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EM V Flashcards

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1
Q

Central Retinal Artery Occlusion tx: (+doses)

  • […]
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber
A

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber

goal is to lower IOP and dislodge clot

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2
Q

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • […] // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber
A

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber

goal is to lower IOP and dislodge clot

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3
Q

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // […]
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber
A

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber

goal is to lower IOP and dislodge clot

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4
Q

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • […]
  • +/- paracentesis of anterior chamber
A

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber

goal is to lower IOP and dislodge clot

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5
Q

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- […]
A

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber

goal is to lower IOP and dislodge clot

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6
Q

Central Retinal Vein Occlusion prx:

  • […]
  • retinal hemorrhages on exam
A

Central Retinal Vein Occlusion prx:

  • sudden painless u/l vision loss
  • retinal hemorrhages on exam
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7
Q

Central Retinal Vein Occlusion prx:

  • sudden painless u/l vision loss
  • […]
A

Central Retinal Vein Occlusion prx:

  • sudden painless u/l vision loss
  • retinal hemorrhages on exam
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8
Q

Central Retinal Vein Occlusion tx:

  • […]
  • often surgical management
A

Central Retinal Vein Occlusion tx:

  • lower IOP (timolol, pilocarpine, acetazolamide)
  • often surgical management

no proven tx

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9
Q

Central Retinal Vein Occlusion tx:

  • lower IOP (timolol, pilocarpine, acetazolamide)
  • […]
A

Central Retinal Vein Occlusion tx:

  • lower IOP (timolol, pilocarpine, acetazolamide)
  • often surgical management

no proven tx

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10
Q

Central Vertigo ddx:

• […]

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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11
Q

Central Vertigo ddx:

• tumor/mass

  • […]
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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12
Q

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • […]
  • cerebellar stroke
  • intracranial bleed
  • infection
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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13
Q

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • […]
  • intracranial bleed
  • infection
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insuficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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14
Q

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • […]
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insuficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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15
Q

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • […]
  • infection
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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16
Q

Central Vertigo is caused by disturbance in […].

A

Central Vertigo is caused by disturbance in CNS blood flow.

i.e. blood flow, tumor, mass, bleed, carotid dissection

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17
Q

Cervicitis tx: (+ doses)

  • […]
  • azithromycin 1g PO (+zofran)
A

Cervicitis tx: (+ doses)

  • ceftriaxone 250mg IM
  • azithromycin 1g PO (+zofran)

cervicitis = no CMT but positive swab

substitute for azithromycin= Doxycycline 100mg PO BID x 14 days

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18
Q

Cervicitis tx: (+ doses)

  • ceftriaxone 250mg IM
  • […]
A

Cervicitis tx: (+ doses)

  • ceftriaxone 250mg IM
  • azithromycin 1g PO (+zofran)

cervicitis = no CMT but positive swab

substitute for azithromycin= Doxycycline 100mg PO BID x 14 days

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19
Q

Chemical Burns pearls:

  • […]
  • differentiate alkali vs acidic
  • give topical anesthetic
A

Chemical Burns pearls:

  • pts need copious irrigation (until pH is nl 6.5-7.5)
  • differentiate alkali vs acidic
  • give topical anesthetic
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20
Q

Chemical Burns pearls:

  • pts need copious irrigation (until pH is nl 6.5-7.5)
  • […]
  • give topical anesthetic
A

Chemical Burns pearls:

  • pts need copious irrigation (until pH is nl 6.5-7.5)
  • differentiate alkali vs acidic
  • give topical anesthetic
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21
Q

Chemical Burns pearls:

  • pts need copious irrigation (until pH is nl 6.5-7.5)
  • differentiate alkali vs acidic
  • […]
A

Chemical Burns pearls:

  • pts need copious irrigation (until pH is nl 6.5-7.5)
  • differentiate alkali vs acidic
  • give topical anesthetic
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22
Q

Chest Pain + […] or new LBBB = cath lab

A

Chest Pain + 1mm/2 leads or new LBBB = cath lab

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23
Q

Chest Pain + 1mm/2 leads or new […] = cath lab

A

Chest Pain + 1mm/2 leads or new LBBB = cath lab

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24
Q

Chest Pain + 1mm/2 leads or new LBBB = […]

