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Emergency Medicine > EM III > Flashcards

EM III Flashcards

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1
Q

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • […]
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
A

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
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2
Q

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • […]
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
A

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
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3
Q

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • […]
  • AMS
  • clinical deterioration
A

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
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4
Q

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • […]
  • clinical deterioration
A

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
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5
Q

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • […]
A

ASA OD hemodialysis indications: (6)

  • ASA >100mg/dL (>50 if chronic)
  • intubated
  • oliguric renal failure
  • pulmonary/cerebral edema
  • AMS
  • clinical deterioration
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6
Q

ASA OD NaHCO3 titration goals:

  • blood pH= […]
  • urine pH= 7.5-8
A

ASA OD NaHCO3 titration goals:

  • blood pH= b/t 7.5-7.6
  • urine pH= 7.5-8
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7
Q

ASA OD NaHCO3 titration goals:

  • blood pH= b/t 7.5-7.6
  • urine pH= […]
A

ASA OD NaHCO3 titration goals:

  • blood pH= b/t 7.5-7.6
  • urine pH= 7.5-8
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8
Q

ASA OD pts need serum ASA lvl Q2 until:

  • […]
  • lvl <40mg/dL
  • pt asx
  • normal rate/depth of breathing
A

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • pt asx
  • normal rate/depth of breathing

don’t stop ASA lvl until downtrending

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9
Q

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • […]
  • pt asx
  • normal rate/depth of breathing
A

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • pt asx
  • normal rate/depth of breathing

don’t stop ASA lvl until downtrending

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10
Q

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • […]
  • normal rate/depth of breathing
A

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • pt asx
  • normal rate/depth of breathing

don’t stop ASA lvl until downtrending

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11
Q

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • pt asx
  • […]
A

ASA OD pts need serum ASA lvl Q2 until:

  • decreased from peak lvl
  • lvl <40mg/dL
  • pt asx
  • normal rate/depth of breathing

don’t stop ASA lvl until downtrending

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12
Q

ASA OD sxs:

  • […]
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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13
Q

ASA OD sxs:

  • N/V
  • […]
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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14
Q

ASA OD sxs:

  • N/V
  • tinnitus
  • […]
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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15
Q

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • […]
  • SOB
  • hyperpnea
  • diaphoresis
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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16
Q

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • […]
  • hyperpnea
  • diaphoresis
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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17
Q

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • […]
  • diaphoresis
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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18
Q

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • […]
A

ASA OD sxs:

  • N/V
  • tinnitus
  • hearing loss
  • AMS
  • SOB
  • hyperpnea
  • diaphoresis
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19
Q

ASA OD tx:

  • […]
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement
A

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement

ASA impairs glucose metabolism = all IVFs D5

1 amp bicarb ~ 45 mEq

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20
Q

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • […]
  • K replacement
A

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement

ASA impairs glucose metabolism = all IVFs D5

1 amp bicarb ~ 45 mEq

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21
Q

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • […]
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement
A

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement

ASA impairs glucose metabolism = all IVFs D5

1 amp bicarb ~ 45 mEq

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22
Q

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • […] => […]
  • activated charcoal 1g/kg PO (50g max)
  • K replacement
A

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement

ASA impairs glucose metabolism = all IVFs D5

1 amp bicarb ~ 45 mEq

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23
Q

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • […]
A

ASA OD tx:

  • ABCs- O2, inital NS 10-15ml/kg/hr => D5W
  • D5W IVFs (regardless of BG)
  • bicarb 2 amps IV (1mEq/kg) => 3 amp bicarb in 1L D5W at 2-3mL/kg/hr
  • activated charcoal 1g/kg PO (50g max)
  • K replacement

ASA impairs glucose metabolism = all IVFs D5

1 amp bicarb ~ 45 mEq

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24
Q

ASA OD w/u:

  • […]
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • CXR
A

ASA OD w/u:

