152
Helicobacter pylori - Newest triple therapy is proton pump inhibitor, clarithromycin, and either amoxicillin or metronidazole.
167
Herpesviruses - CMV - "owl's eye inclusions" are the Cowdry type A inclusions.
168
RNA viruses - Reovirus - Coltivirus is the viral genus responsible for Colorado tick fever. Genus Coltivirus is a member of the Reovirus family.
168
RNA viruses - Paramyxoviruses - In cases of infants with RSV, please know it is recommended NOT to use ribavirin.
169
Yellow fever - replace symptom of "black vomitus" with "hemorrhagic disease" which manifests in different manners including coffee-ground emesis (black vomitus), hematuria, epistaxis, and ecchymosis.
178
UTI bugs - Leukocyte esterase - positive indicates the presence of leukocytes and general inflammation which is present in bacterial infection but may also be present in other situations.
198
Antibiotics to avoid in pregnancy - Erythromycin should be removed from this list as it is a class B in pregnancy. More specifically, erythromycin estolate should be avoided only in patients with current liver disease (not pregnancy) because of its potential for worsening liver damage.
229
Oncogenic microbes - EBV also can cause Hodgkin's lymphoma and oral hairy leukoplakia
229
Paraneoplastic effects of tumors - Erythropoietin elevation resulting in polycythemia may also be seen in hepatocellular carcinoma and pheochromocytoma (in addition to the already-listed renal cell carcinoma and hemangioblastoma).
239
Muscarinic antagonists - remove "pirenzepine" from the section. This drug is not available in the US; therefore, it is not likely to be on the USMLE.
275
Bacterial endocarditis - (last sentence of section) Strep. bovis is found in 15% of colon cancer patients and can cause endocarditis (also see on FA p146).
276
Cardiac tamponade - cross through Kussmaul's pulse. Pulsus paradoxus seen in cardiac tamponade is different and distinct from Kussmaul's sign (JVD with inspiration) seen in constrictive pericarditis.
296
Cushing's syndrome - (right margin) The upward arrows may confuse the reader into thinking that dexamethasone will elevate cortisol levels in those scenarios. It would be more accurate to replace all of the upward arrows in the margin with "unchanged cortisol" or "no change in the abnormally elevated cortisol."
310
Digest tract anatomy – Muscularis mucosae is misspelled in the illustration as “Mucularis mucosae.”
333
Wilson's disease - remove "Choreiform movements" from the list of characteristic Wilson's features. Next to "Dementia," add Dyskinesia and Dysarthria.
335
Acute pancreatitis - Chronic calcifying pancreatitis section should refer the reader to Image #118.
353
Lab values in anemia - add 2 up arrows to the row for the serum Fe/TIBC ratio under the anemia of chronic disease column. One of the most common scenarios when the Fe/TIBC ratio is used is in determining whether a microcytic anemia is due to iron deficiency or anemia of chronic disease.
363
Aspirin - cross reference to additional section on Aspirin found on FA p391.
384
Pseudogout - can be treated with either colchicine or NSAIDs.
428
Primary brain tumors –medulloblastomas do not have "perivascular pseudorosettes" but do have "Homer-Wright rosettes."
449
Keeping "schizo-" straight - Schizoid + odd thinking does NOT equal schizotypal Schizoid and schizotypal are two distinct personality disorders discussed on FA p448.
450
Alcohol - Intoxication - Alcohol intoxication is not treated with naltrexone; however, naltrexone has been proven to be useful in relapse prevention.
452
Treatment for psych - Anorexia/bulimia - Cross-out anorexia because while bulimia responds well to SSRI therapy, anorexia nervosa does not.
475
ACE Inhibitors - In the toxicity section change "Proteinuria" to "Proteinuria prevention"
485
Sex chromosome disorders - Turner's syndrome incidence is "1:3000".
493
Malignant breast tumors - Additional risk factors for breast cancer include female gender, age, early first menarche, not becoming pregnant before age 30, late menopause, breast cancer in a first degree relative, BRCA gene mutation, and prior breast cancer.
496
Penile pathology - Erythroplasia of Queyrat is not "similar to Bowen's disease" but rather "a form of Bowen's disease"
508
Alveolar gas equation - PACO2/R and PACO2/0.8 should both be Pa, rather than PA
522
"Worst headache of my life" - To further clarify, the most common cause of spontaneous, nontraumatic SAH is a ruptured berry aneurysm.
527
The most common infratentorial brain tumor in kids is astrocytoma > medulloblastoma > ependymoma.
529
HLA-B27 - Add in Psoriatic Arthritis and Inflammatory Bowel Disease to the list. PAIR is the mnemonic to remember these.