Day 1 of diadacts Flashcards Preview

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Flashcards in Day 1 of diadacts Deck (13):
1

Non-accidental trauma workup

CBC
CMP
UDS

Head CT
Skeletal survey

+/- optho for proper eye exam

2

AMS in a kid without ANY of the normal stuff apparent

w/ no better explanation, can order:
Ammonia

could be inborn error

3

Old demented bitty from the nursing home w/ a fever. Important but non-obvious exam to do?

Skin exam for ulcer

full exam, strip em

4

which is more acute, ESR or CRP

CRP is more acute you care more about this

5

UTI categories

uncomplicated cystitis
uncomplicated pyelo
complicated

6

uncomplicated cystitis abx

macrobid
Bactrim
keflex (although unjustified)

7

CAP rx

CURB 65 to determine admission

shot of CTX, home on CTX
or
home on doxy

8

CURB 65

determines admit for PNA

C- confusion
U- bun >20
R- rr c> 30
B- bp < 90
65- age over

9

quick and dirty way to know CD4 in HIV via cbc

absolute lymph count

> 2000--> cd4 > 200

< 1000- aids probably

10

Non-purulent cellulitis

bugs: strep, mssa
worry if: rapid spread, comorbid, sick, also r/o dvt
rx: keflex, augmentin, doxy

11

AMS differential

A — Alcohol/Acidosis
E — Endocrine/ Epilepsy/ Electrolytes/ Encephalopathy
I — Infection
O — Opiates, Overdose
U — Uremia/Underdose
T — Trauma/ Tumor
I — Insulin
P — Poisoning/Psychosis
S — Stroke/Seizure/syncope

12

Undifferentiated AMS rx mnemonic

DONT

Dextrose
Oxygen
Naloxone
Thiamine

13

Most common AMS in elderly per paul

overdose- from therapeutic drugs w/ bad liver/kidney