  • ASA lvl (>40mg/dL = toxicity)
  • CBC/CMP
  • ABG
  • EKG
  • APAP lvl
  • CT head
  • CXR
  • TCA occult ingestion = widening of QRS
  • primary respiratory alkalosis + primary metabolic acidosis
  • QTc prolongation, tall R wave in aVR
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25
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * [...] * ABG * EKG * APAP lvl * CT he
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * **CBC/CMP** * ABG * EKG * APAP lvl * CT head * CXR - TCA occult ingestion = widening of QRS - primary respiratory alkalosis + primary metabolic acidosis - QTc prolongation, tall R wave in aVR
26
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * CBC/CMP * [...] * EKG * APAP lvl * CT he
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * CBC/CMP * **ABG** * EKG * APAP lvl * CT head * CXR - TCA occult ingestion = widening of QRS - primary respiratory alkalosis + primary metabolic acidosis - QTc prolongation, tall R wave in aVR
27
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * CBC/CMP * ABG * [...] * APAP lvl * CT head * CXR
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * CBC/CMP * ABG * **EKG** * APAP lvl * CT head * CXR - TCA occult ingestion = widening of QRS - primary respiratory alkalosis + primary metabolic acidosis - QTc prolongation, tall R wave in aVR
28
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * CBC/CMP * ABG * EKG * [...] * CT head * CXR
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * CBC/CMP * ABG * EKG * **APAP lvl** * CT head * CXR - TCA occult ingestion = widening of QRS - primary respiratory alkalosis + primary metabolic acidosis - QTc prolongation, tall R wave in aVR
29
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * CBC/CMP * ABG * EKG * APAP lvl * [...] * CXR
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * CBC/CMP * ABG * EKG * APAP lvl * **CT head** * CXR - TCA occult ingestion = widening of QRS - primary respiratory alkalosis + primary metabolic acidosis - QTc prolongation, tall R wave in aVR
30
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * CBC/CMP * ABG * EKG * APAP lvl * CT head * [...]
ASA OD w/u: ## Footnote * ASA lvl (\>40mg/dL = toxicity) * CBC/CMP * ABG * EKG * APAP lvl * CT head * **CXR** - TCA occult ingestion = widening of QRS - primary respiratory alkalosis + primary metabolic acidosis - QTc prolongation, tall R wave in aVR
31
ASA toxidrome: ## Footnote * [...] * respiratory alkalosis * tinnitus * HA * plt dysfunction * hyperthermia
ASA toxidrome: ## Footnote * **tachypnea** * respiratory alkalosis * tinnitus * HA * plt dysfunction * hyperthermia
32
ASA toxidrome: ## Footnote * tachypnea * [...] * tinnitus * HA * plt dysfunction * hyperthermia
ASA toxidrome: * tachypnea * **respiratory alkalosis** * tinnitus * HA * plt dysfunction * hyperthermia
33
ASA toxidrome: ## Footnote * tachypnea * respiratory alkalosis * [...] * HA * plt dysfunction * hyperthermia
ASA toxidrome: ## Footnote * tachypnea * respiratory alkalosis * **tinnitus** * HA * plt dysfunction * hyperthermia
34
ASA toxidrome: ## Footnote * tachypnea * respiratory alkalosis * tinnitus * [...] * plt dysfunction * hyperthermia
ASA toxidrome: * tachypnea * respiratory alkalosis * tinnitus * **HA** * plt dysfunction * hyperthermia
35
ASA toxidrome: ## Footnote * tachypnea * respiratory alkalosis * tinnitus * HA * [...] * hyperthermia
ASA toxidrome: ## Footnote * tachypnea * respiratory alkalosis * tinnitus * HA * **plt dysfunction** * hyperthermia
36
ASA toxidrome: ## Footnote * tachypnea * respiratory alkalosis * tinnitus * HA * plt dysfunction * [...]
ASA toxidrome: ## Footnote * tachypnea * respiratory alkalosis * tinnitus * HA * plt dysfunction * **hyperthermia**
37
Asthma/COPD initial nebulized tx is [...].
Asthma/COPD initial nebulized tx is **1 dose duoneb + 2 doses albuterol.** ## Footnote Duoneb (ipratropium / albuterol) is a combination of two medications that help you breathe. Ipratropium is a short-acting muscarinic antagonist (SAMA). Albuterol is a short-acting beta-agonist (SABA).
38
Asthma/COPD tx: ## Footnote * [...] * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- epinephrine 0.5mg (1:1000) * +/- magnesium sulfate 1-2g
