11/7/21 Flashcards
(26 cards)
What is a recommended antibiotic regimen for diverticulitis?
Ciprofloxacin and metronidazole.
Acute mitral valve regurgitation from MI will have this ECG
ST-segment in leads II, III, and aVF
it is most commonly associated with transmural infarction of the inferior wall of the heart
Torsades de Pointes Treatment
Unstable: defibrillation
Stable: intravenous magnesium sulfate and stopping the offending drug
Exposure to bat and bird droppings in the Mississippi and Ohio River valleys
histoplasmosis
Exposure to bat and bird droppings in the Mississippi and Ohio River valleys
histoplasmosis
Erysipelas
deeply erythematous, sharply demarcated elevated shiny patch
streptococcus pyogenes (group A beta strep)
Infections with systemic compromise: parenteral cefazolin, ceftriaxone, or flucloxacillin
Mild infections: oral amoxicillin or cephalexin
rsR’ with ST segment elevation followed by a downsloping inverted T wave in leads V1 and V2
Brugada syndrome
True or false: squatting will decrease the intensity of the murmur associated with hypertrophic cardiomyopathy.
True. Squatting will decrease the intensity, as will anything that increases preload or afterload.
What is the most common site of compartment syndrome and the symptoms of that compartment?
anterior compartment of the leg
can present with decreased sensation between the first and second toes and weakness with foot dorsiflexion
A delta pressure (diastolic blood pressure – compartment pressure) of < 30 indicates the need for a fasciotomy
What is the appropriate pediatric dose in Joules/kg for cardioversion?
Initial dose is 0.5-1 Joules/kg, followed by 2 Joules/kg with subsequent doses.
Peds adenosine dose
In stable patients, vagal maneuver first
adenosine 0.1 mg/kg- maximum single dose of 6 mg
If this initial dose is unsuccessful, the next dose increases to 0.2 mg/kg- maximum single dose of 12 mg
Peds adenosine dose
In stable patients, vagal maneuver first
adenosine 0.1 mg/kg- maximum single dose of 6 mg
If this initial dose is unsuccessful, the next dose increases to 0.2 mg/kg- maximum single dose of 12 mg
ED medication asc with malignant hyperthermia
Succinylcholine
Used in the management of sulfonylurea overdose, what is the mechanism of action of octreotide?
Inhibits insulin release from pancreatic beta-islet cells.
What is the name of the flank bruising due to severe hemorrhagic pancreatitis?
Grey Turner sign.
go look at a picture of a scaphoid fracture
=)
Felon
localized suppurative infection of the pulp space of the distal finger or thumb.
It does not usually involve the nail or cuticle, but may be a complication of a paronychia
paronychia
PE will show an infection of lateral nail fold
Most commonly caused by S. aureus
Treatment is Abx, warm soaks, I&D
What substance contains a lethal amount of salicylate even in small quantities?
Oil of wintergreen.
What substance contains a lethal amount of salicylate even in small quantities?
Oil of wintergreen.
Name 4 malignancies that are considered AIDS-defining illnesses.
Cervical cancer, Kaposi sarcoma, Burkitt lymphoma, and primary CNS lymphoma.
High-quality chest compressions are associated with CO2 values of?
CO2 values > 10 mm Hg
The value of CO2 is also helpful in prognostication of the arrest. For patients with a value of at least 10 mm Hg, the chance of return of spontaneous circulation (ROSC) is greater than 90%. Those with less than 10 mm Hg are almost never successfully resuscitated.
he FAST exam is not sensitive for finding retroperitoneal fluid or blood, sometimes lending false security in caring for patients with abdominal trauma.
Just know that
What is the classic side effect you must warn patients about when starting rifampin?
Orange discoloration of body fluids.
