What are the 4 forms of peripheral cold related injuries?,”Chillblains – dry cold injury from repeated exposure, young females with Reynaud’s most at risk, presents as pruritus and edemaTrench Food – wet cold, after warming skin remains erythematous and dry, painful to touch, with bullae and liquefaction gangreneFrostnip – superficial, like first degree burn, does not have tissue destructionFrostbite – tissue destruction, mottled or violaceous-white

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What are the 3 common concerning bacteria in animal bites? Which mammals have them?,”1. Pasteurella multocida – Gram negative, found in all organisms, leads to septicemia, osteomyelitis, tenosynovitis, meningitis2. Capnocytophaga canimorsus – Gram negative, normal flora in dogs and cats, commonly leads to overwhelming sepsis, multisystem failure, and DIC, 25% fatality3. Eikenella corrodens – anaerobic gram negative

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What are absolute contraindications to estrogen therapy?,”Top-down anatomical approach: Neuro – Migraine WITH focal neurological symptomsVascular1. Smoker > 35 yo2. HTN (sBP > 160, dBP > 100)3. DM with micro/macrovascular complications4. Clots – Hx of VTE, CVA, ischemic heart diseaseBreasts1. Postpartum (<6 weeks and breast feeding)2. Breast CancerLiver - Cirrhosis

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