Asthma/COPD tx: ## Footnote * **albuterol 5mg (continuous 5mg kids/10mg adults)** * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- epinephrine 0.5mg (1:1000) * +/- magnesium sulfate 1-2g Asthma = "BIOMES" beta agonists, ipra, o2, mag, epi, steroids Magnesium = smooth muscle relaxation
39
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * [...] * prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- epinephrine 0.5mg (1:1000) * +/- magnesium sulfate 1-2g
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * **ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing)** * prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- epinephrine 0.5mg (1:1000) * +/- magnesium sulfate 1-2g Asthma = "BIOMES" beta agonists, ipra, o2, mag, epi, steroids Magnesium = smooth muscle relaxation
40
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * [...] // solumedrol (methylprednisolone) 125mg IV * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- epinephrine 0.5mg (1:1000) * +/- magnesium sulfate 1-2g
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * **prednisone 40mg PO x 5 days** // solumedrol (methylprednisolone) 125mg IV * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- epinephrine 0.5mg (1:1000) * +/- magnesium sulfate 1-2g Asthma = "BIOMES" beta agonists, ipra, o2, mag, epi, steroids Magnesium = smooth muscle relaxation
41
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * prednisone 40mg PO x 5 days // [...] * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- epinephrine 0.5mg (1:1000) * +/- magnesium sulfate 1-2g
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * prednisone 40mg PO x 5 days // **solumedrol (methylprednisolone) 125mg IV** * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- epinephrine 0.5mg (1:1000) * +/- magnesium sulfate 1-2g Asthma = "BIOMES" beta agonists, ipra, o2, mag, epi, steroids Magnesium = smooth muscle relaxation
42
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV * kids= [...] * +/- epinephrine 0.5mg (1:1000) * +/- magnesium sulfate 1-2g
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV * kids= **decadron (dexamethasone) 0.6mg/kg IV** * +/- epinephrine 0.5mg (1:1000) * +/- magnesium sulfate 1-2g Asthma = "BIOMES" beta agonists, ipra, o2, mag, epi, steroids Magnesium = smooth muscle relaxation
43
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- [...] * +/- magnesium sulfate 1-2g
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- **epinephrine 0.5mg (1:1000)** * +/- magnesium sulfate 1-2g Asthma = "BIOMES" beta agonists, ipra, o2, mag, epi, steroids Magnesium = smooth muscle relaxation
44
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- epinephrine 0.5mg (1:1000) * +/- [...]
Asthma/COPD tx: ## Footnote * albuterol 5mg (continuous 5mg kids/10mg adults) * ipratropium 0.5mg (lasts 4-6 hrs, no benefit repeat dosing) * prednisone 40mg PO x 5 days // solumedrol (methylprednisolone) 125mg IV * kids= decadron (dexamethasone) 0.6mg/kg IV * +/- epinephrine 0.5mg (1:1000) * +/- **magnesium sulfate 1-2g** Asthma = "BIOMES" beta agonists, ipra, o2, mag, epi, steroids Magnesium = smooth muscle relaxation
45
Asthmatic kids who can't tolerate PO should receive [steroid].
Asthmatic kids who can't tolerate PO should receive **prednisolone IV 125mg (or 2mg/kg)**.
46
Asx HTN dispo needs [...].
Asx HTN dispo needs **lytes checked before starting oral meds.**
47
Asx HTN dispo: ## Footnote * access to PCP =\> [...] * no PCP =\> consider PO RX
Asx HTN dispo: ## Footnote * access to PCP =\> **d/c w/out RX** * no PCP =\> consider PO RX
48
Asx HTN dispo: ## Footnote * access to PCP =\> d/c w/out RX * no PCP =\> [...]
Asx HTN dispo: * access to PCP =\> d/c w/out RX * no PCP =\> **consider PO RX**
49
Asx HTN med contraindications: ## Footnote * abnormal Cr =\> [...] * abnormal Na =\> no HCTZ
Asx HTN med contraindications: ## Footnote * abnormal Cr =\> **no lisinopril** * abnormal Na =\> no HCTZ
50
Asx HTN med contraindications: ## Footnote * abnormal Cr =\> no lisinopril * abnormal Na =\> [...]
Asx HTN med contraindications: ## Footnote * abnormal Cr =\> no lisinopril * abnormal Na =\> **no HCTZ**
51
Asx HTN med RX: ## Footnote * [...] * hydrochlorothiazide 25mg daily
Asx HTN med RX: ## Footnote * **lisinopril 10mg daily** * hydrochlorothiazide 25mg daily don't give more than 14 days worth
52
Asx HTN med RX: ## Footnote * lisinopril 10mg daily * [...]