A

Chest Pain + 1mm/2 leads or new LBBB = cath lab

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25
Chest Pain 6 deadly causes: (PET MAC) ## Footnote * [...] * esophageal rupture * tension pneumothorax * MI * aortic dissection * cardiac tamponade
Chest Pain 6 deadly causes: (PET MAC) ## Footnote * **PE** * esophageal rupture * tension pneumothorax * MI * aortic dissection * cardiac tamponade
26
Chest Pain 6 deadly causes: (PET MAC) ## Footnote * PE * [...] * tension pneumothorax * MI * aortic dissection * cardiac tamponade
Chest Pain 6 deadly causes: (PET MAC) ## Footnote * PE * **esophageal rupture** * tension pneumothorax * MI * aortic dissection * cardiac tamponade
27
Chest Pain 6 deadly causes: (PET MAC) ## Footnote * PE * esophageal rupture * [...] * MI * aortic dissection * cardiac tamponade
Chest Pain 6 deadly causes: (PET MAC) ## Footnote * PE * esophageal rupture * **tension pneumothorax** * MI * aortic dissection * cardiac tamponade
28
Chest Pain 6 deadly causes: (PET MAC) ## Footnote * PE * esophageal rupture * tension pneumothorax * [...] * aortic dissection * cardiac tamponade
Chest Pain 6 deadly causes: (PET MAC) * PE * esophageal rupture * tension pneumothorax * **MI** * aortic dissection * cardiac tamponade
29
Chest Pain 6 deadly causes: (PET MAC) ## Footnote * PE * esophageal rupture * tension pneumothorax * MI * [...] * cardiac tamponade
Chest Pain 6 deadly causes: (PET MAC) * PE * esophageal rupture * tension pneumothorax * MI * **aortic dissection** * cardiac tamponade
30
Chest Pain 6 deadly causes: (PET MAC) ## Footnote * PE * esophageal rupture * tension pneumothorax * MI * aortic dissection * [...]
Chest Pain 6 deadly causes: (PET MAC) ## Footnote * PE * esophageal rupture * tension pneumothorax * MI * aortic dissection * **cardiac tamponade**
31
Chest Pain hx questions: ## Footnote * [...] * provocation * quality * relieving/radiation * severity * time
Chest Pain hx questions: ## Footnote * **onset** * provocation * quality * relieving/radiation * severity * time
32
Chest Pain hx questions: ## Footnote * onset * [...] * quality * relieving/radiation * severity * time
Chest Pain hx questions: ## Footnote * onset * **provocation** * quality * relieving/radiation * severity * time
33
Chest Pain hx questions: ## Footnote * onset * provocation * [...] * relieving/radiation * severity * time
Chest Pain hx questions: ## Footnote * onset * provocation * **quality** * relieving/radiation * severity * time
34
Chest Pain hx questions: ## Footnote * onset * provocation * quality * [...] * severity * time
Chest Pain hx questions: * onset * provocation * quality * **relieving/radiation** * severity * time
35
Chest Pain hx questions: ## Footnote * onset * provocation * quality * relieving/radiation * [...] * time
Chest Pain hx questions: * onset * provocation * quality * relieving/radiation * **severity** * time
36
Chest Pain hx questions: ## Footnote * onset * provocation * quality * relieving/radiation * severity * [...]
Chest Pain hx questions: * onset * provocation * quality * relieving/radiation * severity * **time**
37
Chest Pain pts need a [...] EKG before dispo.
Chest Pain pts need a **pain free** EKG before dispo. make sure there are no changes!
38
Chest Pain that's persitant despite interventions consider: ## Footnote * [...] * admission to CCU
Chest Pain that's persitant despite interventions consider: * **unstable angina** * admission to CCU not stable enough for telemetry!
39
Chest Pain that's persitant despite interventions consider: ## Footnote * unstable angina * [...]
Chest Pain that's persitant despite interventions consider: * unstable angina * **admission to CCU** not stable enough for telemetry!
40
Chest Tube placement steps: ## Footnote * [...] * palpate 4th/5th intercostal space (lateral to nipple) * cut just above the rib =\> dissect down to muscle * puncture chest wall with curved kellys * insert finger into chest wall and twist 360\* * place chest tube in controlled manner
