Exam #2 Flashcards Preview

Advanced Clinical Reasoning > Exam #2 > Flashcards

Flashcards in Exam #2 Deck (23)
Loading flashcards...
1

Tx for Tension Headaches

ASA
Acetaminophen
Ibuprofen
Naproxen
Excedrin

2

Tx for migraines

NSAIDs
Acetaminophen
Triptans
Excedrin
Fioricet
Opiates
Antiemetics

3

Tx for cluster headaches

O2
Ergotamines at first signs of sx

4

SIRS Criteria

1. Temp > 38, < 36
2. HR > 90 bpm
3. Tachypnea > 20 bpm
4. WBC > 12,000, < 4,000 or presence of 10% immature neutrophils

5

Signs of end organ damage

SBP < 90 mmHg
Platelets < 100 K
Lactate > 2
Bilirubin > 2
AMS

6

Within 6 hours of presentation in septic shock bundle

Repeat volume status and tissue perfusion assessment
Give vasopressors if hypotension persists after fluid

7

DDX for stroke

Seizure
Hypoglycemia
Drug toxicity
Wernicke's encephalopathy
CNS abscess or tumor
Migraine with aura

8

Inclusion criteria for tPA

1. Dx of ischemic stroke
2. Onset of sx < 3 hours before tx
3. Aged >/= 18 y/o

9

Exclusion Criteria for tPA:

1. Significant head trauma/prior stroke < 3 mo
2. Elevated BP (S > 185 or D > 110)
3. Sx suggesting subarachnoid hemorrhage
4. Current anticoagulant use
5. Active internal bleeding
6. Glucose < 50 mg/dL

10

Relative Exclusion Criteria for tPA:

1. Pregnancy
2. Seizure at onset
3. Major surgery or serious trauma within 14 days
4. Recent acute MI
5. Recent GI or urinary tract hemorrhage

11

Physical Exam findings with OA

Tenderness
Crepitus
Swelling
Restricted joint movement
Bony enlargement

12

XR findings with OA

Narrowing of joint space
Increased density of subchondral bone
Osteophytes

13

Tx for OA

Acetaminophen or NSAIDs
Weight reduction
Daily stretching
Orthotics

14

Dx for RA

Anti-citrullinated peptide antibodies
XR
RF
CBC

15

Heel Walk

L4, L5

16

Toe Walk

S1

17

Rectal Exam

S5

18

Red Flags for Low Back Pain

> 50 y/o
Night pain
Fever
IV drug use
Chronic steroid use
Saddle numbness
Bladder/Bowel incontinence
> 6 weeks duration

19

Risks with estrogen progestin

MI
Stroke
HTN
VTE
Hepatic adenoma
Increased risk of breast CA

20

CI to estrogen progestin

Smoker > 35 y/o
Uncontrolled HTN
Hx of stroke or ischemic heart dz
Hx of VTE
Inherited thrombophilia
Migraine with aura
Liver tumor
Breast CA

21

Tx for CKD

Attain blood pressure goal
Glycemic control
Reduce sodium and protein
Supplemental bicard if metabolic acidosis
Furosemide
Torsemide

22

Physical sx of anxiety

Sleep disturbance
Restlessness
Muscle tension
GI sx
Chronic headaches

23

DDX for anxiety

Hyperthyroidism
Pheochromocytoma
Hyperparathyroidism
Arrhythmia
TIA
Substance abuse (caffeine)
Substance withdrawal