Physician Assistant Exam Review

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S2 E072 Wrapping up EENT Jun 16, 2020

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Parotitis/Sialadentitis Painful swelling of the parotid one or both parotid glands Cause Viral infection Historically the number one cause was the mumps Parainfluenza and Epstein barr are the most common HIV Bacterial infection Staph Aureus is the most common bacteria Autoimmune disease Sjogrens Blockage Stone Mucus plug Dehydration Clinical Presentation Facial swelling Facial pain Difficulty […]

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S2 E071 Throat and Mouth Infections and Inflammation Jun 02, 2020

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Oropharyngeal Infections/Inflammatory disorders Aphthous ulcers (Canker sore) Round ulcer on oral mucosa Unknown etiology Clinical Presentation Small open sore in the mouth The sore is yellow or white Labs, Studies and Physical Exam Findings Clinical diagnosis Treatment Self limiting ½ hydrogen peroxide or chlorhexidine mouthwash Corticosteroids Oral candidiasis (Thrush) Yeast infection of the mouth 50% […]

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S2 E70 The Nose and Sinuses May 19, 2020

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Acute/chronic sinusitis An inflammation/infection of the sinuses Typically secondary to an upper respiratory infection or seasonal allergies Most common pathogens Strep pneumoniae Haemophilus Influenzae Moraxella catarrhalis Staph aureus Predisposing Factors Anything that obstructs drainage from the sinuses Smoking – (decreases movement of cilia) Deviated septum Cystic fibrosis Large adenoids Clinical Presentation I’ve had a cold […]

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S2 E069 Inner Ear and Hearing Loss May 05, 2020

Show notes

Acoustic Neuroma (Vestibular Schwannoma) Slow growing benign tumor of the vestibulocochlear nerve, CN VIII Occurs in males and females equally Most often found in those between the ages of 50 and 60. The are the most common intracranial tumor Clinical Presentation Sudden onset of unilateral hearing loss that is then slowly progressive Episodic or continuous […]

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S2 E068 External and Inner Ear from the PANCE Blue Print Apr 21, 2020

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External Ear Cerumen Impaction Ear wax built up in the external ear canal Cerumen can be impacted by the patients use of a cotton swab Clinical Presentation Routine office visit Progressive hearing loss Labs, Studies and Physical Exam Findings Otoscope exam reveals cerumen in the ear canal Hearing test comparing both ears Treatment Solvents may […]

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S2 E067 Failing PA School Apr 07, 2020

Show notes

This week I’m bringing you an amazing person and an amazing interview. The interview with Alana in Episode 061 about her first failing and then passing her PANCE was so good I decided to put together another interview. This week, for the second ever interview on the PAER podcast, I have an amazing member of […]

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S2 E066 COVID-19 and the Eyeball Mar 24, 2020

Show notes

Vascular disorders Retinal Artery Occlusion Causes & Predisposing Factors Clot Sclerosis HTN DM Atrial Fibrillation Temporal arteritis Clinical Presentation ACUTE vision loss Partial Complete NO PAIN Labs, Studies and Physical Exam Findings Fundal exam Optic atrophy Pale disc Cherry red spot – its actually that the rest of the retina is pale Boxcarring- narrowing of […]

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S2 E065 Eye and Trauma and Subconscious Study Cues Mar 10, 2020

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Blowout Fracture A fracture of the orbit Clinical Presentation “I got my face smashed in!” Ecchymosis Difficulty with vertical eye movement Diplopia Infraorbital anesthesia secondary to trauma to the infraorbital nerve Swelling Subconjunctival hemorrhage Labs, Studies and Physical Exam Findings X-ray – orbital floor fracture may show Teardrop sign. This is herniated orbital contents. Get […]

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S2 E064 Nystagmus and Retinal issues for the PANCE Feb 25, 2020

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Neuro-Ophthalmologic Disorders Nystagmus An involuntary rhythmic eye movement Patient is usually unaware that it’s happening, but may have blurred vision Causes Congenital neurological problem Trauma Stroke Multiple Sclerosis Inner ear inflammation Alcohol Sudden head movements Looking out a train window etc Clinical Presentation Dizziness/Vertigo N/V Involuntary rhythmic eye movement Up and down Side to side […]

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S2 E063 The Eyeball Part 2 for the PANCE Feb 11, 2020

Show notes

Blepharitis An infection of the eyelid Acute blepharitis is most commonly caused by Staph May be viral Seborrheic dermatitis or acne rosacea can also cause blepharitis Clinical Presentation Eyelid Loss of eyelashes Red Itchy Burning Scaly Swollen Labs and Studies Slit lamp Treatment Seborrheic dermatitis Clean off scales from Warm wet washcloth with a mild […]

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