Chest Tube placement steps: ## Footnote * **prep skin with betadine** * palpate 4th/5th intercostal space (lateral to nipple) * cut just above the rib =\> dissect down to muscle * puncture chest wall with curved kellys * insert finger into chest wall and twist 360\* * place chest tube in controlled manner
41
Chest Tube placement steps: ## Footnote * prep skin with betadine * [...] * cut just above the rib =\> dissect down to muscle * puncture chest wall with curved kellys * insert finger into chest wall and twist 360\* * place chest tube in controlled manner
Chest Tube placement steps: * prep skin with betadine * **palpate 4th/5th intercostal space (lateral to nipple)** * cut just above the rib =\> dissect down to muscle * puncture chest wall with curved kellys * insert finger into chest wall and twist 360\* * place chest tube in controlled manner
42
Chest Tube placement steps: ## Footnote * prep skin with betadine * palpate 4th/5th intercostal space (lateral to nipple) * [...] * puncture chest wall with curved kellys * insert finger into chest wall and twist 360\* * place chest tube in controlled manner
Chest Tube placement steps: * prep skin with betadine * palpate 4th/5th intercostal space (lateral to nipple) * **cut just above the rib =\> dissect down to muscle** * puncture chest wall with curved kellys * insert finger into chest wall and twist 360\* * place chest tube in controlled manner
43
Chest Tube placement steps: ## Footnote * prep skin with betadine * palpate 4th/5th intercostal space (lateral to nipple) * cut just above the rib =\> dissect down to muscle * [...] * insert finger into chest wall and twist 360\* * place chest tube in controlled manner
Chest Tube placement steps: * prep skin with betadine * palpate 4th/5th intercostal space (lateral to nipple) * cut just above the rib =\> dissect down to muscle * **puncture chest wall with curved kellys** * insert finger into chest wall and twist 360\* * place chest tube in controlled manner
44
Chest Tube placement steps: ## Footnote * prep skin with betadine * palpate 4th/5th intercostal space (lateral to nipple) * cut just above the rib =\> dissect down to muscle * puncture chest wall with curved kellys * [...] * place chest tube in controlled manner
Chest Tube placement steps: ## Footnote * prep skin with betadine * palpate 4th/5th intercostal space (lateral to nipple) * cut just above the rib =\> dissect down to muscle * puncture chest wall with curved kellys * **insert finger into chest wall and twist 360\*** * place chest tube in controlled manner
45
Chest Tube placement steps: ## Footnote * prep skin with betadine * palpate 4th/5th intercostal space (lateral to nipple) * cut just above the rib =\> dissect down to muscle * puncture chest wall with curved kellys * insert finger into chest wall and twist 360\* * [...]
Chest Tube placement steps: * prep skin with betadine * palpate 4th/5th intercostal space (lateral to nipple) * cut just above the rib =\> dissect down to muscle * puncture chest wall with curved kellys * insert finger into chest wall and twist 360\* * **place chest tube in controlled manner**
46
CHF tx: (UNLOAD +doses) ## Footnote * U[...] * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * Lasix 40mg IV (or double home dose) * Oxygen BiPAP/CPAP (10/5) * Ace-I enalaprilat 1.25mg IV Q6 * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)
CHF tx: (UNLOAD +doses) ## Footnote * **Upright position** * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * Lasix 40mg IV (or double home dose) * Oxygen BiPAP/CPAP (10/5) * Ace-I enalaprilat 1.25mg IV Q6 * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF) consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn't work
47
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * N[...] * Lasix 40mg IV (or double home dose) * Oxygen BiPAP/CPAP (10/5) * Ace-I enalaprilat 1.25mg IV Q6 * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * **Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip** * Lasix 40mg IV (or double home dose) * Oxygen BiPAP/CPAP (10/5) * Ace-I enalaprilat 1.25mg IV Q6 * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF) consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn't work
