Indexed according to 2025 PANCE Blueprint

PANCE-Blueprint.pdf

Cardiovascular system (11%)

Cardiomyopathy Dilated Hypertrophic Restrictive Stress

**Conduction disorders/dysrhythmias** Atrial fibrillation Atrial flutter

Atrial tachycardias

****Ectopic atrial tachycardia

Multifocal atrial tachycardia

Atrioventricular block

****1st Degree AVB

2nd Degree AVB Type 1

[2nd Degree AVB   Type 2](<https://xmind.ai/share/DPb3KK1b>)             

3rd degree heart block

Bradycardia

Bundle branch blocks

Idioventricular rhythms

Junctional rhythms Premature contractions QT prolongation Sick sinus syndrome Sinus arrhythmia Torsades de pointes Ventricular fibrillation Ventricular tachycardia

Congenital heart disease Atrial septal defect Coarctation of aorta Patent ductus arteriosus Patent foramen ovale Tetralogy of Fallot Transposition of the great vessels Ventricular septal defect

Coronary artery disease Acute coronary syndrome Angina pectoris Non–ST-segment elevation MI ST-segment elevation MI Anterior, Lateral, Inferior, Posterior, RV Unstable angina Atherosclerosis Heart failure Hypertension Primary hypertension Secondary hypertension Hypertensive emergencies Hypotension Orthostatic hypotension Vasovagal hypotension Lipid disorders Shock Cardiogenic Distributive Hypovolemic Obstructive

Traumatic, infectious, and inflammatory heart conditions Cardiac tamponade Infective endocarditis Myocarditis Pericardial effusion Pericarditis Valvular disorders Aortic Mitral Pulmonary Tricuspid

Vascular disease

**Aortic disease** Aortic aneurysm Aortic dissection Peripheral arterial disease Arterial embolism/thrombosis Giant cell arteritis Arteriovenous malformation

Venous disease

Deep venous thrombosis Upper Lower Phlebitis/thrombophlebitis Varicose veins Venous insufficiency

Dermatologic System (4%)

Acneiform eruptions Acne vulgaris Folliculitis Perioral dermatitis Rosacea

Infectious diseases Bacterial Cellulitis Erysipelas Impetigo

Fungal Candidiasis Dermatophyte infections

****Parasitic Lice Scabies

Viral Condyloma acuminatum Exanthems Hand-foot-and-mouth disease Herpes gingavostomatitis Herpes labialis Molluscum contagiosum Varicella-zoster virus infections Verrucae

Envenomations and arthropod bite reaction

Desquamation Erythema multiforme Stevens-Johnson syndrome Toxic epidermal necrolysis Diseases/disorders of the hair and nails Alopecia Onychomycosis Paronychia/felon

Papulosquamous disorders Atopic dermatitis Contact dermatitis Drug eruptions Eczema Lichen planus Pityriasis rosea Psoriasis Seborrheic dermatitis Pigment disorders Melasma Vitiligo

Keratotic disorders Actinic keratosis Seborrheic keratosis

Skin integrity Burns Lacerations Pressure injury Vascular abnormalities Cherry angioma Hemangioma Purpura Stasis dermatitis Telangiectasia Vesiculobullous disease Pemphigoid Pemphigus Other dermatologic disorders Acanthosis nigricans Hidradenitis suppurativa Lipomas/epidermal inclusion cysts Photosensitivity reactions Pilonidal disease Urticaria

Keratotic disorders Actinic keratosis Seborrheic keratosis Neoplasms Benign Malignant Premalignant

Endocrine System (6%)

Adrenal disorders Cushing syndrome Pheochromocytoma Primary adrenal insufficiency Diabetes mellitus Type 1 Type 2 Hypogonadism Metabolic syndrome Neoplasms Multiple endocrine neoplasia Neoplastic syndrome Primary endocrine malignancy Parathyroid disorders Hyperparathyroidism Hypoparathyroidism

Thyroid disorders Goiter Hyperthyroidism Hypothyroidism Thyroid nodules Thyroiditis

Pituitary disorders Acromegaly/gigantism Cushing disease Diabetes insipidus Dwarfism Pituitary adenoma Prolactinoma SIADH

Ophthalmology (E-ENT 6%)

<aside>

Conjunctivitis Viral Bacterial Corneal disorders Cataract Corneal ulcer Infectious Keratitis Pterygium Inflammatory disorders Iritis Scleritis Uveitis Lacrimal disorders Dacryoadenitis Dacryocystitis Dacryostenosis Keratoconjunctivitis sicca

Lid disorders Blepharitis Chalazion Ectropion Entropion Hordeolum Neuro-ophthalmologic disorders Nystagmus Optic neuritis Papilledema

Orbital disorders

Orbital cellulitis Periorbital cellulitis

Retinal disorders Macular degeneration Retinal detachment Retinopathy Retinal vascular occlusion Vision abnormalities Amaurosis fugax Amblyopia Glaucoma Strabismus Presbyopia

</aside>

ENT (E-ENT 6%)

Ear Disorders

External ear Cerumen impaction Otitis externa Inner ear Acoustic neuroma Dysfunction of eustachian tube Labyrinthitis Vertigo Middle ear Cholesteatoma Otitis media Otosclerosis Tympanic membrane perforation Hearing impairment Conductive Sensorineural Other abnormalities of the ear Mastoiditis Meniere disease Tinnitus

Nose Disorders

Trauma Nasal bone fracture

Malignancy

Basal cell Epistaxis Nasal polyps Rhinitis Sinusitis

Oropharyngeal disorders

Infectious/inflammatory disorders Angioedema Aphthous ulcers Candidiasis Deep neck infection Dental abscess Dental caries Epiglottitis Gingivitis Laryngitis Peritonsillar abscess Pharyngitis Salivary disorders Parotitis Sialadenitis Other oropharyngeal disorders Leukoplakia

Gastrointestinal System/Nutrition (8%)

Genitourinary System (4%)

Hematologic System (5%)

Infectious Diseases (7%)