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\author{loucust}
\pdfinfo{
  /Title (pance-personal-quick-refernce.pdf)
  /Creator (Cheatography)
  /Author (loucust)
  /Subject (PANCE Personal Quick Refernce Cheat Sheet)
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    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{PANCE Personal Quick Refernce Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{loucust} via \textcolor{DarkBackground}{\uline{cheatography.com/38415/cs/11976/}}}
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\noindent
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}loucust \\
  \uline{cheatography.com/loucust} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 2nd June, 2017.\\
   Page {\thepage} of \pageref{LastPage}.
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  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{2.28942 cm} x{2.68758 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Peds Extra}}  \tn
% Row 0
\SetRowColor{LightBackground}
Normal weight & 2500-4200 grams \tn 
% Row Count 1 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.89586 cm} x{4.08114 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Immunization Schedule}}  \tn
% Row 0
\SetRowColor{LightBackground}
Birth & Hep B (B for Birth) \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
2 months & Everything else. Rota, DTAP, HiB, pneumococcal, polio. \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
12 months & Live vaccines. MMR, varricella. Also Hep A \tn 
% Row Count 5 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.96071 cm} p{0.79363 cm} x{1.2531 cm} x{1.16956 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{5.377cm}}{\bf\textcolor{white}{APGAR}}  \tn
% Row 0
\SetRowColor{LightBackground}
 & 0 points & 1 point & 2 points \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Activity & Absent & Flexed limbs & Active \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Pulse & Absent & \textless{}100 bpm & \textgreater{}100bpm \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
Grimace & Floppy & Minimal & Prompt \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\seqsplit{Appearance} & \seqsplit{Blue/Pale} & Pink/Blue ext. & Pink \tn 
% Row Count 7 (+ 2)
% Row 5
\SetRowColor{white}
\seqsplit{Respiration} & None & Slow & Vigourous Cry \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.89586 cm} x{4.08114 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Milestones}}  \tn
% Row 0
\SetRowColor{LightBackground}
6 months & Sit by self. Babbles. Reaches/self feeds \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
12 months & First word. Walks. \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
24 months & 2-word sentences. Kicks ball. Potty training starts. \tn 
% Row Count 6 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.18988 cm} x{2.78712 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{GI}}  \tn
% Row 0
\SetRowColor{LightBackground}
Eosinophilic Esophagitis & Concentric esophageal rings. Dilation + PPI. \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Achalasia & Solids +liquid dysphagia. Manometry to confirm. Tx: Botox -\textgreater{} myotomy. \tn 
% Row Count 6 (+ 4)
% Row 2
\SetRowColor{LightBackground}
GERD Mgmt & 4 week PPI trial -fails-\textgreater{} EGD -fails-\textgreater{} 24h Acid study to eval for surgery. \tn 
% Row Count 10 (+ 4)
% Row 3
\SetRowColor{white}
H Pylori & Dx: Serology/urea breath test. Confirm with stool antigen. \tn 
% Row Count 13 (+ 3)
% Row 4
\SetRowColor{LightBackground}
PUD vs DUD & PUD usu lose wt. DUD gain, because pain improves c food. \tn 
% Row Count 16 (+ 3)
% Row 5
\SetRowColor{white}
\seqsplit{Zollinger-Ellison} Syndrome & Secretin test to confirm. Present with recurrent PUD, lots of ulcers w/o cause. \tn 
% Row Count 20 (+ 4)
% Row 6
\SetRowColor{LightBackground}
Conjugated bili vs unconjugated & Unconjugated is pre-liver bili (hemolysis). Post-liver bili is like billiary obstruction. \tn 
% Row Count 25 (+ 5)
% Row 7
\SetRowColor{white}
Pancreas imaging is CT. & Not U/S. \tn 
% Row Count 27 (+ 2)
% Row 8
\SetRowColor{LightBackground}
Viral Hepatitis & ALT super high. ALT\textgreater{}AST by x20 \tn 
% Row Count 29 (+ 2)
% Row 9
\SetRowColor{white}
EtOH Hepatitis & AST \textgreater{} ALT \tn 
% Row Count 30 (+ 1)
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\begin{tabularx}{5.377cm}{x{2.18988 cm} x{2.78712 cm} }
