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Emergency Medicine > EM I > Flashcards

EM I Flashcards

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1
Q

If using Ketamine on a child be sure to warn parents about […]

A

If using Ketamine on a child be sure to warn parents about nystagmus and emergence reaction.

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2
Q
  1. […]
  2. Dendritic Lesion
  3. Seidel’s Sign
A
  1. Corneal Abrasion
  2. Dendritic Lesion
  3. Seidel’s Sign
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3
Q
  1. Corneal Abrasion
  2. […]
  3. Seidel’s Sign
A
  1. Corneal Abrasion
  2. Dendritic Lesion - herpes simplex keratitis
  3. Seidel’s Sign
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4
Q
  1. Corneal Abrasion
  2. Dendritic Lesion
  3. […]
A
  1. Corneal Abrasion
  2. Dendritic Lesion
  3. Seidel’s Sign - The test is used to reveal leaks from the cornea, sclera, or conjunctiva following injury or surgery.
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5
Q

“ED Neuro Exam” cranial nerve:

  • […]
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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6
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • […]
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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7
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • […]
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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8
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • […]
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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9
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • […]
  • shrug shoulders
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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10
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • […]
  • head/neck ROM
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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11
Q

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • […]
A

“ED Neuro Exam” cranial nerve:

  • pupil response
  • EOM (nystagmus)
  • facial sensation
  • puff out cheeks
  • smile symmetry
  • shrug shoulders
  • head/neck ROM
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12
Q

“ED Neuro Exam” fine motor and cerebeller:

  • […]
  • rapid alternating movements
  • finger movements
A

“ED Neuro Exam” fine motor and cerebeller:

  • finger to nose
  • rapid alternating movements
  • finger movements
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13
Q

“ED Neuro Exam” fine motor and cerebeller:

  • finger to nose
  • […]
  • finger movements
A

“ED Neuro Exam” fine motor and cerebeller:

  • finger to nose
  • rapid alternating movements
  • finger movements
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14
Q

“ED Neuro Exam” fine motor and cerebeller:

  • finger to nose
  • rapid alternating movements
  • […]
A

“ED Neuro Exam” fine motor and cerebeller:

  • finger to nose
  • rapid alternating movements
  • finger movements
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15
Q

“ED Neuro Exam” gait testing:

  • […]
  • walk on heels and toes
  • Romberg (face away, palms up, stand behind pt)
A

“ED Neuro Exam” gait testing:

  • walk towards and away
  • walk on heels and toes
  • Romberg (face away, palms up, stand behind pt)

Romberg = dorsal columns

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16
Q

“ED Neuro Exam” gait testing:

  • walk towards and away
  • […]
  • Romberg (face away, palms up, stand behind pt)
A

“ED Neuro Exam” gait testing:

  • walk towards and away
  • walk on heels and toes
  • Romberg (face away, palms up, stand behind pt)

Romberg = dorsal columns

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17
Q

“ED Neuro Exam” gait testing:

  • walk towards and away
  • walk on heels and toes
  • […]
A

“ED Neuro Exam” gait testing:

  • walk towards and away
  • walk on heels and toes
  • Romberg (face away, palms up, stand behind pt)

Romberg = dorsal columns

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18
Q

“ED Neuro Exam” gross sensation:

  • […]
  • LE bilateral
A

“ED Neuro Exam” gross sensation:

  • UE bilateral
  • LE bilateral
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19
Q

“ED Neuro Exam” gross sensation:

  • UE bilateral
  • […]
A

“ED Neuro Exam” gross sensation:

  • UE bilateral
  • LE bilateral
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20
Q

“ED Neuro Exam” LE motor strength:

  • […]
  • flex/extend leg
  • flex/extend foot
A

“ED Neuro Exam” LE motor strength:

  • flex/extend thigh
  • flex/extend leg
  • flex/extend foot
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21
Q

“ED Neuro Exam” LE motor strength:

  • flex/extend thigh
  • […]
  • flex/extend foot
A

“ED Neuro Exam” LE motor strength:

  • flex/extend thigh
  • flex/extend leg
  • flex/extend foot
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22
Q

“ED Neuro Exam” LE motor strength:

  • flex/extend thigh
  • flex/extend leg
  • […]
A

“ED Neuro Exam” LE motor strength:

  • flex/extend thigh
  • flex/extend leg
  • flex/extend foot
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23
Q

“ED Neuro Exam” UE motor:

  • […]
  • flex/extend
  • pronator drift (palms up, close eyes)
A

“ED Neuro Exam” UE motor:

  • grip strength
  • flex/extend
  • pronator drift (palms up, close eyes)

pronator drift = corticospinal tracts

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24
Q

“ED Neuro Exam” UE motor:

  • grip strength
  • […]
  • pronator drift (palms up, close eyes)
A

“ED Neuro Exam” UE motor:

  • grip strength
  • flex/extend
  • pronator drift (palms up, close eyes)

pronator drift = corticospinal tracts

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25
"ED Neuro Exam" UE motor: ## Footnote * grip strength * flex/extend * [...]
"ED Neuro Exam" UE motor: ## Footnote * grip strength * flex/extend * **pronator drift (palms up, close eyes)** pronator drift = corticospinal tracts
26
"ED Neuro Exam": ## Footnote * [...] * UE/LE motor * fine motor/cerebellar * gross sensation * gait testing
"ED Neuro Exam": ## Footnote * **CN testing** * UE/LE motor * fine motor/cerebellar * gross sensation * gait testing +/- romberg (dorsal columns) +/- pronator drift (corticospinal)
27
"ED Neuro Exam": ## Footnote * CN testing * [...] * fine motor/cerebellar * gross sensation * gait testing
"ED Neuro Exam": ## Footnote * CN testing * **UE/LE motor** * fine motor/cerebellar * gross sensation * gait testing +/- romberg (dorsal columns) +/- pronator drift (corticospinal)
28
"ED Neuro Exam": ## Footnote * CN testing * UE/LE motor * [...] * gross sensation * gait testing
"ED Neuro Exam": ## Footnote * CN testing * UE/LE motor * **fine motor/cerebellar** * gross sensation * gait testing +/- romberg (dorsal columns) +/- pronator drift (corticospinal)
29
"ED Neuro Exam": ## Footnote * CN testing * UE/LE motor * fine motor/cerebellar * [...] * gait testing
"ED Neuro Exam": ## Footnote * CN testing * UE/LE motor * fine motor/cerebellar * **gross sensation** * gait testing +/- romberg (dorsal columns) +/- pronator drift (corticospinal)
30
"ED Neuro Exam": ## Footnote * CN testing * UE/LE motor * fine motor/cerebellar * gross sensation * [...]
"ED Neuro Exam": ## Footnote * CN testing * UE/LE motor * fine motor/cerebellar * gross sensation * **gait testing** +/- romberg (dorsal columns) +/- pronator drift (corticospinal)
31
2 ampules of NaHCO3 are equivalent to giving [...]ml 3% saline.
2 ampules of NaHCO3 are equivalent to giving **200**ml 3% saline. raise sodium ~2-4
32
5 Step EKG approach: (6) ## Footnote * [...] * [...] * [...] * [...] * [...] * [...]
5 Step EKG approach: (6) * rate * rhythm * axis * intervals * ischemia/infarction * enlargment
33
A "negative" cath can still have [...]% occlusions.
A "negative" cath can still have **30**% occlusions.
34
A CXR narrows Chest Pain deadly ddx by addressing: • pericardial effusion/tamponade * [...] * dissection (widened mediastinum 60-70% sn) * esophageal rupture
A CXR narrows Chest Pain deadly ddx by addressing: • pericardial effusion/tamponade * **pneumothorax** * dissection (widened mediastinum 60-70% sn) * esophageal rupture
35
A CXR narrows Chest Pain deadly ddx by addressing: ## Footnote • pericardial effusion/tamponade * pneumothorax * [...] * esophageal rupture
A CXR narrows Chest Pain deadly ddx by addressing: ## Footnote • pericardial effusion/tamponade * pneumothorax * **dissection (widened mediastinum 60-70% sn)** * esophageal rupture
36
