5/30/13 a Flashcards
What is the treatment for methanol or ethylene glycol intoxication?
fomepizole
What is the most important consideration for abdominal trauma in pregnancy?
placental abruption
Is placental abruption painful?
yes
What do early decelerations indicate?
head compression
What do variable decelerations indicate?
cord compression
What do late decelerations indicate?
placental insufficiency
What is the most common causative organism of menignitis?
Pneumococcus!!!
What are the 4 compnents of a reassuring fetal heart rate pattern?
- BASELINE rate normal (110-160)
- ACCELERATIONS present
- DECELERATIONS absent
- VARIABILITY present
What are the 2 most sensitive and specific serologic tests for Celiac Dz?
anti-endomysial and anti-tissue transglutaminase Abs
Chronic pain and tingling of the buttocks that worsens upon sitting, riding bikes, or running is typical of what condition?
piriformis syndrome
What is the mechanism of piriformis syndrome?
compression of the greater sciatic nerve as it exits the freater sciatic foramen below the piriformis m.
How do you establish the Dx of Pneumocystis jiroveci pneumonia (PjP)?
immunofluorescence of induced sputum sample
What is the next step if a pt w/ hi clinical suspicion for PjP has a negative immunofluorescence of sputum sample?
bronchoalveolar lavage
What angle should the x-ray be taken from to Dx posterior shoulder disloaction?
axillary
What 2 situations classically cause post. shoulder dislocation?
seizure and electrocution
What is the normal tidal volume of a healthy person?
500 mL/breath (~7 mL/kg/breath)
Should mechanically ventilated ARDS pts be ventilated at a higher or lower than normal tidal volume?
lower (~ 420 mL/breath in a 70 kg man or ~6 mL/kg/breath)
Newborn with green vomiting and double bubble sign on X-ray. Give 2 differential diagnoses.
malrotation and duodenal atresia
What hi-dose topical steroids are apprpriate for lichen sclerosis of the vulva?
clobetasol or halobetasol
What immunosuppresant drug may be used to treat severe atopic dermatitis?
tacrolimus
