Flashcards in Cardio/Medical Deck (40)
Define Kehr's Sign, caused by?
referred shoulder pain - possible splenic injury, gall bladder issue, or ectopic pregnancy
Define Kernig's Sign, caused by?
back, leg pain on knee extension - possible bacterial menengitis
Define Brudzinski's Sign, caused by?
back, leg pain on neck flexion - possible bacterial menengitis or subarachnoid bleed
Define Hamman's Sign, caused by?
crunching sound heard with auscultation over the anterior chest synchronized with heartbeat - tracheobronchial injury
Define Steeple Sign (x-ray), caused by?
Trachea just below chords looks like church steeple on A/P neck view - croup
Define Thumbprint Sign (x-ray), caused by?
Epiglottis looks rounded like distal thumb on lateral neck view; Epiglottitis
Drugs for AAA
nipride and beta-blockers
Abdominal assessment steps (in order)
inspect, auscultate, palpate, percuss
Contraindications for thrombolytics
- Hx of hemhorrhagic stroke
- CVA in last 12 months
- SBP > 180
- Pregnant or 1 month post-partum
First step to increase SpO2?
Increase (maximize) FiO2
Electrical alternans may be seen when?
Cardiac tamponade (though only 10% of the time)
Coumadin reversal agent
Vitamin K, FFP
Define Beck's Triad, caused by?
Hypotension, JVD, Muffled Heart Tones;
Treatments for cardiac tamponade include
Force fluids, pericardiocentesis
DBP + 1/3 PP
Normal coronary perfusion pressure (CoPP)
Define Trousseau's Sign, caused by?
BP cuff inflated in arm >SBP and left for >3 min, causes contraction of muscles; hypocalcemia
Signs of cardiac tamponade include
Pulsus parodoxus, Kussmaul Sign, Beck's Triad, PEA
B-type natriuetic peptide (BNP) evaluates
Fluid overload and heart failure
Define Levine's Sign, caused by?
Clenchedd fist held over chest; ACS
Define Kussmaul's Sign, caused by?
Rise in venous pressure with inspiration; Right heart failure or cardiac tamponade
Drug of choice for esophageal varicies
Recommended urinary output for an adult
Define Murphy's Sign, caused by?
Palpation of RUQ, pain worse with inspiration than palpation alone; Gall Bladder
Elevated ammonia levels are seen with
chronic hepatitis, hepatic encephalopathy
Problem with HHNK, treatment
Severely elevated glucose, dehydration, high osmolality;
insulin, fluid, electrolyte correction
Morphine is (historically) contraindicated for what abdominal problem
Problem with diabetes insipidus, treatment
Underproduction of ADH, causing excessive and severely diluted urine output;
Aggressive fluid replacement and vasopressin
Problem with SIADH, treatment
Overproduction of ADH, causing fluid retention and hemodilution;
Diuretics, hypertonic saline