We're here to provide you short & sweet PANCE review to help you PASS your exam. Today we'll be covering symptoms, diagnosis, and management of inflammatory bowel disease, appendicitis, diverticular disease, IBS, and more. For a complete copy of the show notes including today's take away points, please visit https://pastudysesh.blubrry.net/bowelpart2

We're here to provide you short & sweet PANCE review to help you PASS your exam. Today we'll be covering symptoms, diagnosis, and management of bowel obstruction, intussusception, colon cancer, and Hirschsprung Disease. For a complete copy of the show notes including today's take away points, please visit https://pastudysesh.blubrry.net/bowelobstruction

We're here to provide you short & sweet PANCE review to help you PASS your exam. Today we'll be covering symptoms, diagnosis, and management PUD, gastritis, gastric neoplasms, and pyloric stenosis. For a complete copy of the show notes including today's take away points, please visit https://pastudysesh.blubrry.net/stomach

As always, we're here to provide you with the key blueprint information to help you PASS your PANCE. For full show notes, including my mnemonics and Take Away Points, please visit: https://pastudysesh.blubrry.net/esophagus

So you're procrastinating studying for the PANCE by scrolling through your Facebook Feed and there it is, another "Happy to announce that I'll be working for ______ as a PA!" post. As graduation inches closer, it seems to be all there is. You want to be happy for your classmates, but what you're really thinking is: why can't I find a job?. I want to share with you my experiencing in finding my first job after graduation and assure you that you are not alone in this feeling and that everything...

As always, we're here to provide you with the key blueprint information to help you PASS your PANCE. For full show notes, including my mnemonics and Take Away Points, please visit: https://pastudysesh.blubrry.net/carditis

Disclaimer: new guidelines as of late 2017 Unlikely to be reflected on PANCE yet. New BP Guidelines: Elevated: 120-129/ 80 Stage 1: 130-139/80-89 Stage 2: 140+/90+ Hypertensive crisis: 180+/120+ with patients needing prompt changes in medication if there are no other indications of problems, or immediate hospitalization if there are signs of organ damage. Medication for Stage 1 only if high ASCVD risk (same calculator used in prescribing statins)   Now Back to the...

This episode is less about boards, more about being thorough and thinking about how to process an EKG systemically in order to not miss something. For boards, it’s ok to jump to what is glaring at you. No questions or take away points associated with this podcast. As promised, here is my EKG Cheatsheet! Evidence of a … Continue reading Back to Basics: EKG Interpretation →

On this week’s episode, we will be attacking heart failure and finishing off cardiomyopathies. Check out the congenital heart disease episode for information regarding hypertrophic cardiomyopathy here. Heart Failure Systolic vs diastolic Systolic #1 Heart isn’t strong enough to pump blood Decreased ejection fraction (aka HFrEF) Thin ventricular walls Dilated ventricles + S3 (passive ventricular … Continue reading Heart Failure →

On this week’s episode, we’ll be discussing vascular disorders. Please note that we’ll be discussing arteriovenous malformations in the neurology chapter. Peripheral artery disease Pain in lower extremities increased with exercise, relieved with rest Called claudication Imagine angina for the legs Most commonly in the calf Physical exam Decreased pulses Decreased cap refill Atrophic skin … Continue reading Vascular Disorders →

Coronary Artery Disease Atherosclerosis #1 cause Fatty streak formation: lipid deposition in white blood cells=1ststep Risk Factors: Diabetes Smoking Hyperlipidemia HTN Male Age (>45 men >55 women) Family Hx Stable Angina Chest pain Substernal Poorly localized Exertional Radiation to arm, teeth, lower jaw Typically 1-5 minutes, but less than 30 by definition Relieved with rest … Continue reading Coronary Heart Disease →

Heart murmurs continue with congenital heart diseases. Ventricular Septal Defect #1 type of congenital heart disease Loud, high-pitched harsh, holosystolic murmur at LLSB Typically a left to right shunt (restrictive) May switch to right to left 2/2 pulmonary HTN (non-restrictive) “Eisenmenger’s syndrome” Dx: echocardiogram Tx: Observe if small Most close by age 10 Surgery Symptomatic … Continue reading Congenital Heart Disease →

