2/15 Flashcards by Kate Pula

Inferior orbital wall frx associated with

Paralysis of vertical gaze
Infraorbital anesthesia
Diplopia

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S wave has a little chair on EKG called and cause

Epsilon wave

Sudden death

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Iron deficiency anemia lab test results should be

Generally low

Transferrin, RDW, and TIBC is high

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Achilles rupture manage

Splint ankle in slight plantarflexion

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Bupivacaine toxicity tx

Intralipid

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Chest pain and SOB after working in farm silo dx

Nitrogen dioxide pneumonitis

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ST depressions in anterior leads dx

STEMI posteriorly

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Hypotensive bradycardia on Dig tx

Dig antibody

Transcutaneous icing and atropine don’t work for dig

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Positive fast on unstable Pt next step

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When to stop T1DM insulin pump

Keotacidosis

Assume it isn’t working and start insulin drip

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Basal ganglia hypodensities ass with

CO poisoning

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Nurse aids reduction movement

Elbow at 90 the. Supinate and flex

Or pronate at 90 degrees

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Common perineal nerve supplies skin

Anterior shin

Top of foot

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Radiation exposure good predictor of prognosis

Absolute lymphocyte count

Lower worse

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Draining thoracentesis location

Two interapaces below full precussion

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DIC labs

high INR
Low hgb and plt and fibrinogen
High ddimer

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Pyeloneohritis

Cipro, augmentin, trim-sulfa

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Gray pseudo membrane on gums dx

Necrotizing ulcerative gingivitis

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Anaphylaxis epinephrine conc and peds dose

1mg/ml

0.01mg/kg

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Depression medication adjusted presents with hypertension, tachycardia, fever, muscle rigidity dx and tx

Serotonin syndrome
Benzos and cypriheotadine
Hydration, cooling

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Migraine meds increased now facial droop, miotic pupil, ST depressions, slurred speech, and burning sensation drug

Dihydroergotamine

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Pulm wedge pressure only elevated in pulmonary edema from

Cardiac

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Factor viii replacement in setting of bleeding dose

1U/kg increase circulating factor viii by 2%

Life threatening bleed need 100 % =50U/kg

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Electroshock with normal EKG and negative UA next step

Discharge

UA negative for myoglobin rules out rhabdo - only get CK If positive

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Main risk factor for endometriosis after birth

C-section

Guillian -barre vs transverse myelitis

Transverse myelitis has a distinct cut off level of symptoms

Sepsis with headache and AMS Leg bruising, low plt, elevated INR, schistocytes Dx

DIC

Waterhouse-Friderichsen define

Complication of meningitis | Hemorrhages of adrenal glands causing adrenal failure

SBT if WBC is above

100wbc/mcl

Pediatrics cervical spine location most common

C2-C3

PID tx

One time cefteiaxone and Doxy 100ng bid for 14D Azithro 1g one a week for two weeks

Verapamil is contraindicated one age and why

12mo or younger | Profound hypotension, cardiovascular collapse

Fever, tachycardia, HTN, extreme rigidity overdose on and dx

Antiemetic (metoclopramide and promethazine) CNS stimulants Neoroleptic malignant syndrome

Child knee pain and refusing to walk after trampoline next step

X-ray | Tibial frx

Dental injury to Denton and enamel next step

Cover with calcium hydroxide paste

Preg mom in MCV ok initial exam next step

Cardiotoco monitor

Cellulitis with hx dialysis and recent admission abx

``` Amoxicillin and doxycycline Bc concern for MRSA Also could pick Amox and minocycline Trim-sulfa Clinda ```

Wilderness bite | Elapidae species is

Coral snake | System symptoms

Crotalidae species

Pit viper, local symptoms

Centruroides species

Scorpion

Swallows lye at intubation next step

Scope

``` Hx COPD presents with wheezing, leg swelling, third heart sound, a fib, Hypotensive Gave fluids and worsen BP and arrested Cause? See on US prior to fluids ```

Pulmonary hypertension | D sign

Vaginal discharge 9 year old Infection Tx?

Amoxicillin | Staph, strep,

Most common presentation of adult ASD

Afib

Peritoneal dialysis infection Not systemic Tx

Intraperitineal abx

Chest tube without respiratory fluctuations or decrease drainage problem

Blocked up

Elevated INR with bleeding that has resolved tx

Oral vit K, and hold next dose

Concern for cavernous sinus thrombosis how to test

MRI

When fetus most prone to CNS issue with radiation.

Weeks 2-8

Intussecption imaging

P | Epistaxis after packing management

Follow up in 48hrs to remove

Dextromethorphan can cause

Serotonin syndrome

BMS vs serotonin syndrome

Serotonin syndrome has tremors and increased reflexes

LLQ abd, vomiting constipation, UA leuks but nothing else, white count and a lactate dx

Diverticulitis | Can irritate bladder

Toxic alcohol electrolyte abnl

HypoCa

D10 to what age group

<1yo

Low sodium + seizure Receive 3% saline Next step

0.9% saline infusion

Intracranial brain bleed management

Head of bed 30 | Neurosurge consult not really helpful

Stroke symptoms after diving tx

Arterial has embolism | Hyperbaric chamber

Salter-Harris

``` 1 is in it 2 above 3 below 4 through it 5 erasure of growth plate ```

Peds ingestion Confused, vomiting, transaminitis Drug

ASA

Mandated reporting of in most states

Child and elderly abuse | Not epilepsy

Asa toxicity metabolic status

Respiratory alkalosis and metabolic acidosis

Paracentesis in obeses

Spinal needle

Asthma in pregnancy

Meds are safe

Most common atypical presentation of ACS in old ppl

Sob

Need to increase adensosine if Pt on

MNethylxanthines | Theophylline

Painfual rash with oral lesions Dx and exam finding Hx of cold sore

Steven-Johnson Positive Nikolsky sign Infectious causes are herpes and mycoplasma pneumonia

Facial swelling with frontal bone hole | Dx

Sinusitis | Hole from abscess osteomyelitis

Toddler with no displace frx tibia next step

Ankle boot | Better than splint with less side effects

Toxic ingestion with episodes of coma/reap depression and agitation is

GBH

Iron ingestion best predictors of severity

Serum iron concentration

Meth and cocaine managmenet if tachycardia

Wide complex treat with sodium bicarbonate

Most specific exam find of acute otitis media

Bulging disc

X-ray position for retropharyngeal abscess

On inspiration with neck extension

Kid with prior sinusitis now with AMS and sepsis dx and test

Brain abscess | Ring enhancing lesion CT

Hodgkin lymphoma presentation

Painless cervical lymphadenopathy | As well as b symptoms

Drunk colleague with concern for Pt harm next step

Report to states physician health program

2/15 Flashcards

(78 cards)