48
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * L[...] * Oxygen BiPAP/CPAP (10/5) * Ace-I enalaprilat 1.25mg IV Q6 * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * **Lasix 40mg IV (or double home dose)** * Oxygen BiPAP/CPAP (10/5) * Ace-I enalaprilat 1.25mg IV Q6 * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF) consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn't work
49
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * Lasix 40mg IV (or double home dose) * O[...] * Ace-I enalaprilat 1.25mg IV Q6 * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * Lasix 40mg IV (or double home dose) * **Oxygen BiPAP/CPAP (10/5)** * Ace-I enalaprilat 1.25mg IV Q6 * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF) consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn't work
50
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * Lasix 40mg IV (or double home dose) * Oxygen BiPAP/CPAP (10/5) * A[...] * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * Lasix 40mg IV (or double home dose) * Oxygen BiPAP/CPAP (10/5) * **Ace-I enalaprilat 1.25mg IV Q6** * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF) consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn't work
51
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * Lasix 40mg IV (or double home dose) * Oxygen BiPAP/CPAP (10/5) * Ace-I enalaprilat 1.25mg IV Q6 * D[...] // dobutamine 10mcg/kg/min (decomp CHF)
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * Lasix 40mg IV (or double home dose) * Oxygen BiPAP/CPAP (10/5) * Ace-I enalaprilat 1.25mg IV Q6 * **Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)** consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn't work
52
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * Lasix 40mg IV (or double home dose) * Oxygen BiPAP/CPAP (10/5) * Ace-I enalaprilat 1.25mg IV Q6 * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // [...]
CHF tx: (UNLOAD +doses) ## Footnote * Upright position * Nitroglycerin 0.4mg Q5min =\> 0.3mcg/kg/min drip * Lasix 40mg IV (or double home dose) * Oxygen BiPAP/CPAP (10/5) * Ace-I enalaprilat 1.25mg IV Q6 * Diltiazem 10mg IV =\> infuse at 5-15mg/hr (comp CHF) // **dobutamine 10mcg/kg/min (decomp CHF)** consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn't work
53
Chondrocalcinosis is [...].
Chondrocalcinosis is **calcification of synovium and surrounding ligaments**.
54
Chronic Hyponatermic pts that are asymptomatic may be [...].
Chronic Hyponatermic pts that are asymptomatic may be **discharged safely**. depends on severity of hyponatremia
55
Classic Virchow's Triad equates to [...]% chance of risk.
Classic Virchow's Triad equates to ~**15%** chance of risk.
56
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * pityriasis * tinea * zoster * viral exanthem * lyme disease * scabies * [...]
Common Rash ddx: * contact dermatitis * erythema multiforme * pityriasis * tinea * zoster * viral exanthem * lyme disease * scabies * **secondary syphillis**
57
Common Rash ddx: ## Footnote * [...] * erythema multiforme * pityriasis * tinea * zoster * viral exanthem * lyme disease * scabies * secondary syphillis
Common Rash ddx: ## Footnote * **contact dermatitis** * erythema multiforme * pityriasis * tinea * zoster * viral exanthem * lyme disease * scabies * secondary syphillis
58
Common Rash ddx: ## Footnote * contact dermatitis * [...] * pityriasis * tinea * zoster * viral exanthem * lyme disease * scabies * secondary syphillis
Common Rash ddx: ## Footnote * contact dermatitis * **erythema multiforme** * pityriasis * tinea * zoster * viral exanthem * lyme disease * scabies * secondary syphillis
59
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * pityriasis * tinea * zoster * viral exanthem * [...] * scabies * secondary syphillis