Asx HTN med RX: ## Footnote * lisinopril 10mg daily * **hydrochlorothiazide 25mg daily** don't give more than 14 days worth
53
Asx HTN rules: ## Footnote 1. [...] 2. do as little as possible
Asx HTN rules: ## Footnote 1. **DON'T FREAK OUT** 2. do as little as possible
54
Asx HTN rules: ## Footnote 1. DON'T FREAK OUT 2. [...]
Asx HTN rules: 1. DON'T FREAK OUT 2. **do as little as possible**
55
Asx HTN tx: ## Footnote • [...]
Asx HTN tx: ## Footnote • **if truly asx do nothing**
56
Asx HTN w/u: ## Footnote * +/- [...] * +/- CBC/CMP (if starting oral meds)
Asx HTN w/u: ## Footnote * +/- **EKG** * +/- CBC/CMP (if starting oral meds) NOT ROUTINE: use to look for end organ damage
57
Asx HTN w/u: ## Footnote * +/- EKG * +/- [...]
Asx HTN w/u: ## Footnote * +/- EKG * +/- **CBC/CMP (if starting oral meds)** NOT ROUTINE: use to look for end organ damage
58
Asx Hyponatremia tx is [...].
Asx Hyponatremia tx is **water restriction.**
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Asx Hyponatremic w/u steps: ## Footnote * [...] * acute vs chronic? (look at hx) * cause? * admit
Asx Hyponatremic w/u steps: ## Footnote * **water restrict/NS** * acute vs chronic? (look at hx) * cause? * admit
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Asx Hyponatremic w/u steps: ## Footnote * water restrict/NS * [...] * cause? * admit
Asx Hyponatremic w/u steps: ## Footnote * water restrict/NS * **acute vs chronic? (look at hx)** * cause? * admit
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Asx Hyponatremic w/u steps: ## Footnote * water restrict/NS * acute vs chronic? (look at hx) * [...] * admit
Asx Hyponatremic w/u steps: ## Footnote * water restrict/NS * acute vs chronic? (look at hx) * **cause?** * admit
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Asx Hyponatremic w/u steps: ## Footnote * water restrict/NS * acute vs chronic? (look at hx) * cause? * [...]
Asx Hyponatremic w/u steps: ## Footnote * water restrict/NS * acute vs chronic? (look at hx) * cause? * **admit**
63
AV nodal blocking agents: ## Footnote * [...] * CCB * BB * digoxin
AV nodal blocking agents: ## Footnote * **adenosine** * CCB * BB * digoxin
64
AV nodal blocking agents: ## Footnote * adenosine * [...] * BB * digoxin
AV nodal blocking agents: ## Footnote * adenosine * **CCB** * BB * digoxin
65
AV nodal blocking agents: ## Footnote * adenosine * CCB * [...] * digoxin
AV nodal blocking agents: ## Footnote * adenosine * CCB * **BB** * digoxin
66
AV nodal blocking agents: ## Footnote * adenosine * CCB * BB * [...]
AV nodal blocking agents: ## Footnote * adenosine * CCB * BB * **digoxin**
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Back Pain dangerous causes: (CRAFTI) ## Footnote * C[...] * Renal * Aorta * Fracture * Tumor * Infection
Back Pain dangerous causes: (CRAFTI) ## Footnote * **Cauda Equina** * Renal * Aorta * Fracture * Tumor * Infection
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Back Pain dangerous causes: (CRAFTI) ## Footnote * Cauda Equina * R[...] * Aorta * Fracture * Tumor * Infection
Back Pain dangerous causes: (CRAFTI) ## Footnote * Cauda Equina * **Renal** * Aorta * Fracture * Tumor * Infection
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Back Pain dangerous causes: (CRAFTI) ## Footnote * Cauda Equina * Renal * A[...] * Fracture * Tumor * Infection
Back Pain dangerous causes: (CRAFTI) ## Footnote * Cauda Equina * Renal * **Aorta** * Fracture * Tumor * Infection
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Back Pain dangerous causes: (CRAFTI) ## Footnote * Cauda Equina * Renal * Aorta * F[...] * Tumor * Infection
Back Pain dangerous causes: (CRAFTI) ## Footnote * Cauda Equina * Renal * Aorta * **Fracture** * Tumor * Infection
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Back Pain dangerous causes: (CRAFTI) ## Footnote * Cauda Equina * Renal * Aorta * Fracture * T[...] * Infection
Back Pain dangerous causes: (CRAFTI) * Cauda Equina * Renal * Aorta * Fracture * **Tumor** * Infection
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Back Pain dangerous causes: (CRAFTI) ## Footnote * Cauda Equina * Renal * Aorta * Fracture * Tumor * I[...]
Back Pain dangerous causes: (CRAFTI) ## Footnote * Cauda Equina * Renal * Aorta * Fracture * Tumor * **Infection**
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Back Pain ddx: ## Footnote * [...] * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
