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USMLE Step 1 Buzzwords Buzzwords that should ring a bell in USMLE Step 1 exam.


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  #1  
Old 11-08-2009
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Skin Palms and Soles Rash

You might face a case in which there's a rash in the palms and soles, what diagnoses that you should be thinking of for the USMLE?

Here's the list
  • Secondary and Congenital Syphilis with it's characteristic Copper colored rash.
  • Rocky Mountain Spotted Fever (specially on the wrists) and also Typhus.
  • Hand, Foot, and Mouth Disease caused by Coxsackie A virus.
  • Kawasaki, Measles, or Toxic Shock Syndrome (all peeling rashes).
  • Meningococcemia may cause petichiae on the palms and soles.
  • Bacterial endocarditis with it's Janeway lesions and Osler's nodes.
  • Tylosis (risk of esophageal carcinoma)
  • Keratoderma blenorrhagica (Reiter's syndrome)
  • Graft Versus Host Disease rash.

Last edited by Sabio; 07-14-2010 at 01:51 PM.
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  #2  
Old 11-16-2009
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Probably we can add Acral lentiginous melanoma to the list
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  #3  
Old 07-21-2015
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Default acute HIV

Quote:
Originally Posted by Sabio View Post
You might face a case in which there's a rash in the palms and soles, what diagnoses that you should be thinking of for the USMLE?

Here's the list
  • Secondary and Congenital Syphilis with it's characteristic Copper colored rash.
  • Rocky Mountain Spotted Fever (specially on the wrists) and also Typhus.
  • Hand, Foot, and Mouth Disease caused by Coxsackie A virus.
  • Kawasaki, Measles, or Toxic Shock Syndrome (all peeling rashes).
  • Meningococcemia may cause petichiae on the palms and soles.
  • Bacterial endocarditis with it's Janeway lesions and Osler's nodes.
  • Tylosis (risk of esophageal carcinoma)
  • Keratoderma blenorrhagica (Reiter's syndrome)
  • Graft Versus Host Disease rash.
Acute HIV rash may involve palms and soles
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  #4  
Old 11-25-2015
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That was an really impressive post and i like that.
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  #5  
Old 02-28-2016
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thanks for sharing the list
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  #6  
Old 09-10-2016
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Angry Sorry I beg to differ minutely

Dear author, you did a great compilation .I differ with you minutely .Not undermining your hard work at all . I am of the opinion that
Typhus in itself does not present as palm ,soles, face rash .
How do we clinically differentiate between Rickettsia and Typhus then ?
It is by the appearance of the rash :
Rickettsia rickettsi (RMSF) first appears in wrists and ankles ,spreads centrally towards the trunk ,involving palms and soles.
Rickettsia typhi/prowazeki (endemic/epidemic TYPHUS) first appears in the trunk and spreads out sparing palms and soles.
Hence Typhus is not a d/d for palm and sole rash .
Please correct me if I am wrong with reference .My reference is FA2015
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Old 12-28-2016
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Thank you for this!!!
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  #8  
Old 01-26-2017
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YEs!!!

Thank you ever so much
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Medical Matins: Medical Symbols This thread Refback 02-11-2014 01:54 PM
Medical Matins: Medical Symbols This thread Refback 11-26-2013 07:48 PM

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