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Flashcards in final final Deck (15):
1

ABCDs what does the D stand for

decreased mental status
flasgow coma scale <13
stroke-like sxs

2

stoke mimics

seizures
confusional states
syncope
toxins
subdural
super low
neoplasms

3

surgical acute abdomen

Bowel obstruction: incarcerated hernia, malignance, volvucs (cecal or sigmoid) small bowel-adehesion or incarcerated hernia

peritonitis: appendicitis, cholecytsisits, diverticulitis

perfed viscus: diverticulitis, duodenal or gastric ulcer, large bowel obstruction with perforation


vascular:
aortic dissection, gastrointestinal hemorrhage, mesenteric ischemia/infarction, ruptured or symptomatic abdominal aortic aneurysm

4

meds that cause acute abdomen

NSAIDS- assoc with hemorrhage

Warfarin/pradaxa: GIB or thrombotic

steroids- immunosupression

beta blockers: blunts tachy

5

transmission of norovirus

food and water borne
close person to person contact
contact with contaminated surfaces
aerosolized vomit

6

risk factors for hep C

IVDU
Hemophiliacs clotting factors before 87
hemodialysis
medical workers with needle sticks
children of HCV women

7

underlying issues with FTT

ANY PRESCRIPTION
Psychotropics, Anticholinergics, Antidepressants
OTC
alternative nutritional supplements

8

definition of incontinence

Urgency: compelling sudden need to void
Urgency incontinence leakage preceded by or associated with urgency
Stress incontinence: leakage with sneezing or some forceful movement

9

what is a outlet obstruction PVR

Postvoid Residual (PVR) if it is over 200 suggest detrusor weakness or outlet obstruction

can exclude hydroneprhosis

10

overflow management

if obstruction is present treat underlying cause

reduce or stop drugs that impair detrusor contractility and increase urethral tone; treat constipation

bethanechol chloride is generally ineffective

intermitten clean catheterization

bladder emptying may improve with double void
last resort is protective garments

11

keigels are important for

Effective for urge and stress UI by strengthening pelvic muscles

12

when should we use catheters

Short-term decompression of acute urinary retention
Chronic retention not manageable surgically/medically
Patients with wounds that must be kept clean of urine
Very ill patients who cannot tolerate garment changes
Patients who request catheterization despite informed consent regarding risks

13

Who abuses geriatric?

Primarily adult children,
and then spouses, other relatives and lastly grandchildren

14

Life prognosis

Overestimate by a factor of 5!!!

15

eligibility for hospice Dementia

Dementia -

bed bound
mute
non-ambulatory
asp PNA
wt loss

and at least one of following occurring in the past year: pyelonephritis, sepsis, pressure ulcers, fever after antibiotics, dysphagia. (answer is was ambulatory)