Back Pain ddx: * **AAA** * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
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Back Pain ddx: ## Footnote * AAA * [...] * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
Back Pain ddx: ## Footnote * AAA * **aortic dissection** * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
75
Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * [...] * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
Back Pain ddx: * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * **renal colic/stone** * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
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Back Pain ddx: ## Footnote * AAA * aortic dissection * [...] * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
Back Pain ddx: ## Footnote * AAA * aortic dissection * **cauda equina syndrome** * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
77
Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * [...] * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * **epidural abscess** * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
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Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * [...] * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * **tumor/mass** * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * MSK sprain
79
Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * [...] * zoster * MSK sprain
Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * **fracture** * zoster * MSK sprain
80
Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * [...] * abd pathology * fracture * zoster * MSK sprain
Back Pain ddx: * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * **pyelonephritis** * abd pathology * fracture * zoster * MSK sprain
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Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * [...] * fracture * zoster * MSK sprain
Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * **abd pathology** * fracture * zoster * MSK sprain
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Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * [...] * MSK sprain
Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * **zoster** * MSK sprain
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Back Pain ddx: ## Footnote * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * [...]
Back Pain ddx: * AAA * aortic dissection * cauda equina syndrome * epidural abscess * tumor/mass * renal colic/stone * pyelonephritis * abd pathology * fracture * zoster * **MSK sprain**
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Back Pain red flags: ## Footnote * [...] * fever * IVD * neuro deficit * point tenderness * saddle anesthesia * trauma * urinary retention * weight loss
Back Pain red flags: ## Footnote * **CA** * fever * IVD * neuro deficit * point tenderness * saddle anesthesia * trauma * urinary retention * weight loss
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Back Pain red flags: ## Footnote * CA * [...] * IVD * neuro deficit * point tenderness * saddle anesthesia * trauma * urinary retention * weight loss
Back Pain red flags: ## Footnote * CA * **fever** * IVD * neuro deficit * point tenderness * saddle anesthesia * trauma * urinary retention * weight loss
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Back Pain red flags: ## Footnote * CA * fever * [...] * neuro deficit * point tenderness * saddle anesthesia * trauma * urinary retention * weight loss
Back Pain red flags: ## Footnote * CA * fever * **IVD** * neuro deficit * point tenderness * saddle anesthesia * trauma * urinary retention * weight loss
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Back Pain red flags: ## Footnote * CA * fever * IVD * [...] * point tenderness * saddle anesthesia * trauma * urinary retention * weight loss
Back Pain red flags: ## Footnote * CA * fever * IVD * **neuro deficit** * point tenderness * saddle anesthesia * trauma * urinary retention * weight loss
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Back Pain red flags: ## Footnote * CA * fever * IVD * neuro deficit * [...] * saddle anesthesia * trauma * urinary rete
Back Pain red flags: * CA * fever * IVD * neuro deficit * **point tenderness** * saddle anesthesia * trauma * urinary retention * weight loss