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * pityriasis * tinea * zoster * viral exanthem * **lyme disease** * scabies * secondary syphillis
60
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * [...] * tinea * zoster * viral exanthem * lyme disease * scabies * secondary syphillis
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * **pityriasis** * tinea * zoster * viral exanthem * lyme disease * scabies * secondary syphillis
61
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * pityriasis * tinea * zoster * viral exanthem * lyme disease * [...] * secondary syphillis
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * pityriasis * tinea * zoster * viral exanthem * lyme disease * **scabies** * secondary syphillis
62
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * pityriasis * [...] * zoster * viral exanthem * lyme disease * scabies * secondary syphillis
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * pityriasis * **tinea** * zoster * viral exanthem * lyme disease * scabies * secondary syphillis
63
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * pityriasis * tinea * zoster * [...] * lyme disease * scabies * secondary syphillis
Common Rash ddx: * contact dermatitis * erythema multiforme * pityriasis * tinea * zoster * **viral exanthem** * lyme disease * scabies * secondary syphillis
64
Common Rash ddx: ## Footnote * contact dermatitis * erythema multiforme * pityriasis * tinea * [...] * viral exanthem * lyme disease * scabies * secondary syphillis
Common Rash ddx: * contact dermatitis * erythema multiforme * pityriasis * tinea * **zoster** * viral exanthem * lyme disease * scabies * secondary syphillis
65
Concerning vitals include: ## Footnote * SBP [...] * HR \>120 * HR \<45 * RR \>25 * SpO2% \<90
Concerning vitals include: ## Footnote * **SBP** **\<90** * HR \>120 * HR \<45 * RR \>25 * SpO2% \<90
66
Concerning vitals include: ## Footnote * SBP \<90 * HR [...] * HR \<45 * RR \>25 * SpO2% \<90
Concerning vitals include: * SBP \<90 * **HR \>120** * HR \<45 * RR \>25 * SpO2% \<90
67
Concerning vitals include: ## Footnote * SBP \<90 * HR \>120 * HR [...] * RR \>25 * SpO2% \<90
Concerning vitals include: ## Footnote * SBP \<90 * HR \>120 * **HR \<45** * RR \>25 * SpO2% \<90
68
Concerning vitals include: ## Footnote * SBP \<90 * HR \>120 * HR \<45 * RR [...] * SpO2% \<90
Concerning vitals include: ## Footnote * SBP \<90 * HR \>120 * HR \<45 * **RR \>25** * SpO2% \<90
69
Concerning vitals include: ## Footnote * SBP \<90 * HR \>120 * HR \<45 * RR \>25 * SpO2% [...]
Concerning vitals include: ## Footnote * SBP \<90 * HR \>120 * HR \<45 * RR \>25 * **SpO2% \<90**
70
Conjunctivitis prx: ## Footnote * bacterial= [...] * viral= watery d/c
Conjunctivitis prx: ## Footnote * bacterial= **purulent d/c** * viral= watery d/c
71
Conjunctivitis prx: ## Footnote * bacterial= purulent d/c * viral= [...]
Conjunctivitis prx: ## Footnote * bacterial= purulent d/c * viral= **watery d/c**
72
Consider adding [...] in Sepsis pts at risk for drug resistant organisms.
Consider adding **levaquin (levofloxacin)** in Sepsis pts at risk for drug resistant organisms.
73
Consider stool labs for AGE if: ## Footnote * [...] * travel to high-risk country * fever * bloody stool * persistent diarrhea * HIV/immunosuppressed
Consider stool labs for AGE if: ## Footnote * **\>10 stools in previous 24hr** * travel to high-risk country * fever * bloody stool * persistent diarrhea * HIV/immunosuppressed AGE = acute gastroenteritis
74
Consider stool labs for AGE if: ## Footnote * \>10 stools in previous 24hr * [...] * fever * bloody stool * persistent diarrhea * HIV/immunosuppressed
Consider stool labs for AGE if: ## Footnote * \>10 stools in previous 24hr * **travel to high-risk country** * fever * bloody stool * persistent diarrhea * HIV/immunosuppressed AGE = acute gastroenteritis
75
Consider stool labs for AGE if: ## Footnote * \>10 stools in previous 24hr * travel to high-risk country * [...] * bloody stool * persistent diarrhea * HIV/immunosuppressed