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{GI (cont)}}  \tn
% Row 10
\SetRowColor{LightBackground}
NASH & ALT \textgreater{} AST by x2 \tn 
% Row Count 1 (+ 1)
% Row 11
\SetRowColor{white}
Hep B e Ag & + means Active \tn 
% Row Count 2 (+ 1)
% Row 12
\SetRowColor{LightBackground}
Hep C & Test if born b/t 1945-65 \tn 
% Row Count 4 (+ 2)
% Row 13
\SetRowColor{white}
Crohn's & String sign. Cobblestoning. Fistula (b/c transmural). SB CA risk. 5-ASA -\textgreater{}Azothiaprine. Low B-12 possible. \tn 
% Row Count 9 (+ 5)
% Row 14
\SetRowColor{LightBackground}
Ulcerative Colitis & Perforation/toxic megacolon. Colon CA risk. Tx: 5-ASA. \tn 
% Row Count 12 (+ 3)
% Row 15
\SetRowColor{white}
Lynch Syndrome & CEO= Colorectal, endometrial, ovarian CA. \tn 
% Row Count 14 (+ 2)
% Row 16
\SetRowColor{LightBackground}
Anal fissure & Posterior midline most common., \tn 
% Row Count 16 (+ 2)
% Row 17
\SetRowColor{white}
Colon CA Screening & 50 for all. 45 blacks. -10 yrs first relative or norm. +8 yrs from IBD dx. \tn 
% Row Count 20 (+ 4)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Cord syndrome}}  \tn
% Row 0
\SetRowColor{LightBackground}
Anterior Cord Syndrome & Bilateral loss of motor + pain/temp. Keep vib/proprioception. \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Central Cord Syndrome & Deficits in Upper ext \textgreater{} Lower ext \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Posterior Cord Syndrome & Bilateral vibration and Proprioception loss \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
Brown-Sequard Syndrome & Ipsilateral vib/proprio + motor loss. Contralateral pain/temp loss. \tn 
% Row Count 10 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{TTP vs ITP vs DIC}}  \tn
% Row 0
\SetRowColor{LightBackground}
TTP & Schistocytes. Hemolytic Anemia. Fever. Neuro changes. \seqsplit{AKI/proteinuria/hematuria}. Abd pain(elevated lipase/amylase) \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
ITP & Thrombocytopenia only. IgG. \tn 
% Row Count 5 (+ 1)
% Row 2
\SetRowColor{LightBackground}
DIC & Evidence of bleeding AND clotting. \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\begin{tabularx}{5.377cm}{x{1.69218 cm} x{3.28482 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Murmurs}}  \tn
% Row 0
\SetRowColor{LightBackground}
ASD & Fixed split S2 \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
PDA & Continous machine-like \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Mitral valve prolapse & Mid systolic click \tn 
% Row Count 4 (+ 2)
% Row 3
\SetRowColor{white}
Mitral stenosis & Opening snap. Loud S1. (Stenosis-Snap-S1). Otherwise, low pitched/rumbling and very quiet. \tn 
% Row Count 8 (+ 4)
% Row 4
\SetRowColor{LightBackground}
Mitral Regurg & Radiate to back. \tn 
% Row Count 9 (+ 1)
% Row 5
\SetRowColor{white}
Aortic stenosis & Ejection click \tn 
% Row Count 11 (+ 2)
% Row 6
\SetRowColor{LightBackground}
Valsalva & Decrease murmurs except HCM/MVP. \tn 
% Row Count 13 (+ 2)
% Row 7
\SetRowColor{white}
Aortic Regurg & Any pulse with a name. Wide pulse pressures. \tn 
% Row Count 15 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\begin{tabularx}{5.377cm}{x{4.18068 cm} p{0.79632 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{CHADSVASc}}  \tn
% Row 0
\SetRowColor{LightBackground}
Risk Factors & Score \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
CHF & 1 \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
HTN & 1 \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
Age \textgreater{}=75 & 2 \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Age \textgreater{}=65 & 1 \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
DM & 1 \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\seqsplit{Stroke/TIA/thrombo-embolism} & 2 \tn 
% Row Count 7 (+ 1)
% Row 7
\SetRowColor{white}
Vascular Dz & 1 \tn 
% Row Count 8 (+ 1)
% Row 8
\SetRowColor{LightBackground}
Sex - Female & 1 \tn 
% Row Count 9 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\begin{tabularx}{5.377cm}{x{1.89126 cm} x{3.08574 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Stroke}}  \tn
% Row 0
\SetRowColor{LightBackground}
Anterior Cerebral Artery & Leg deficits \textgreater{} arm. Poor response to sudden sounds. Lack of concern. \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
