final count down Flashcards by Alexander Visk

gout treatmetn in a CKD patient

steroids

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is steroids a red flag to back pain

yes - immune wise and bone wisse

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atrial myxoam assoaciated with

raynauds

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lead migration vs perfortio

migration is still in the heart out of place

the perforation is outsde the heart

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aVR elevation think….

left main

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1/L + 5/6 elevation =

circumflex

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preventing tx for kawasakis for anyrusm?

IVIG

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TB ppd

15 for everyone
10 for me and high riskers
5 for HIV / transplants

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is klebsiella penis painful

duceyi is painful at the enis and groin

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MC pNa IN HIV PATIENTS/

Strep pnruo

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unexplained hypotension next step

RUSH
not fast or ekg

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if you have an anion hap acidosis and a bicarb that is usper low…

metabolic acidosis and non gap acidosis contributing to delta gap

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tx torsades

no pulse= defib
pulse= mag
definitive mangement = overdrive pace

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CT scans for stones

patients without a history of nephrolithiasis, signs of infection, solitary or transplanted kidney, or for whom an alternate diagnosis is suspected

or else dc them for trial of passage

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trip, sudden fevere, retororbital headache, myalgies

dengue fever

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phismosi frist step

topicals and manual reduction
then dorsal slit

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absolute contraidcnation to a cric - kid < 10 or abscess over it

Kid less than 10!

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peds parkland formula

same but add a maintence rate on top of it !

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ttp

needs thrombcytopenia and MAHA - AKI is +/-

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MC vessel and nerve hurt in elbow dislocation

brachial
ulnar

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aspiration pneumonitis next step

observation

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postive hip dysplasia in a kid next steps

US and harness

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b12 def

loss of reflexes lower, + babiski, loss of sensation

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tripod fx

all bones you would expect to being punched in the face

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what do i have sometimes

work dysphora = burnout

does micro heamturia indicate CT scan in stabel trauma patients

no gross or unstable

liver disease and needs reversal - PCC or FFP

PCC FFp is too much volume for ESLD

acute stroke in a sickler tx

PLEX! not tpa

do you need a yolk sac on US to confurm IUP

yes for viabiity

aa gradient needed for steroids for pjp

>35 or less than 70 pao2

thora spot

between 8/9 no lower

what is luous pernio

purple or indruandted erythmea on face in sarcoid pts

NV intact open fx - doppler pluses or abx

abx first - no need for dopplers

when do you do charcoal for ibuprogen OD

Over 400 mg/kg OD 100 is symptoms if less they can go home

concner for strangulated hernia- ct or surgeon

surgeon (not upright X ray)

deepest abscess butt space

supralevator

herpes on eye tx

ORAL ACYLORVIR AND TOPICAL PREDNSIONE topcial sless good

best syph test rpr ftaa or biopsy

ftaa!

TYPE 2 hypersnesitvity

Graves, auto hemo anemia, Goodpastures TYPE 3- serum sickness PSGN (compelemnt inovlvment) 4= type 1 diabestes, PPD test, hasimotos

TIA tx

ASA dont start on AC in ED

strain and sprains

sprain is ligemants strain in tendons all 1-3 grades

healthy CAP outpatient coverage

Amox !!! better than azithro azithro or doxy

perforated TM- ppx abx or no

atropine overdose but a plant

jimson weed foxglove is digitalis OD

looks like WPW but no Delta wave...

LGL syndrome

post ROSC care

cool to 32-36 EEG/TTE normo normo

when can hand foot mouth go back to schoool

fever resolution

inpatient CAP tx up to 5 years '''' less than 6 motnhs

ampicillin CFTX

chlamydia or N gonorrhea FHC syndrome`

Chlamydia!

nuchal cord on baby next step

reduce then deliver!

bruygagda tx

admit cards

infectious causes of SJS?

Mycopalsma and Herpes

hypopyon next step--

optho ocnsult

alkali ingestion dispo

admit ICU for supportiv care and endsopcy urgently

hypermag tx

calcium gluconate

side effect of ltos of pRBC infusions

hypothermia acidosis DIC/coagualopthy

when to use Kleuke test in preggos

after 20 weeks to see if there was massive ehmorrhag eand how much rhogam to give

when to give 50 mcg rhogam?

less than 12 weeks

300 mch rhogam given at

12-20 weeks

whar is fibringoen in TTP

normal

pilocarpine?

not anymore

next step tracheal transecton

fiberoptic tube

sciatic nerve or tab fx MC

tabs

b/l heel pain in a kid worse when squeezed

sever disease apophysis of growth plate

3 letter code is for

paced sensed (just flip it in your head) response

chronic pain patient fobromyclagia next step1

ketamine or an attempt at pain control dont d/c or admit yet - no narcotics

otitis media with vertigo - MC complication

meninigits

buklllous pempphoigoid tx

DOXY

afib and want to know if you anticoagulate - what do you use?

CHADS VASC

peau d oragne is

inflammaotry carcinoma

75% of nail and lingula involvment =

nail bed disprtopn- gotta take off the nail

MC pitutiary tumor and complciaiton

prolacintoma- impotence and loss of libido

incontinence studd

urethrla hyoermobility is form stress incontinuene overactive bladder from overflow incontinece

insulinoma tx

diazoxide

preggo hives tx preggo hives + angioedema

H1 and H2 Add steroids

pain beyond 90 degrees with abduction is + for

rotator cuff hakins and neer are impingement syndrome

ankle arhtrocentiss spot

medial to tib ant

phsyiloguc ansiosicra is a thing

adia pupil is basclaly the same but form trauma or illness mydriatic single pupil

steroids and colchicine or NSAid and ICe for gout

Snaids and ice unless cant tolerate NSAIDs

PE + hypotension next step

TPA If cant do tpa or refectory Hypotension then thrombecotmy dotn need + torp or bnp for tpa

need cxr in copd bt not laway asthma

chalymdia eye tx

oral

ortic dissection ekg

non specific t wve changes

hemnophilia A repacement B replcament for head cocnenr bleeding

50 (81 unit givs you 2%) 100 (91 unit gives you 1%)

acute mitral regurg stemi spot?

infeorir 2 3 F!

truncal ataxia stroke and falling over while sittign is in the

vermis

capral tunnel

MC in females (Not computer work!?) steorids, splints

c diff risk factors

abx in three months hsoptial stay 2 days 65 yrs old

which drug is HD capable carbamaz dig or dilt

carbamaz

intuss fist tx

contrast enema

cigutera fish are

barracuda snapper grouper

superficial thomboplhebitis needs AC when it is

bigger thn 5 cm

do you need x rays for achilles tendon rupture?

IP diaylsis infeciton tx

IP abx

loss of ant horn cells is

als lewy bodies is parkinsons

blast crisis tx

-ibs stem cell tx leukopheresis

blood transfusion in sicklers for which disease

aplastic crisis

400 mg 66 mmol severe isioprpyl needs

severe or higher than 50 for .... needs HD

methanol

INR > 10 no bleeding =

vit K and hold next dose

INR <<10 and no bleeding =

hodl next dose no K add pcc if lfie threatening

volume of lquiuid for drowing

impingement with POsitive hawkins is due to

subacromial bursitis steorid injections! adhesive capsulitis will be loss of rom

ESRD cellutlits needs

MRSA coverage

green stick needs

splint follow up