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Flashcards in Cardio/Medical Deck (40)
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1

Define Kehr's Sign, caused by?

referred shoulder pain - possible splenic injury, gall bladder issue, or ectopic pregnancy

2

Define Kernig's Sign, caused by?

back, leg pain on knee extension - possible bacterial menengitis

3

Define Brudzinski's Sign, caused by?

back, leg pain on neck flexion - possible bacterial menengitis or subarachnoid bleed

4

Define Hamman's Sign, caused by?

crunching sound heard with auscultation over the anterior chest synchronized with heartbeat - tracheobronchial injury

5

Define Steeple Sign (x-ray), caused by?

Trachea just below chords looks like church steeple on A/P neck view - croup

6

Define Thumbprint Sign (x-ray), caused by?

Epiglottis looks rounded like distal thumb on lateral neck view; Epiglottitis

7

Drugs for AAA

nipride and beta-blockers

8

Abdominal assessment steps (in order)

inspect, auscultate, palpate, percuss

9

Contraindications for thrombolytics

- Hx of hemhorrhagic stroke
- CVA in last 12 months
- SBP > 180
- Pregnant or 1 month post-partum

10

First step to increase SpO2?

Increase (maximize) FiO2

11

Electrical alternans may be seen when?

Cardiac tamponade (though only 10% of the time)

12

Coumadin reversal agent

Vitamin K, FFP

13

Define Beck's Triad, caused by?

Hypotension, JVD, Muffled Heart Tones;
Cardiac Tamponade

14

Treatments for cardiac tamponade include

Force fluids, pericardiocentesis

15

MAP =

DBP + 1/3 PP

16

Normal coronary perfusion pressure (CoPP)

50-70mmHg

17

Define Trousseau's Sign, caused by?

BP cuff inflated in arm >SBP and left for >3 min, causes contraction of muscles; hypocalcemia

18

Signs of cardiac tamponade include

Pulsus parodoxus, Kussmaul Sign, Beck's Triad, PEA

19

B-type natriuetic peptide (BNP) evaluates

Fluid overload and heart failure

20

Define Levine's Sign, caused by?

Clenchedd fist held over chest; ACS

21

Define Kussmaul's Sign, caused by?

Rise in venous pressure with inspiration; Right heart failure or cardiac tamponade

22

Drug of choice for esophageal varicies

Sandostatin (octreotide)

23

Recommended urinary output for an adult

30-50 ml/hr

24

Define Murphy's Sign, caused by?

Palpation of RUQ, pain worse with inspiration than palpation alone; Gall Bladder

25

Elevated ammonia levels are seen with

chronic hepatitis, hepatic encephalopathy

26

Problem with HHNK, treatment

Severely elevated glucose, dehydration, high osmolality;
insulin, fluid, electrolyte correction

27

Morphine is (historically) contraindicated for what abdominal problem

Pancreatitis

28

Problem with diabetes insipidus, treatment

Underproduction of ADH, causing excessive and severely diluted urine output;
Aggressive fluid replacement and vasopressin

29

Problem with SIADH, treatment

Overproduction of ADH, causing fluid retention and hemodilution;
Diuretics, hypertonic saline

30

Problem with Graves Disease, treatment

Hyperthyroidism, causing weight loss, anxiety, buldging eyes, a-fib;
glucocorticoids