Consider stool labs for AGE if: ## Footnote * \>10 stools in previous 24hr * travel to high-risk country * **fever** * bloody stool * persistent diarrhea * HIV/immunosuppressed AGE = acute gastroenteritis
76
Consider stool labs for AGE if: ## Footnote * \>10 stools in previous 24hr * travel to high-risk country * fever * [...] * persistent diarrhea * HIV/immunosuppressed
Consider stool labs for AGE if: ## Footnote * \>10 stools in previous 24hr * travel to high-risk country * fever * **bloody stool** * persistent diarrhea * HIV/immunosuppressed AGE = acute gastroenteritis
77
Consider stool labs for AGE if: ## Footnote * \>10 stools in previous 24hr * travel to high-risk country * fever * bloody stool * [...] * HIV/immunosuppressed
Consider stool labs for AGE if: ## Footnote * \>10 stools in previous 24hr * travel to high-risk country * fever * bloody stool * persistent diarrhea * **HIV/immunosuppressed** AGE = acute gastroenteritis
78
Consider stool labs for AGE if: ## Footnote * \>10 stools in previous 24hr * travel to high-risk country * fever * bloody stool * persistent diarrhea * [...]
Consider stool labs for AGE if: ## Footnote * \>10 stools in previous 24hr * travel to high-risk country * fever * bloody stool * persistent diarrhea * **HIV/immunosuppressed** AGE = acute gastroenteritis
79
Consider WPW w/AFib in [...].
Consider WPW w/AFib in **wide irregular tachycardia**.
80
Contraindications to using Succinylcholine: ## Footnote * [...] * burns \>24 hrs * hx of malignant hyperthermia * muscular dystrophy
Contraindications to using Succinylcholine: ## Footnote * **crush injuries** * burns \>24 hrs * hx of malignant hyperthermia * muscular dystrophy
81
Contraindications to using Succinylcholine: ## Footnote * crush injuries * [...] * hx of malignant hyperthermia * muscular dystrophy
Contraindications to using Succinylcholine: ## Footnote * crush injuries * **burns \>24 hrs** * hx of malignant hyperthermia * muscular dystrophy
82
Contraindications to using Succinylcholine: ## Footnote * crush injuries * burns \>24 hrs * [...] * muscular dystrophy
Contraindications to using Succinylcholine: * crush injuries * burns \>24 hrs * **hx of malignant hyperthermia** * muscular dystrophy
83
Contraindications to using Succinylcholine: ## Footnote * crush injuries * burns \>24 hrs * hx of malignant hyperthermia * [...]
Contraindications to using Succinylcholine: ## Footnote * crush injuries * burns \>24 hrs * hx of malignant hyperthermia * **muscular dystrophy**
84
COPD flares abx tx: (+doses) ## Footnote OutPt: • [...] InPt: • azithromycin 500mg IV // levaquin 500mg IV
COPD flares abx tx: (+doses) ## Footnote OutPt: • **azithromycin 500mg =\> 250mg x 4d** InPt: • azithromycin 500mg IV // levaquin 500mg IV
85
COPD flares abx tx: (+doses) ## Footnote OutPt: • azithromycin 500mg =\> 250mg x 4d InPt: • [...] // levaquin 500mg IV
COPD flares abx tx: (+doses) ## Footnote OutPt: • azithromycin 500mg =\> 250mg x 4d InPt: • **azithromycin 500mg IV** // levaquin 500mg IV
86
COPD flares abx tx: (+doses) ## Footnote OutPt: • azithromycin 500mg =\> 250mg x 4d InPt: • azithromycin 500mg IV // [...]
COPD flares abx tx: (+doses) OutPt: • azithromycin 500mg =\> 250mg x 4d InPt: • azithromycin 500mg IV // **levaquin 500mg IV**
87
Corneal Abrasions in contact wearers need to be checked for [...].
Corneal Abrasions in contact wearers need to be checked for **white spots in cornea**. white spots = infiltrates = optho referral ASAP (concern for pseudomonas)
88
Corneal Abrasions tx: ## Footnote * [...] * tylenol/motrin * no contacts: erythromycin 0.5% Q6 x3d * contacts: levaquin (levofloxacin) 0.5% Q2 x2d
Corneal Abrasions tx: ## Footnote * **tetracaine/proparacaine drops** * tylenol/motrin * no contacts: erythromycin 0.5% Q6 x3d * contacts: levaquin (levofloxacin) 0.5% Q2 x2d non-contact alt= cipro, ofloxacin contact alt= gentamicin, tobramycin
89
