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KRISTINA MAE WAGNER
@WAGNKRSTN
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I am med/ped certified, did primary care for 22 years and currently am medical director for 4 convenient care centers in a university owned system.
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diagnosis
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measles
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Jones criteria for diagnosis of rheumatic fever Requirements for Diagnosis: Two major, or one major and two minor, criteria plus supportive evidence of preceding group A streptococcal infection (markedly raised ASO titre or other streptococcal antibodies, or group A streptococcus on throat culture) #Jones #Criteria #Rheumatic #Fever #Major #Minor #Symptoms #Signs #Diagnosis ** GrepMed Recommended Text: Bates' Guide to Physical Examination and History Taking - https://amzn.to/2Z6LYmf
Dermatomes and Peripheral Nerves - Segmental Innervation of the Skin and the Peripheral Nerve Supply (Anterior and Posterior) #Dermatomes #Peripheral #Nerves #Innervation #Skin #Diagnosis #Neurology ** GrepMed Recommended Text: Hutchison's Clinical Methods - https://amzn.to/2Zc8Gtc
Rubella (German Measles) Rubella, also called German measles, often presents with a mild febrile illness with a diffuse maculopapular rash, generalized malaise, along with lymphadenopathy. Congenital infection is highly pathologic (major birth defects and death) Clinical • Transmitted by respiratory droplets • Mild illness • Low grade fever • Erythematous papular rash begins on face then spreads to trunk • Posterior cervical lymphadenopathy #Rubella #Peds #Pediatrics #Diagnosis
Varicella (Chickenpox) - Crops of vesicles in various stages of healing Treatment • Healthy g 12 years of age: Self-limited, supportive care • Immunocompromised or > 12: Acyclovir Severe complication • Pneumonitis • Encephalitis Vaccine • Live attenuated • Avoid in pregnancy #Varicella #Chickenpox #Diagnosis #Timeline
Lyme disease: antibiotic choices #lymedisease #antibiotic #dosage #NICE #bmj
Illustrative examples of culture-confirmed erythema migrans. A, A single erythema migrans lesion of 8.5 × 5.0 cm on the abdomen. The lesion is homogeneous in color, except for a prominent central punctum (presumed site of preceding tick bite). B, Patient with >40 erythema migrans lesions found. Note the prominent central clearing of the lesions present on the abdomen. #Clinical #Dermatology #Rash #ErythemaMigrans #LymeDisease
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Lyme Disease Pearls Epidemiology: Ixodes scapularis carrying borrelia have spread and are now found in growing areas in New England, Mid- Atlantic and Midwest states Also found in Canada (Quebec, Montreal, Nova Scotia) and Europe (Austria, Czech Republic, southern Germany, Switzerland, Slovakia and Slovenia) Treatment: TREATMENT Shorter course of antibiotics for early lyme (10 days vs 21 days) is fine Treating with doxycycline in kids <8 years old is fine #Diagnosis #Management #LymeDisease #Pearls #Map #Testing
Treatment Lyme Disease #Management #LymeDisease #Treatment #Prophylaxis #Early #Late #Curbsiders
Excoriated papules with honey-colored crusting were present on the abdomen, back (Panel A), arms, and legs. Finally, skin scrapings from several web spaces on the hands (scabies preparation) showed a mite under light microscopy (Panel B). #Clinical #Derm #Pathology #Scabies #Microscopy #Rash #NEJM
#Clinical #InfectiousDisease #Measles #Rash #BMJ
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