A CXR narrows Chest Pain deadly ddx by addressing: ## Footnote • pericardial effusion/tamponade * pneumothorax * dissection (widened mediastinum 60-70% sn) * [...]
A CXR narrows Chest Pain deadly ddx by addressing: • pericardial effusion/tamponade * pneumothorax * dissection (widened mediastinum 60-70% sn) * **esophageal rupture**
37
A CXR narrows Chest Pain deadly ddx by addressing: ## Footnote • [...] * pneumothorax * dissection (widened mediastinum 60-70% sn) * esophageal rupture
A CXR narrows Chest Pain deadly ddx by addressing: ## Footnote • **pericardial effusion/tamponade** * pneumothorax * dissection (widened mediastinum 60-70% sn) * esophageal rupture
38
A positive [...] suggests BPPV.
A positive **Dix Hallpike Maneuver** suggests BPPV.
39
A therapeutic INR (2-3) is [...] of PE.
A therapeutic INR (2-3) is **NOT** 100% protective of PE.
40
A-flutter with variable block tx is [...].
A-flutter with variable block tx is the same as **A-fib.** Narrow Irregular
41
AAA dispo: ## Footnote * [...]cm = CT surgery cs * 2-5cm = f/u
AAA dispo: ## Footnote * \>**5**cm = CT surgery cs * 2-5cm = f/u
42
AAA dispo: ## Footnote * \>5cm = CT surgery cs * [...]cm = f/u
AAA dispo: ## Footnote * \>5cm = CT surgery cs * **2-5**cm = f/u
43
AAA is dx'd with [...].
AAA is dx'd with **bedside US**.
44
Abd Pain d/c needs to document [...].
Abd Pain d/c needs to document **repeat abd exam**.
45
Abd Pain ddx: ## Footnote * [...] * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
Abd Pain ddx: ## Footnote * **appendicitis** * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
46
Abd Pain ddx: ## Footnote * appendicitis * [...] * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
Abd Pain ddx: ## Footnote * appendicitis * **cholecystitis** * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
47
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * [...] * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * **pancreatitis** * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
48
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * [...] * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
Abd Pain ddx: * appendicitis * cholecystitis * pancreatitis * **diverticulitis** * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
49
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * [...] * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
Abd Pain ddx: * appendicitis * cholecystitis * pancreatitis * diverticulitis * **SBO** * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
50
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * [...] * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * **perforation** * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * AAA
51
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * [...] * kidney stone * gastritis * gastroenteritis * PUD * AAA
Abd Pain ddx: * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * **mesenteric ischemia** * kidney stone * gastritis * gastroenteritis * PUD * AAA
52
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * [...] * gastritis * gastroenteritis * PUD * AAA
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * **kidney stone** * gastritis * gastroenteritis * PUD * AAA
53
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * [...] * gastroenteritis * PUD * AAA
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * **gastritis** * gastroenteritis * PUD * AAA Gastroenteritis is inflammation (irritation) of the stomach and bowel, caused by an infection. Gastritis is inflammation of the stomach lining specifically, and not always caused by infection.
54
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * [...] * PUD * AAA
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * **gastroenteritis** * PUD * AAA Gastroenteritis is inflammation (irritation) of the stomach and bowel, caused by an infection. Gastritis is inflammation of the stomach lining specifically, and not always caused by infection.
