervical (Shout) LAPs rare. Atypical lymphocytes present, heterophile antibodies absent.
(snare) (Shout) NEXT

[Block 2: The guitars switch to bright, staccato stabs. The flow gets faster and punchier.]

Subacute sclerosing panencephalitis (Shout) PRESENTS Personality changes, dementia, autonomic dysfunction, death
(snare) (Shout) NEXT

Jarisch-Herxheimer reaction (Shout) PRESENTS Fever, myalgia, hypotension within 24 hours of penicillin treatment (rash can be prominent, treat with (Shout) NSAID)
(snare) (Shout) NEXT

Klebsiella pneumoniae “Red "currant jelly" sputum, alcohol usage or diabetes
(snare) (Shout) NEXT

Mucor or Rhizopus (Shout) PRESENTS rhinocerebral, Black eschar, immunosuppressed

[Block 3: A driving drum-and-bass breakdown. The vocals are crisp, bouncing rapidly over the complex parasite names.]

Hookworms; “intensely pruritic, erythematous serpiginous tracks on foot (cutaneous larva migrans), iron deficiency”

Strongyloides “hyperinfection”. Ascaris “obstruction; biliary/intestinal”. Trichinella “myositis”. Trichuris “rectal prolapse”.

Diphyllobothrium “B12”. Echinococcus granulosus “Hydatid cysts “eggshell calcification” in liver, lungs”.  Taenia “Neurocysticercosis, cystic (Shout) CNS lesions, seizure”

Onchocerca volvulus (Shout) MEANS “Black skin nodules, river blindness”. Clonorchis “cholangiocarcinoma”

Giardia “nonbloody, fatty diarrhea, flatulence, foul-smelling”.

Amebiasis “dysentery, liver abscess, (Shout) RUQ pain, flask-shaped colonic ulcers,

[Block 4: Full stadium-rock energy returns. Guitars are soaring and wide.]

Cryptosporidium “watery. severe in (Shout) AIDS, acid-fast”

Toxoplasma “heterophile negative mononucleosis-like, multiple brain abscesses ring-enhancing from meat or cats”

African sleeping sickness – Trypanosoma brucei, Tsetse fly

Trypanosoma cruzi, Chagas -dilated cardiomyopathy, megacolon, megaesophagus; South America, kissing bug, Unilateral periorbital swelling called Romaña sign

Visceral leishmaniasis; spiking fevers, hepatosplenomegaly, pancytopenia. Cutaneous leishmaniasis “skin ulcers”.

[Outro: A bouncy pop-rap bridge pushes the track to its climax. The beat strips back to handclaps and heavy kicks as the singer delivers the final diagnostic criteria with huge vocal shouts.]

Vaginitis; If intense pruritus, white discharge, linear ulcers, acidic pH; (Shout) CANDIDA;

If yellow-green, malodorous discharge, intense erythema, cervical petechiae “strawberry cervix”; (Shout) TRICHOMONAS

If “fishy” odor, clue cells, no dysuria or dyspareunia; (Shout) BACTERIAL

[Ending: A massive power chord rings out with a final heavy drum crash. The MC shouts one last hype ad-lib before the track cuts to total silence.]

3594/7500

[Intro: 120 BPM. Palm-muted electric guitars chug a catchy chord progression. A heavy kick drum builds the energy before the full band explodes into the groove.] [Block 1: The beat drops with crunchy guitars and a bouncing bassline. The MC rides the rhythm with high energy, while the background vocals jump in for the uppercase shouts.] Coxsackie, Rocky Mountain, syphilis. rash on palms and soles seen Lyme “erythema migrans (macule/papule min 5cm ± central clearing), aseptic meningitis, Bell palsy, arthritis, heart block, (Shout) LAP, hepatosplenomegaly. Late intermittent monoarticular or oligoarticular arthritis, progressive encephalomyelitis. Infectious mononucleosis “pharyngitis (can be exudative), posterior cervical or generalized (Shout) LAP, hepatosplenomegaly, atypical lymphocytes, morbilliform or papular rash In (Shout) CMV mononucleosis exudative pharyngitis and cervical (Shout) LAPs rare. Atypical lymphocytes present, heterophile antibodies absent. (snare) (Shout) NEXT [Block 2: The guitars switch to bright, staccato stabs. The flow gets faster and punchier.] Subacute sclerosing panencephalitis (Shout) PRESENTS Personality changes, dementia, autonomic dysfunction, death (snare) (Shout) NEXT Jarisch-Herxheimer reaction (Shout) PRESENTS Fever, myalgia, hypotension within 24 hours of penicillin treatment (rash can be prominent, treat with (Shout) NSAID) (snare) (Shout) NEXT Klebsiella pneumoniae “Red "currant jelly" sputum, alcohol usage or diabetes (snare) (Shout) NEXT Mucor or Rhizopus (Shout) PRESENTS rhinocerebral, Black eschar, immunosuppressed [Block 3: A driving drum-and-bass breakdown. The vocals are crisp, bouncing rapidly over the complex parasite names.] Hookworms; “intensely pruritic, erythematous serpiginous tracks on foot (cutaneous larva migrans), iron deficiency” Strongyloides “hyperinfection”. Ascaris “obstruction; biliary/intestinal”. Trichinella “myositis”. Trichuris “rectal prolapse”. Diphyllobothrium “B12”. Echinococcus granulosus “Hydatid cysts “eggshell calcification” in liver, lungs”. Taenia “Neurocysticercosis, cystic (Shout) CNS lesions, seizure” Onchocerca volvulus (Shout) MEANS “Black skin nodules, river blindness”. Clonorchis “cholangiocarcinoma” Giardia “nonbloody, fatty diarrhea, flatulence, foul-smelling”. Amebiasis “dysentery, liver abscess, (Shout) RUQ pain, flask-shaped colonic ulcers, [Block 4: Full stadium-rock energy returns. Guitars are soaring and wide.] Cryptosporidium “watery. severe in (Shout) AIDS, acid-fast” Toxoplasma “heterophile negative mononucleosis-like, multiple brain abscesses ring-enhancing from meat or cats” African sleeping sickness – Trypanosoma brucei, Tsetse fly Trypanosoma cruzi, Chagas -dilated cardiomyopathy, megacolon, megaesophagus; South America, kissing bug, Unilateral periorbital swelling called Romaña sign Visceral leishmaniasis; spiking fevers, hepatosplenomegaly, pancytopenia. Cutaneous leishmaniasis “skin ulcers”. [Outro: A bouncy pop-rap bridge pushes the track to its climax. The beat strips back to handclaps and heavy kicks as the singer delivers the final diagnostic criteria with huge vocal shouts.] Vaginitis; If intense pruritus, white discharge, linear ulcers, acidic pH; (Shout) CANDIDA; If yellow-green, malodorous discharge, intense erythema, cervical petechiae “strawberry cervix”; (Shout) TRICHOMONAS If “fishy” odor, clue cells, no dysuria or dyspareunia; (Shout) BACTERIAL [Ending: A massive power chord rings out with a final heavy drum crash. The MC shouts one last hype ad-lib before the track cuts to total silence.]

0/500