MCA & Arm deficits \textgreater{} lg. Bilateral hemiopsia. Aphasia. \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\seqsplit{Vertebrobasilar} & Bilateral symmetrical deficits. Ataxia/vertigo. \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
PCA & EOM loss. Visual hallucination. \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
tPA & \textless{}4.5 hrs \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
Extra: Carotid occlusion & Gaze deviates toward infarcted hemisphere. \tn 
% Row Count 12 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{0.84609 cm} x{4.13091 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Arrhythmia}}  \tn
% Row 0
\SetRowColor{LightBackground}
SVT & Adenosine. Cardiovert-unstable. \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Afib & BB/CCB. Cardiovert-unstable. \textless{}150 bpm; differs from SVT. \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
V tach & Amiodarone. Cardiovert-unstable. \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\seqsplit{Torsades} & Mg. Cardiovert-unstable. \tn 
% Row Count 6 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Afib Tx & If \textless{}48h old - Cardiovert. If \textgreater{}48h, TTE to see if valvular then anticoagulate -\textgreater{} TEE -\textgreater{} Cardiovert -\textgreater{} More anticoagulation. \tn 
% Row Count 10 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{ENT/Optho}}  \tn
% Row 0
\SetRowColor{LightBackground}
BPPV & Lasts 1 minute or less \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Labrinthitis & Lasts days to a week. Hx of viral infection. Tx: Steroids. \tn 
% Row Count 5 (+ 3)
% Row 2
\SetRowColor{LightBackground}
Meniere's Dz & Triad: Episodic vertigo + SNHL + Tinnitus. Tx: Diuretics + life style changes/Sx control. \tn 
% Row Count 10 (+ 5)
% Row 3
\SetRowColor{white}
Otosclerosis & FHx of hearing loss. Bilateral but asymmetrical. Refer. \tn 
% Row Count 13 (+ 3)
% Row 4
\SetRowColor{LightBackground}
Acoustic Neuroma/Vestibular Schwannoma & Unilateral SNHL +/- Tinnitus. Tx: Surg. \tn 
% Row Count 15 (+ 2)
% Row 5
\SetRowColor{white}
Iritis/Uveitis & Cell/Flare (WBC in ant chamber) or hypopion (wbc meniscus) \tn 
% Row Count 18 (+ 3)
% Row 6
\SetRowColor{LightBackground}
Hordeolum/Stye & Painful and red. Meibomian gland infect. \tn 
% Row Count 20 (+ 2)
% Row 7
\SetRowColor{white}
Chalazion & Painless, not red. If friable, consider CA. \tn 
% Row Count 23 (+ 3)
% Row 8
\SetRowColor{LightBackground}
Cataracts & Halo around lights. Worse at night. Tx: glasses -\textgreater{} Surg. \tn 
% Row Count 26 (+ 3)
% Row 9
\SetRowColor{white}
Macular degen & Central vision loss. Drusen (yellow spots on macula). Scotoma. \tn 
% Row Count 30 (+ 4)
\end{tabularx}
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\vfill
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\begin{tabularx}{5.377cm}{x{2.43873 cm} x{2.53827 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{ENT/Optho (cont)}}  \tn
% Row 10
\SetRowColor{LightBackground}
Retinal Detachment & Pulling the shade \tn 
% Row Count 1 (+ 1)
% Row 11
\SetRowColor{white}
Hypertensive retinopathy & AV nicking \tn 
% Row Count 3 (+ 2)
% Row 12
\SetRowColor{LightBackground}
Retinal artery occlusion & Cherry red on macula \tn 
% Row Count 5 (+ 2)
% Row 13
\SetRowColor{white}
Retinal vein occlusion & Diabetic. Cotton wool spots. Blurry when waking up. \tn 
% Row Count 8 (+ 3)
% Row 14
\SetRowColor{LightBackground}
Papilledema & Increased ICP. Loss of venous pulsations. No vision changes. \tn 
% Row Count 11 (+ 3)
% Row 15
\SetRowColor{white}
Hyphema & Sleep sitting up (avoid staining). Eye shield and refer. \tn 
% Row Count 14 (+ 3)
% Row 16
\SetRowColor{LightBackground}
Optic neuritis & Acute red/green color loss. Painful EOM. Loss of vision. Assoc with MS. \tn 
% Row Count 18 (+ 4)
% Row 17
\SetRowColor{white}
Marcus Gunn & +Swining flashlight test. \tn 
% Row Count 20 (+ 2)
% Row 18
\SetRowColor{LightBackground}
Glaucoma & Acute - Anhydrase inhib (ex. acetazolamide). Chronic - topical BB. \tn 
% Row Count 24 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Overall perm blindness in US - Macular degen. \newline \textless{}65 yo perm blindness  - DM \newline Black blindness - Glaucoma}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.53827 cm} x{2.43873 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Heme}}  \tn
% Row 0
\SetRowColor{LightBackground}
Thalassemia & Target cells \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