55
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * [...] * AAA
Abd Pain ddx: * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * **PUD** * AAA
56
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * [...]
Abd Pain ddx: ## Footnote * appendicitis * cholecystitis * pancreatitis * diverticulitis * SBO * perforation * mesenteric ischemia * kidney stone * gastritis * gastroenteritis * PUD * **AAA**
57
Abd Pain labs: ## Footnote * CBC/CMP * coags * lipase * [...] * +/- VBG with lactate * +/- troponin
Abd Pain labs: ## Footnote * CBC/CMP * coags * lipase * **UA/HCG** * +/- VBG with lactate * +/- troponin
58
Abd Pain labs: ## Footnote * [...] * coags * lipase * UA/HCG * +/- VBG with lactate * +/- troponin
Abd Pain labs: ## Footnote * **CBC/CMP** * coags * lipase * UA/HCG * +/- VBG with lactate * +/- troponin
59
Abd Pain labs: ## Footnote * CBC/CMP * [...] * lipase * UA/HCG * +/- VBG with lactate * +/- troponin
Abd Pain labs: ## Footnote * CBC/CMP * **coags** * lipase * UA/HCG * +/- VBG with lactate * +/- troponin
60
Abd Pain labs: ## Footnote * CBC/CMP * coags * [...] * UA/HCG * +/- VBG with lactate * +/- troponin
Abd Pain labs: ## Footnote * CBC/CMP * coags * **lipase** * UA/HCG * +/- VBG with lactate * +/- troponin
61
Abd Pain labs: ## Footnote * CBC/CMP * coags * lipase * UA/HCG * +/- [...] * +/- troponin
Abd Pain labs: ## Footnote * CBC/CMP * coags * lipase * UA/HCG * +/- **VBG with lactate** * +/- troponin
62
Abd Pain labs: ## Footnote * CBC/CMP * coags * lipase * UA/HCG * +/- VBG with lactate * +/- [...]
Abd Pain labs: ## Footnote * CBC/CMP * coags * lipase * UA/HCG * +/- VBG with lactate * +/- **troponin**
63
Abd Pain symptomatic tx: (+ doses) ## Footnote * [...] * zofran 4mg IV * IVFs (young = 1-2L, old = 500cc at a time) * NPO
Abd Pain symptomatic tx: (+ doses) ## Footnote * **morphine 4mg IV** * zofran 4mg IV * IVFs (young = 1-2L, old = 500cc at a time) * NPO
64
Abd Pain symptomatic tx: (+ doses) ## Footnote * morphine 4mg IV * [...] * IVFs (young = 1-2L, old = 500cc at a time) * NPO
Abd Pain symptomatic tx: (+ doses) ## Footnote * morphine 4mg IV * **zofran 4mg IV** * IVFs (young = 1-2L, old = 500cc at a time) * NPO
65
Abd Pain symptomatic tx: (+ doses) ## Footnote * morphine 4mg IV * zofran 4mg IV * [...] * NPO
Abd Pain symptomatic tx: (+ doses) ## Footnote * morphine 4mg IV * zofran 4mg IV * **IVFs (young = 1-2L, old = 500cc at a time)** * NPO
66
Abd Pain symptomatic tx: (+ doses) ## Footnote * morphine 4mg IV * zofran 4mg IV * IVFs (young = 1-2L, old = 500cc at a time) * [...]
Abd Pain symptomatic tx: (+ doses) ## Footnote * morphine 4mg IV * zofran 4mg IV * IVFs (young = 1-2L, old = 500cc at a time) * **NPO**
67
ACS is ruled in by: ## Footnote * [...] * EKG changes * persistant pain
ACS is ruled in by: * **bump in enzymes** * EKG changes * persistant pain
68
ACS is ruled in by: ## Footnote * bump in enzymes * [...] * persistant pain
ACS is ruled in by: ## Footnote * bump in enzymes * **EKG changes** * persistant pain
69
ACS is ruled in by: ## Footnote * bump in enzymes * EKG changes * [...]
ACS is ruled in by: ## Footnote * bump in enzymes * EKG changes * **persistant pain**
70
Active Seizure initial tx: (+doses) ## Footnote * [...] // versed (midazolam) 10mg IM * NRB at 15 LPM + HFNC * POC BG or 1 amp D50 (50ml)
Active Seizure initial tx: (+doses) ## Footnote * **ativan (lorazepam) 2 mg IV** // versed (midazolam) 10mg IM * NRB at 15 LPM + HFNC * POC BG or 1 amp D50 (50ml)
71
Active Seizure initial tx: (+doses) ## Footnote * ativan (lorazepam) 2 mg IV // versed (midazolam) 10mg IM * [...] * POC BG or 1 amp D50 (50ml)
Active Seizure initial tx: (+doses) ## Footnote * ativan (lorazepam) 2 mg IV // versed (midazolam) 10mg IM * **NRB at 15 LPM + HFNC** * POC BG or 1 amp D50 (50ml)
72