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Back Pain red flags: ## Footnote * CA * fever * IVD * neuro deficit * point tenderness * [...] * trauma * urinary retention * weight loss
Back Pain red flags: ## Footnote * CA * fever * IVD * neuro deficit * point tenderness * **saddle anesthesia** * trauma * urinary retention * weight loss
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Back Pain red flags: ## Footnote * CA * fever * IVD * neuro deficit * point tenderness * saddle anesthesia * [...] * urinary retention * weight loss
Back Pain red flags: * CA * fever * IVD * neuro deficit * point tenderness * saddle anesthesia * **trauma** * urinary retention * weight loss
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Back Pain red flags: ## Footnote * CA * fever * IVD * neuro deficit * point tenderness * saddle anesthesia * trauma * [...] * weight loss
Back Pain red flags: ## Footnote * CA * fever * IVD * neuro deficit * point tenderness * saddle anesthesia * trauma * **urinary retention** * weight loss
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Back Pain red flags: ## Footnote * CA * fever * IVD * neuro deficit * point tenderness * saddle anesthesia * trauma * urinary retention * [...]
Back Pain red flags: ## Footnote * CA * fever * IVD * neuro deficit * point tenderness * saddle anesthesia * trauma * urinary retention * **weight loss**
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Back Pain specific PE: ## Footnote * [...] * testicular exam * saddle sensation * rectal exam (use discretion) * LE Motor * LE sensory * straight leg test (sciatic distribution = herniated disc)
Back Pain specific PE: * **back exam (CVA vs midline)** * testicular exam * saddle sensation * rectal exam (use discretion) * LE Motor * LE sensory * straight leg test (sciatic distribution = herniated disc)
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Back Pain specific PE: ## Footnote * back exam (CVA vs midline) * [...] * saddle sensation * rectal exam (use discretion) * LE Motor * LE sensory * straight leg test (sciatic distribution = herniated disc)
Back Pain specific PE: ## Footnote * back exam (CVA vs midline) * **testicular exam** * saddle sensation * rectal exam (use discretion) * LE Motor * LE sensory * straight leg test (sciatic distribution = herniated disc)
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Back Pain specific PE: ## Footnote * back exam (CVA vs midline) * testicular exam * [...] * rectal exam (use discretion) * LE Motor * LE sensory * straight leg test (sciatic distribution = herniated disc)
Back Pain specific PE: ## Footnote * back exam (CVA vs midline) * testicular exam * **saddle sensation** * rectal exam (use discretion) * LE Motor * LE sensory * straight leg test (sciatic distribution = herniated disc)
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Back Pain specific PE: ## Footnote * back exam (CVA vs midline) * testicular exam * saddle sensation * [...] * LE Motor * LE sensory * straight leg test (sciatic distribution = herniated disc)
Back Pain specific PE: ## Footnote * back exam (CVA vs midline) * testicular exam * saddle sensation * **rectal exam (use discretion)** * LE Motor * LE sensory * straight leg test (sciatic distribution = herniated disc)
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Back Pain specific PE: ## Footnote * back exam (CVA vs midline) * testicular exam * saddle sensation * rectal exam (use discretion) * [...] * LE sensory * straight leg test (sciatic distribution = herniated disc)
Back Pain specific PE: * back exam (CVA vs midline) * testicular exam * saddle sensation * rectal exam (use discretion) * **LE Motor** * LE sensory * straight leg test (sciatic distribution = herniated disc)
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Back Pain specific PE: ## Footnote * back exam (CVA vs midline) * testicular exam * saddle sensation * rectal exam (use discretion) * LE Motor * [...] * straight leg test (sciatic distribution = herniated disc)
Back Pain specific PE: ## Footnote * back exam (CVA vs midline) * testicular exam * saddle sensation * rectal exam (use discretion) * LE Motor * **LE sensory** * straight leg test (sciatic distribution = herniated disc)