Sideroblastic anemia & Basophilic stipping. \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Folate deficiency & Howell-Jolly bodies. \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
B12 Def. & +Schillings test. \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
G6PD & Heinz bodies. \tn 
% Row Count 7 (+ 1)
% Row 5
\SetRowColor{white}
Hereditary spherocytosis & Osmotic fragility test. \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.9908 cm} x{2.9862 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Cancer Markers/Mutations + extra}}  \tn
% Row 0
\SetRowColor{LightBackground}
Polycythemia Vera & JAK2 mutation. Itchy after showers. \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Primary \seqsplit{thrombocythemia.} & Tx: hydroxyurea \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
CML & WBC \textgreater{} 150 + thrombocytosis + anemia \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
CLL & Smudge cells. Most common leukemia. B-cell most common. \tn 
% Row Count 9 (+ 3)
% Row 4
\SetRowColor{LightBackground}
AML & Auer rods. Kids. Better prognosis than ALL. \tn 
% Row Count 11 (+ 2)
% Row 5
\SetRowColor{white}
ALL & Pancytopenia with circulation blasts. \tn 
% Row Count 13 (+ 2)
% Row 6
\SetRowColor{LightBackground}
Multiple myeloma & Bence-Jones. Osteolytic bone lesions. New AKI + compression fx. 3 No's: No fever. No ALP incr. No splenomegaly. \tn 
% Row Count 18 (+ 5)
% Row 7
\SetRowColor{white}
Hodgkins Lymhoma & Reed-Sternberg. Assoc with EBV. \tn 
% Row Count 20 (+ 2)
% Row 8
\SetRowColor{LightBackground}
Primary biliary cholangitis & +AMA \tn 
% Row Count 22 (+ 2)
% Row 9
\SetRowColor{white}
Autoimmune Hepatitis & +ASMA (anti-smooth muscle) \tn 
% Row Count 24 (+ 2)
% Row 10
\SetRowColor{LightBackground}
Autoimmune Pancreatitis & Elevated IgG4 \tn 
% Row Count 26 (+ 2)
% Row 11
\SetRowColor{white}
Pancreatic CA & CA 19-9 \tn 
% Row Count 27 (+ 1)
% Row 12
\SetRowColor{LightBackground}
Liver CA & AFP \tn 
% Row Count 28 (+ 1)
% Row 13
\SetRowColor{white}
Colon CA & CEA \tn 
% Row Count 29 (+ 1)
% Row 14
\SetRowColor{LightBackground}
Celiac Sprue & Anti-endomysial. Anti-tTG. Total IgA. Biopsy for Dx. \tn 
% Row Count 32 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Hemochromatosis = transferritin \textgreater{}65\% \newline Tx of Wilson's dz - penicillamine}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{GCS}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{5.377cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/loucust_1496354453_GCS.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.74195 cm} x{3.23505 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Extra Neuro}}  \tn
% Row 0
\SetRowColor{LightBackground}
Tx of Tourettes & Pimozide -\textgreater{} Haldol. \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Acute Tx of MS & Steroids \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Tx of mysthenia gravis & \seqsplit{Pyridostigmine/anticholinesterate} inhibs \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
CN & On Old Olympus Tower Tops A Fin and German Viewed Some Hops \tn 
% Row Count 8 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.23965 cm} x{2.73735 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Ortho}}  \tn
% Row 0
\SetRowColor{LightBackground}
MUGR & Monteggia's - prox Ulnar fx. Galeazzi's - distal Radial fx. \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Colles - CD & Dorsal angulation \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
Smith's & Volar angulation \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
Boutonniers and Swan fx & At PIP \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Sag sign & PCL tear \tn 
% Row Count 8 (+ 1)
% Row 5
\SetRowColor{white}
Knee effusion after 6 hours & Meniscal tear \textgreater{} ACL. ACL has it early. \tn 
% Row Count 10 (+ 2)
% Row 6
\SetRowColor{LightBackground}
Patellofemoral Syndrome & Adolescent female. Pain c walking stairs and going seated to standing. \tn 
% Row Count 14 (+ 4)
% Row 7
\SetRowColor{white}
Legg Calve-Perthes & \textless{}12 yo hip avascular necrosis. \tn 
% Row Count 16 (+ 2)
% Row 8
\SetRowColor{LightBackground}
Slipped Capital Femoral Epiphysis & Teenager. Fat. \tn 
% Row Count 18 (+ 2)
% Row 9
\SetRowColor{white}
SALTR & Separated. Above. Lower. Through/three. Rammed. \tn 
% Row Count 21 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}