Active Seizure initial tx: (+doses) ## Footnote * ativan (lorazepam) 2 mg IV // versed (midazolam) 10mg IM * NRB at 15 LPM + HFNC * [...]
Active Seizure initial tx: (+doses) ## Footnote * ativan (lorazepam) 2 mg IV // versed (midazolam) 10mg IM * NRB at 15 LPM + HFNC * **POC BG or 1 amp D50 (50ml)**
73
Active Seizure initial tx: (+doses) ## Footnote * ativan (lorazepam) 2 mg IV // [...] * NRB at 15 LPM + HFNC * POC BG or 1 amp D50 (50ml)
Active Seizure initial tx: (+doses) ## Footnote * ativan (lorazepam) 2 mg IV // **versed (midazolam) 10mg IM** * NRB at 15 LPM + HFNC * POC BG or 1 amp D50 (50ml)
74
Active Seizure rules: ## Footnote 1. [...] 2. pts with seizures die of hypoxia 3. seizures are treated with benzos, benzos and more benzos
Active Seizure rules: ## Footnote 1. **all seizure pts are hypoglycemic until proven otherwise** 2. pts with seizures die of hypoxia 3. seizures are treated with benzos, benzos and more benzos
75
Active Seizure rules: ## Footnote 1. all seizure pts are hypoglycemic until proven otherwise 2. [...] 3. seizures are treated with benzos, benzos and more benzos
Active Seizure rules: ## Footnote 1. all seizure pts are hypoglycemic until proven otherwise 2. **pts with seizures die of hypoxia** 3. seizures are treated with benzos, benzos and more benzos
76
Active Seizure rules: ## Footnote 1. all seizure pts are hypoglycemic until proven otherwise 2. pts with seizures die of hypoxia 3. [...]
Active Seizure rules: 1. all seizure pts are hypoglycemic until proven otherwise 2. pts with seizures die of hypoxia 3. **seizures are treated with benzos, benzos and more benzos**
77
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * [...] * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
Active Seizure w/u (broaden ddx): * D-stick * **CBC/CMP** * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
78
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * [...] * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
Active Seizure w/u (broaden ddx): * D-stick * CBC/CMP * **CK** * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
79
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * [...] * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * **LFTs** * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
80
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * [...] * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * **APAP lvl - acetaminophen** * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
81
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * [...] * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * **salicylate lvl** * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
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Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * [...] * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * **EtOH lvl** * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
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Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * [...] * HCG * UDS * EKG (TCA OD) * CT head w/o
Active Seizure w/u (broaden ddx): * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * **UA** * HCG * UDS * EKG (TCA OD) * CT head w/o
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Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * [...] * UDS * EKG (TCA OD) * CT head w/o
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * **HCG** * UDS * EKG (TCA OD) * CT head w/o
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Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * [...] * EKG (TCA OD) * CT head w/o
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * **UDS** * EKG (TCA OD) * CT head w/o
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Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * [...] * CT head w/o
Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * **EKG (TCA OD)** * CT head w/o