Corneal Abrasions tx: ## Footnote * tetracaine/proparacaine drops * [...] * no contacts: erythromycin 0.5% Q6 x3d * contacts: levaquin (levofloxacin) 0.5% Q2 x2d
Corneal Abrasions tx: ## Footnote * tetracaine/proparacaine drops * **tylenol/motrin** * no contacts: erythromycin 0.5% Q6 x3d * contacts: levaquin (levofloxacin) 0.5% Q2 x2d non-contact alt= cipro, ofloxacin contact alt= gentamicin, tobramyci
90
Corneal Abrasions tx: ## Footnote * tetracaine/proparacaine drops * tylenol/motrin * no contacts: [...] * contacts: levaquin (levofloxacin) 0.5% Q2 x2d
Corneal Abrasions tx: ## Footnote * tetracaine/proparacaine drops * tylenol/motrin * no contacts: **erythromycin 0.5% Q6 x3d** * contacts: levaquin (levofloxacin) 0.5% Q2 x2d non-contact alt= cipro, ofloxacin contact alt= gentamicin, tobramycin
91
Corneal Abrasions tx: ## Footnote * tetracaine/proparacaine drops * tylenol/motrin * no contacts: erythromycin 0.5% Q6 x3d * contacts: [...]
Corneal Abrasions tx: ## Footnote * tetracaine/proparacaine drops * tylenol/motrin * no contacts: erythromycin 0.5% Q6 x3d * contacts: **levaquin (levofloxacin) 0.5% Q2 x2d** non-contact alt= cipro, ofloxacin contact alt= gentamicin, tobramycin
92
Correcting Na too quickly leads to [...].
Correcting Na too quickly leads to **Central Pontine Myelinolysis.**
93
CPAP vs BiPAP differences: ## Footnote * CPAP: [...] * BiPAP: baseline level of pressure + increased pressure with inhalation
CPAP vs BiPAP differences: ## Footnote * CPAP: **constant level of positive pressure** * BiPAP: baseline level of pressure + increased pressure with inhalation CPAP- continuous positive airway pressure BiPAP- bi-level positive airway pressure CPAP more comfortable
94
CPAP vs BiPAP differences: ## Footnote * CPAP: constant level of positive pressure * BiPAP: [...]
CPAP vs BiPAP differences: ## Footnote * CPAP: constant level of positive pressure * BiPAP: **baseline level of pressure + increased pressure with inhalation** CPAP- continuous positive airway pressure BiPAP- bi-level positive airway pressure CPAP more comfortable
95
Croup tx: (+doses) ## Footnote * [...] * decadron (dexamethasone) 0.6mg/kg PO (max 10 mg) * w/stridor at rest= racemic epi 0.05ml/kg (requires 4 hr obs)
Croup tx: (+doses) ## Footnote * **humidified air** * decadron (dexamethasone) 0.6mg/kg PO (max 10 mg) * w/stridor at rest= racemic epi 0.05ml/kg (requires 4 hr obs) make sure true stridor at rest
96
Croup tx: (+doses) ## Footnote * humidified air * [...] * w/stridor at rest= racemic epi 0.05ml/kg (requires 4 hr obs)
Croup tx: (+doses) ## Footnote * humidified air * **decadron (dexamethasone) 0.6mg/kg PO (max 10 mg)** * w/stridor at rest= racemic epi 0.05ml/kg (requires 4 hr obs) make sure true stridor at rest
97
Croup tx: (+doses) ## Footnote * humidified air * decadron (dexamethasone) 0.6mg/kg PO (max 10 mg) * w/stridor at rest= [...]
Croup tx: (+doses) ## Footnote * humidified air * decadron (dexamethasone) 0.6mg/kg PO (max 10 mg) * **w/stridor at rest= racemic epi 0.05ml/kg (requires 4 hr obs)** make sure true stridor at rest
98
CT head may still be negative in the first few hrs after [...].
CT head may still be negative in the first few hrs after **SAH**. ## Footnote Stroke/TIA: make sure it's not an early SAH prior to giving tPA!
99
CXR of Esophageal Rupture: ## Footnote * [...] * abnormal cardiomediastinal contour * pneumothorax * pleural effusion
CXR of Esophageal Rupture: ## Footnote * **pneumomediastinum** * abnormal cardiomediastinal contour * pneumothorax * pleural effusion
100
CXR of Esophageal Rupture: ## Footnote * pneumomediastinum * [...] * pneumothorax * pleural effusion
CXR of Esophageal Rupture: ## Footnote * pneumomediastinum * **abnormal cardiomediastinal contour** * pneumothorax * pleural effusion
101
CXR of Esophageal Rupture: ## Footnote * pneumomediastinum * abnormal cardiomediastinal contour * [...] * pleural effusion
CXR of Esophageal Rupture: ## Footnote * pneumomediastinum * abnormal cardiomediastinal contour * **pneumothorax** * pleural effusion