During this week’s episode, we’ll be discussing valvular disorders, in essence, heart murmurs. Systole=ventricles contracting Diastole=ventricles relaxing & refilling S1=beginning of systole. AV valves (mitral & tricuspid) are closing. “lub” S2=end of systole. Semilunar valves closing (aortic & pulmonic) “dub” Lub, dub, rest, lub, dub, rest   Murmur Accentuation Maneuvers The following applies to all … Continue reading Valvular Disorders →

This week on PA Study Sesh we are starting the cardio chapter and discussing conduction disorders. Sinus Arrhythmia Appears as normal sinus rhythm, but rhythm is irregular Normal variant INcreases during INspiration Sinus bradycardia 100BPM Tx: Vagal maneuvers, adenosine, bblockers, CCB, Digoxin (ABCDs) … Continue reading Conduction Disorders →

This week on PA Study Sesh, we’ll learn about Rheumatology. A note about ANA, RF, ESR, CRP ANA: Antinuclear antibodies Shows antibodies against self Can be positive in healthy people Also induced by certain drugs & cancers NONSPECIFIC CRP: C-reactive protein Produced in the early stages of inflammatory process. NONSPECIFIC ESR: erythrocyte sedimentation rate “sed … Continue reading Rheumatology →

This week on PA Study Sesh, we will talk disorders of the hip as well as a hodgepodge of other orthopedic topics. Pelvic Fx: High impact or osteoporotic CT scan= gold standard Tx: pelvic binder & specialist consult Hip Fx: Osteoporotic women common Externally rotated, Abducted,(first 2 are opposite a dislocation) shortened limb: BREAKS Groin … Continue reading Hip Disorders & Ortho Hodgepodge →

This week on PA Study Sesh, we’ll be covering disorders of the spine and demystifying the dermatomes. Cauda Equina SURGICAL EMERGENCY Symptoms Urinary/bowel retention/incontinence Saddle anesthesia Decreased anal sphincter tone (no anal wink) Tx: steroids (decrease inflammation) and emergent surgery Spinal stenosis (pseudoclaudication) Narrowing of spinal canal > 60 y.o. (but can be congenital) low … Continue reading Spine →

This week on PA Study Sesh we will be discussing disorders of the foot and ankle, bone tumors, and compartment syndrome. Ankle Dislocation Most commonly posteriorly (calcaneus goes posterior) Risk to peroneal n Sx: foot drop Tx: closed reduction & posterior splint Ankle Sprain MOI: inversion Anterior talofibular ligament (ATFL) #1 Eversion injury = deltoid … Continue reading Foot & Ankle; Compartment Syndrome; Neoplastic Disease →

This week on PA Study Sesh, we will be covering disorders of the knee and proximal tibia. Medial and lateral collateral ligament injuries (MCL & LCL) MCL=valgus stress LCL= varus stress MCL more common than LCL injury Grade I & II (sprain & incomplete tear)= conservative Grade III (complete) = surgical ACL (anterior cruciate ligament) … Continue reading Knee Disorders →

This week on PA Study Sesh, we will be finishing the upper extremity. Supracondylar fx MOI: FOOSH with hyperextended elbow Kids 5-10 X-Ray: Normal: anterior humeral line must intersect capitulum (lateral view) May still be in alignment with fx Fat Pad sign=refer Anterior to humerus = sometimes normal Posterior to humerus = always abnormal Darkness=blood … Continue reading Elbow to Phalanges →

Welcome to PA Study Sesh! We will be kicking off with orthopedics, starting with disorders of the shoulder and upper arm. * Shoulder Dislocation * Anterior #1 * Presents abducted, externally rotated. “Squared off” shoulder * Opposite of a hip * Light SABER * Posterior: adducted internally rotated * Usually associated with seizures or ECT * Sulcus sign: sulcus near the acromion. May occur while patient rested, otherwise, can be elicited with pulling arm downward *...

What to expect from PA Study Sesh.