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Active Seizure w/u (broaden ddx): ## Footnote * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * [...]
Active Seizure w/u (broaden ddx): * D-stick * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * **CT head w/o**
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Active Seizure w/u (broaden ddx): ## Footnote * [...] * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
Active Seizure w/u (broaden ddx): ## Footnote * **D-stick** * CBC/CMP * CK * LFTs * APAP lvl * salicylate lvl * EtOH lvl * UA * HCG * UDS * EKG (TCA OD) * CT head w/o
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Acute Angle Glaucoma prx: ## Footnote * [...] * older pt + SUDDEN eye pain * u/l vision loss * large difference in IOP b/t eyes
Acute Angle Glaucoma prx: * **hx of dark room (movie)** * older pt + SUDDEN eye pain * u/l vision loss * large difference in IOP b/t eyes
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Acute Angle Glaucoma prx: ## Footnote * hx of dark room (movie) * [...] * u/l vision loss * large difference in IOP b/t eyes
Acute Angle Glaucoma prx: * hx of dark room (movie) * **older pt + SUDDEN eye pain** * u/l vision loss * large difference in IOP b/t eyes
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Acute Angle Glaucoma prx: ## Footnote * hx of dark room (movie) * older pt + SUDDEN eye pain * [...] * large difference in IOP b/t eyes
Acute Angle Glaucoma prx: ## Footnote * hx of dark room (movie) * older pt + SUDDEN eye pain * **u/l vision loss** * large difference in IOP b/t eyes
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Acute Angle Glaucoma prx: ## Footnote * hx of dark room (movie) * older pt + SUDDEN eye pain * u/l vision loss * [...]
Acute Angle Glaucoma prx: ## Footnote * hx of dark room (movie) * older pt + SUDDEN eye pain * u/l vision loss * **large difference in IOP b/t eyes**
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Acute Angle Glaucoma tx: ## Footnote * [...] * acetazolamide 500mg IV * pilocarpine 1% drops Q15min x 2 * emergent optho consult
Acute Angle Glaucoma tx: ## Footnote * **timolol 0.5% drops Q30** * acetazolamide 500mg IV * pilocarpine 1% drops Q15min x 2 * emergent optho consult lower IOP! with optho = acetazolamide 500mg IV + prednisolone
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Acute Angle Glaucoma tx: ## Footnote * timolol 0.5% drops Q30 * [...] * pilocarpine 1% drops Q15min x 2 * emergent optho consult
Acute Angle Glaucoma tx: ## Footnote * timolol 0.5% drops Q30 * **acetazolamide 500mg IV** * pilocarpine 1% drops Q15min x 2 * emergent optho consult lower IOP! with optho = acetazolamide 500mg IV + prednisolone
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Acute Angle Glaucoma tx: ## Footnote * timolol 0.5% drops Q30 * acetazolamide 500mg IV * [...] * emergent optho consult
Acute Angle Glaucoma tx: ## Footnote * timolol 0.5% drops Q30 * acetazolamide 500mg IV * **pilocarpine 1% drops Q15min x 2** * emergent optho consult lower IOP! with optho = acetazolamide 500mg IV + prednisolone
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Acute Angle Glaucoma tx: ## Footnote * timolol 0.5% drops Q30 * acetazolamide 500mg IV * pilocarpine 1% drops Q15min x 2 * [...]
Acute Angle Glaucoma tx: ## Footnote * timolol 0.5% drops Q30 * acetazolamide 500mg IV * pilocarpine 1% drops Q15min x 2 * **emergent optho consult** lower IOP! with optho = acetazolamide 500mg IV + prednisolone
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Adenosine converts [...] (VTach mimic) to NSR.
Adenosine converts **SVT with aberrancy** (VTach mimic) to NSR. adenosine blocks AV node
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Admitted Low-Risk Chest Pain receives: ## Footnote * [...] * serial EKG * stress test the next day
Admitted Low-Risk Chest Pain receives: * **serial enzymes** * serial EKG * stress test the next day