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Back Pain specific PE: ## Footnote * back exam (CVA vs midline) * testicular exam * saddle sensation * rectal exam (use discretion) * LE Motor * LE sensory * [...]
Back Pain specific PE: * back exam (CVA vs midline) * testicular exam * saddle sensation * rectal exam (use discretion) * LE Motor * LE sensory * **straight leg test (sciatic distribution = herniated disc)** If you have pain down the back of your leg below the knee when your affected leg is raised, the test is positive (abnormal). It means that one or more of the nerve roots leading to your sciatic nerve may be compressed or irritated.
100
Back Pain tx: (+doses) ## Footnote * [...] =\> d/c ibuprofen 400mg Q8 * morphine 4mg IV + zofran 4mg IV =\> d/c hydrocodone 5mg Q6 PRN * flexeril (cyclobenzaprine) 10 mg Q8 * valium (diazepam) 5mg Q8
Back Pain tx: (+doses) ## Footnote * **toradol (ketorolac) 20mg IV** =\> d/c ibuprofen 400mg Q8 * morphine 4mg IV + zofran 4mg IV =\> d/c hydrocodone 5mg Q6 PRN * flexeril (cyclobenzaprine) 10 mg Q8 * valium (diazepam) 5mg Q8
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Back Pain tx: (+doses) ## Footnote * toradol (ketorolac) 20mg IV =\> d/c [...] * morphine 4mg IV + zofran 4mg IV =\> d/c hydrocodone 5mg Q6 PRN * flexeril (cyclobenzaprine) 10 mg Q8 * valium (diazepam) 5mg Q8
Back Pain tx: (+doses) ## Footnote * toradol (ketorolac) 20mg IV =\> d/c **ibuprofen 400mg Q8** * morphine 4mg IV + zofran 4mg IV =\> d/c hydrocodone 5mg Q6 PRN * flexeril (cyclobenzaprine) 10 mg Q8 * valium (diazepam) 5mg Q8
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Back Pain tx: (+doses) ## Footnote * toradol (ketorolac) 20mg IV =\> d/c ibuprofen 400mg Q8 * [...] =\> d/c hydrocodone 5mg Q6 PRN * flexeril (cyclobenzaprine) 10 mg Q8 * valium (diazepam) 5mg Q8
Back Pain tx: (+doses) * toradol (ketorolac) 20mg IV =\> d/c ibuprofen 400mg Q8 * **morphine 4mg IV + zofran 4mg IV** =\> d/c hydrocodone 5mg Q6 PRN * flexeril (cyclobenzaprine) 10 mg Q8 * valium (diazepam) 5mg Q8
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Back Pain tx: (+doses) ## Footnote * toradol (ketorolac) 20mg IV =\> d/c ibuprofen 400mg Q8 * morphine 4mg IV + zofran 4mg IV =\> d/c [...] * flexeril (cyclobenzaprine) 10 mg Q8 * valium (diazepam) 5mg Q8
Back Pain tx: (+doses) ## Footnote * toradol (ketorolac) 20mg IV =\> d/c ibuprofen 400mg Q8 * morphine 4mg IV + zofran 4mg IV =\> **d/c hydrocodone 5mg Q6 PRN** * flexeril (cyclobenzaprine) 10 mg Q8 * valium (diazepam) 5mg Q8
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Back Pain tx: (+doses) ## Footnote * toradol (ketorolac) 20mg IV =\> d/c ibuprofen 400mg Q8 * morphine 4mg IV + zofran 4mg IV =\> d/c hydrocodone 5mg Q6 PRN * [...] * valium (diazepam) 5mg Q8
Back Pain tx: (+doses) ## Footnote * toradol (ketorolac) 20mg IV =\> d/c ibuprofen 400mg Q8 * morphine 4mg IV + zofran 4mg IV =\> d/c hydrocodone 5mg Q6 PRN * **flexeril (cyclobenzaprine) 10 mg Q8** * valium (diazepam) 5mg Q8
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Back Pain tx: (+doses) ## Footnote * toradol (ketorolac) 20mg IV =\> d/c ibuprofen 400mg Q8 * morphine 4mg IV + zofran 4mg IV =\> d/c hydrocodone 5mg Q6 PRN * flexeril (cyclobenzaprine) 10 mg Q8 * [...]
Back Pain tx: (+doses) ## Footnote * toradol (ketorolac) 20mg IV =\> d/c ibuprofen 400mg Q8 * morphine 4mg IV + zofran 4mg IV =\> d/c hydrocodone 5mg Q6 PRN * flexeril (cyclobenzaprine) 10 mg Q8 * **valium (diazepam) 5mg Q8**
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Back Pain w/u: ## Footnote * [...] * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
Back Pain w/u: ## Footnote * **UA (female UTI pts)** * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
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Back Pain w/u: ## Footnote * UA (female UTI pts) * [...] * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
Back Pain w/u: ## Footnote * UA (female UTI pts) * **CBC/CMP (low yield)** * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
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Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * [...] * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * **type & cross (if suspected AAA)** * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
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Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * [...] * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
