Missed On 2nd Eoc Flashcards
(32 cards)
Main risk factor for aortic dissection
HYPERTENSION
Advances age
Cocaine use
Tx of graves hyperthyroidism presenting to the ER
FIRST BB (metoprolol/propranolol) for sx reduction
THEN methimazole
Oppositional defiant disorder vs conduct disorder
Oppositional is the bark
Conduct is the bite
Antisocial personality is conduct disorder in adults
Incomplete abortion
Os is opened and some fetal parts are coming out but not done
Inevitable abortion
Os is opened but not passage of fetus
Reye’s syndrome is
Tx
Encephalopathy + fatty degeneration of the liver
Aspirin exposure in a viral illness
Supportive care
Adrenal crisis tx
Hydrocortisone
Needs corticosteroid supplementation with BOTH GCC and MCC
Dexamethasone is GCC
Fludrocortisone is MCC
Tx of purulent cellulitis vs nonpurulent
Purulent Needs MRSA coverage
• Doxy bactrim clinda
Nonpurulent ok to treat with Keflex, if a bite can treat with Augmentin
Mc presenting sx in Hodgkin lymphoma
PAINLESS lymphadenopathy in the cervical or supraclavicular region
Splenomegaly is a late stage presentation
BZD overdose sx and tx
CNS depression, respiratory depression, VS normal, pupils are normal
Supportive, flumazenil if severe sx
Diverticulitis tx
Supportive
Diet modification
Cipro + metronidazole
Proximal humeral fracture
Immobilize and sling
Acute dystonia vs tardive dyskinesia
Acute dystonia: reaction is a medication due to excessive ACh, within hours to days of new med
Tardive dyskinesia: dopamine receptor blocking drugs, develops after months
Malignant hyperthermia pathology
Altered Ca channel gated leading to an excess of Ca — hypermetabolism
CSF results for (differentiating findings)
1. Bacterial
2. Viral
3. Fungal
4. TB
- HIGH WBC >1k with neutrophils predominance
- NORMAL GLUCOSE & PROTEIN
- Lymphocyte predominance & + fungal on culture
- VERY high protein, positive AFB
Bacterial meningitis tx
Rocephin + vanco (add ampicillin if >50 or a baby)
Tx of acute decompensated HF
- NIPPV: increases O2, decreases pre and afterload
- Nitro drip: decreases preload and afterload (Dec SVR)
- Diuretics IV: sx relief
- Shock: norepi (levophed)
Stress vs overflow vs urge vs functional incontinence
Stress: pee with stress on bladder
Overflow: poor stream and incomplete emptying (BPH)
Urge: urgency and frequency
Functional: unable to get to bathroom
Diabetes inspidus serum & urine NA and osmolality
SERUM Na & osmolality HIGH
URINE low
SIADH serum & urine NA and osmolality
SERUM Na & osmolality LOW
Urine HIGH
Na is being peed out
Pheochromocytoma sx dx tx
Headache sweating tachy
Plasma metanephrines
Alpha blockers before beta blockers
Chronic Treatment for afib
Direct oral anticoagulants
Apixaban, rivaroxaban, dabigatran
MVP and HCOM increase with ___
Standing and valsalva
MCP click changes
Standing & valsalva — early click
Squatting — click disappears