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Admitted Low-Risk Chest Pain receives: ## Footnote * serial enzymes * [...] * stress test the next day
Admitted Low-Risk Chest Pain receives: ## Footnote * serial enzymes * **serial EKG** * stress test the next day
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Admitted Low-Risk Chest Pain receives: ## Footnote * serial enzymes * serial EKG * [...]
Admitted Low-Risk Chest Pain receives: ## Footnote * serial enzymes * serial EKG * **stress test the next day**
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AFib (+/- abberrancy) tx: ## Footnote * [...] * cardioversion ~200J
AFib (+/- abberrancy) tx: ## Footnote * **AV blockade = rate control (CCB or BB)** * cardioversion ~200J Wide/Narrow Irregular determine onset before cardioverting! rate control + cardioversion= Amiodarone 150mg IV x 10 min =\> 1mg/min x 6hr =\> 0.5mg/min x18hr
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AFib (+/- abberrancy) tx: ## Footnote * AV blockade = rate control (CCB or BB) * [...]
AFib (+/- abberrancy) tx: ## Footnote * AV blockade = rate control (CCB or BB) * **cardioversion ~200J** Wide/Narrow Irregular determine onset before cardioverting! rate control + cardioversion= Amiodarone 150mg IV x 10 min =\> 1mg/min x 6hr =\> 0.5mg/min x18hr
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AGE admission criteria: ## Footnote * [...] * unstable * significant comorbidities
AGE admission criteria: ## Footnote * **unable to tolerate PO** * unstable * significant comorbidities AGE = acute gastroenteritis
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AGE admission criteria: ## Footnote * unable to tolerate PO * [...] * significant comorbidities
AGE admission criteria: ## Footnote * unable to tolerate PO * **unstable** * significant comorbidities AGE = acute gastroenteritis
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AGE admission criteria: ## Footnote * unable to tolerate PO * unstable * [...]
AGE admission criteria: ## Footnote * unable to tolerate PO * unstable * **significant comorbidities** AGE = acute gastroenteritis
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AGE exam always [...].
AGE exam always asses **hydration status**. AGE = acute gastroenteritis
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AGE invasive causes: ## Footnote * [...] * Shigella * Yersinia * Campylobacter * C. Diff * Entamoeba
AGE invasive causes: ## Footnote * **Salmonella** * Shigella * Yersinia * Campylobacter * C. Diff * Entamoeba AGE = acute gastroenteritis
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AGE invasive causes: ## Footnote * Salmonella * [...] * Yersinia * Campylobacter * C. Diff * Entamoeba
AGE invasive causes: ## Footnote * Salmonella * **Shigella** * Yersinia * Campylobacter * C. Diff * Entamoeba AGE = acute gastroenteritis
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AGE invasive causes: ## Footnote * Salmonella * Shigella * [...] * Campylobacter * C. Diff * Entamoeba
AGE invasive causes: ## Footnote * Salmonella * Shigella * **Yersinia** * Campylobacter * C. Diff * Entamoeba AGE = acute gastroenteritis
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AGE invasive causes: ## Footnote * Salmonella * Shigella * Yersinia * [...] * C. Diff * Entamoeba
AGE invasive causes: ## Footnote * Salmonella * Shigella * Yersinia * **Campylobacter** * C. Diff * Entamoeba AGE = acute gastroenteritis
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AGE invasive causes: ## Footnote * Salmonella * Shigella * Yersinia * Campylobacter * [...] * Entamoeba
AGE invasive causes: ## Footnote * Salmonella * Shigella * Yersinia * Campylobacter * **C. Diff** * Entamoeba AGE = acute gastroenteritis
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AGE invasive causes: ## Footnote * Salmonella * Shigella * Yersinia * Campylobacter * C. Diff * [...]