102
CXR of Esophageal Rupture: ## Footnote * pneumomediastinum * abnormal cardiomediastinal contour * pneumothorax * [...]
CXR of Esophageal Rupture: ## Footnote * pneumomediastinum * abnormal cardiomediastinal contour * pneumothorax * **pleural effusion**
103
D-dimer cutoff ~ [...].
D-dimer cutoff ~ **500**.
104
D-dimer measures the [...].
D-dimer measures the **degradation products of cross-linked fibrin.**
105
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * [...] * MAHA/TTP/DIC * pemphigus vulgaris * RMSF
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * **DRESS, erythroderm** * MAHA/TTP/DIC * pemphigus vulgaris * RMSF SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
106
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * [...] * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * **endocarditis** * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
107
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * [...] * pemphigus vulgaris * RMSF
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * **MAHA/TTP/DIC** * pemphigus vulgaris * RMSF SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
108
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * [...] * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * **meningococcemia** * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
109
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * [...] * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * **necrotizing fasciitis** * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
110
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * [...] * RMSF
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * **pemphigus vulgaris** * RMSF SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
111
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * [...]
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * **RMSF** SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
112
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * [...] * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * **SSSS** * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
113
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * [...] * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * **TEN/SJS** * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
114
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * [...] * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF
Dangerous Rash ddx: ## Footnote * urticaria/anaphylaxis * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * **toxic shock syndrome** * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
115
Dangerous Rash ddx: ## Footnote * [...] * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF
Dangerous Rash ddx: ## Footnote * **urticaria/anaphylaxis** * necrotizing fasciitis * meningococcemia * endocarditis * SSSS * TEN/SJS * toxic shock syndrome * DRESS, erythroderm * MAHA/TTP/DIC * pemphigus vulgaris * RMSF SSSS = staph scalded skin syndrome DRESS = drug reaction with eosinophilia and systemic symptoms
116
Deep Sedation meds: (+doses) ## Footnote • [...]
Deep Sedation meds: (+doses) ## Footnote • **propofol 1mg/kg IV (repeat 1/4 or 1/2 dose as needed**
117
Degenerative Arthritis tx: ## Footnote * [...] * tylenol * rest/ice/PT * weight loss
Degenerative Arthritis tx: * **NSAIDs** * tylenol * rest/ice/PT * weight loss
118
Degenerative Arthritis tx: ## Footnote * NSAIDs * [...] * rest/ice/PT * weight loss
Degenerative Arthritis tx: * NSAIDs * **tylenol** * rest/ice/PT * weight loss
119
Degenerative Arthritis tx: ## Footnote * NSAIDs * tylenol * [...] * weight loss
Degenerative Arthritis tx: ## Footnote * NSAIDs * tylenol * **rest/ice/PT** * weight loss
120
Degenerative Arthritis tx: ## Footnote * NSAIDs * tylenol * rest/ice/PT * [...]
Degenerative Arthritis tx: ## Footnote * NSAIDs * tylenol * rest/ice/PT * **weight loss**

Emergency Medicine (6 decks)

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