Back Pain w/u: * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * **ESR/CRP (eleva**ted in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
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Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * [...] * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * **bedside US** * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
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Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * [...] * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * **CT (aorta, abd/pelvis)** * plain films (low yield) * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
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Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * [...] * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
Back Pain w/u: * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * **plain films (low yield)** * emergent MRI (cauda equina/abscess) * post void residual (cauda equina)
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Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * [...] * post void residual (cauda equina)
Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * **emergent MRI (cauda equina/abscess)** * post void residual (cauda equina)
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Back Pain w/u: ## Footnote * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * [...]
Back Pain w/u: * UA (female UTI pts) * CBC/CMP (low yield) * type & cross (if suspected AAA) * ESR/CRP (elevated in epidural abscess) * bedside US * CT (aorta, abd/pelvis) * plain films (low yield) * emergent MRI (cauda equina/abscess) * **post void residual (cauda equina)**
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Bacterial Conjunctivitis abx: ## Footnote * [...] // * erythromycin 0.5% Q4 x7d // * levaquin (levofloxacin) 0.5% Q2 x2d
Bacterial Conjunctivitis abx: ## Footnote * polymyxin B/trimethoprim 1 drop Q3 x10d // * erythromycin 0.5% Q4 x7d // * levaquin (levofloxacin) 0.5% Q2 x2d non-gonococcal
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Bacterial Conjunctivitis abx: ## Footnote * polymyxin B/trimethoprim 1 drop Q3 x10d // * [...] // * levaquin (levofloxacin) 0.5% Q2 x2d
Bacterial Conjunctivitis abx: ## Footnote * polymyxin B/trimethoprim 1 drop Q3 x10d // * **erythromycin 0.5% Q4 x7d //** * levaquin (levofloxacin) 0.5% Q2 x2d non-gonococcal
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Bacterial Conjunctivitis abx: ## Footnote * polymyxin B/trimethoprim 1 drop Q3 x10d // * erythromycin 0.5% Q4 x7d // * [...]
Bacterial Conjunctivitis abx: ## Footnote * polymyxin B/trimethoprim 1 drop Q3 x10d // * erythromycin 0.5% Q4 x7d // * **levaquin (levofloxacin) 0.5% Q2 x2d** non-gonococcal
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Bacterial Vaginosis and Vaginal Candidiasis don't [...].
Bacterial Vaginosis and Vaginal Candidiasis don't **cause pain.** still frequently encountered in w/u
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Bacterial Vaginosis in pregnancy tx: (+ doses) ## Footnote • [...]
Bacterial Vaginosis in pregnancy tx: (+ doses) • **flagyl (metronidazole) 500mg PO Q12 x7d**
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Bacterial Vaginosis tx: (+doses) ## Footnote * [...] * tx all pregnant or symptomatic pts
Bacterial Vaginosis tx: (+doses) ## Footnote * **flagyl (metronidazole) 500mg PO Q12** * tx all pregnant or symptomatic pts pregnant dose= flagyl (metronidazole) 2g PO
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Bacterial Vaginosis tx: (+doses) ## Footnote * flagyl (metronidazole) 500mg PO Q12 * tx all [...] or symptomatic pts
Bacterial Vaginosis tx: (+doses) ## Footnote * flagyl (metronidazole) 500mg PO Q12 * tx all **pregnant** or symptomatic pts pregnant dose= flagyl (metronidazole) 2g PO
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Bacterial Vaginosis tx: (+doses) ## Footnote * flagyl (metronidazole) 500mg PO Q12 * tx all pregnant or [...] pts
Bacterial Vaginosis tx: (+doses) ## Footnote * flagyl (metronidazole) 500mg PO Q12 * tx all pregnant or **symptomatic** pts pregnant dose= flagyl (metronidazole) 2g PO

Emergency Medicine (6 decks)

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