AGE invasive causes: ## Footnote * Salmonella * Shigella * Yersinia * Campylobacter * C. Diff * **Entamoeba** AGE = acute gastroenteritis
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AGE noninvasive infectious causes: ## Footnote * [...] * Staph * B.cereus * C.perfringens * V.cholerae * Giardia
AGE noninvasive infectious causes: ## Footnote * **Viral** * Staph * B.cereus * C.perfringens * V.cholerae * Giardia AGE = acute gastroenteritis
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AGE noninvasive infectious causes: ## Footnote * Viral * [...] * B.cereus * C.perfringens * V.cholerae * Giardia
AGE noninvasive infectious causes: ## Footnote * Viral * **Staph** * B.cereus * C.perfringens * V.cholerae * Giardia AGE = acute gastroenteritis
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AGE noninvasive infectious causes: ## Footnote * Viral * Staph * [...] * C.perfringens * V.cholerae * Giardia
AGE noninvasive infectious causes: ## Footnote * Viral * Staph * **B.cereus** * C.perfringens * V.cholerae * Giardia AGE = acute gastroenteritis
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AGE noninvasive infectious causes: ## Footnote * Viral * Staph * B.cereus * [...] * V.cholerae * Giardia
AGE noninvasive infectious causes: ## Footnote * Viral * Staph * B.cereus * **C.perfringens** * V.cholerae * Giardia AGE = acute gastroenteritis
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AGE noninvasive infectious causes: ## Footnote * Viral * Staph * B.cereus * C.perfringens * [...] * Giardia
AGE noninvasive infectious causes: ## Footnote * Viral * Staph * B.cereus * C.perfringens * **V.cholerae** * Giardia AGE = acute gastroenteritis
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AGE noninvasive infectious causes: ## Footnote * Viral * Staph * B.cereus * C.perfringens * V.cholerae * [...]
AGE noninvasive infectious causes: ## Footnote * Viral * Staph * B.cereus * C.perfringens * V.cholerae * **Giardia** AGE = acute gastroenteritis
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AGE tx: (+doses) ## Footnote * [...] * GI cocktail= maalox + viscous lidocaine 2% + donnatal * fluids 30ml/kg/hr (PO preferred)
AGE tx: (+doses) ## Footnote * **zofran (ondansteron) 4mg** * GI cocktail= maalox + viscous lidocaine 2% + donnatal * fluids 30ml/kg/hr (PO preferred) AGE = acute gastroenteritis J. Emerg Med 2003 = The GI Cocktail is no more effective than plain liquid antacid.
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AGE tx: (+doses) ## Footnote * zofran (ondansteron) 4mg * [...] * fluids 30ml/kg/hr (PO preferred)
AGE tx: (+doses) ## Footnote * zofran (ondansteron) 4mg * **GI cocktail= maalox + viscous lidocaine 2% + donnatal** * fluids 30ml/kg/hr (PO preferred) AGE = acute gastroenteritis J. Emerg Med 2003 = The GI Cocktail is no more effective than plain liquid antacid.
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AGE tx: (+doses) ## Footnote * zofran (ondansteron) 4mg * GI cocktail= maalox + viscous lidocaine 2% + donnatal * [...]
AGE tx: (+doses) ## Footnote * zofran (ondansteron) 4mg * GI cocktail= maalox + viscous lidocaine 2% + donnatal * **fluids 30ml/kg/hr (PO preferred)** AGE = acute gastroenteritis J. Emerg Med 2003 = The GI Cocktail is no more effective than plain liquid antacid.
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Invasive vs Non invasive AGE
"It is conventionally accepted that noninvasive organisms produce watery diarrhoea, usually through an enterotoxin primarily affecting the small intestine. In contrast, invasive organisms, primarily affect the large bowel, invade the mucosa and produce an inflammatory response and bloody, mucoid stools." Diarrhoeal diseases https://academic.oup.com › bmb › article-pdf

Emergency Medicine (6 decks)

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