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Flashcards in Need to knows Deck (19):
1

Triad a/w Wernicke's encephalopathy in heavy drinkers ?

1. Nystagmus & ophthalmoplegia (eye muscle weakness)
2. Poor coordination or ataxia
3. Confusion or memory impairment.
Tx = Magnesium Sulfate

2

Lyme Disease Tx

Doxycline 100mg BID x 14d

3

Hypercalcemia

short QT
"Bones (pain), Stones (renal/biliary), Groans (abd pain, n/v), and Thrones (polyuria), psychic overtones (depression, anxiety, insomnia)

4

Electrical alternans (differing sizes in QRS heights on the same EKG)

Suggestive of Pericardial Effusion / Tamponade

5

MC organisms causing Bacterial Meningitis in neonates <1mo old

E. Coli (G-)
Listeria monocytogenese (anaerobe)
GBS (G+)
ABX: Cefotaxmine / Gentamicin + Ampicillin

6

Treatment for Hyper K+

1) Calcium chloride or Calcium Gluconate (10mL IV over 10 mins)
2) Insulin and/or nebulized Albuterol (10mg)
3) Sodium bicarb w/ loop diuretic; kayexalate; dialysis

7

Human Bite
Cat Bite

Eikenella corrodens
Tx: Augmentin - Leave OPEN!
Pasteurella multocida

8

NEXUS Criteria

No midline c-spine tenderness
Not intoxicated
No AMS
No neurological deficits
No distracting injuries
(if any can't be met need x-ray)

9

Suture Size per location

Scalp- 3-0 or staples Remove 7 day s
Trunk/ Prox extremities - 4-0
Forehead/ Hand/Finger- 5-0 Remove 7 days
Inside Mouth 5-0 Absorbable Remove 5 days
Face - 6-0 Remove 5 days

10

Specific pathogens:
1) Farming accidents
2) fresh water
3) High-pressure water systems (power-washer)

1) Clostridium perfringens
2) Aeromonas hydrophilia
3) Acinetobacter calcoaceticus

11


Hemolytic Uremic Syndrome
(HUS)

Triad: Hemolytic Anemia, low plts, renal failure
MC Children <5yo
MC cx'ed by E. Coli (bloody diarrhea)
Tx: Plasmapheresis

12

TTP

Triad: Hemolytic Anemia, low plts, renal failure +/- neuro abnormalities and fever
MC Adults
MC cx'ed idiopathic, preg, HIV etc
Deficiency of ADAMTS13 which lead to an increase in Von Willebrand Factor
Tx: Plasmapheresis , do NOT give PLTs

13

Kernicterus

Neurotoxic Hyperbilirubinemia
Children < 1 yo
Bili > 25
S/S: Lethargy, hypotonia, and poor feeding

14

Intussusception

Invagination of one portion of bowel into an adjacent segment "Telescoping"
MC ileocecal region
MC cx of intestinal obstruction in children 3mo-5yrs
s/s: Colicky abd pain, vomiting, bloody/ current jelly stools
Dx: Abd Ultrasound
Tx: Surgery consult; air enema

15

Hand-Foot-Mouth Dz

Coxsackievirus A
Fecal-Oral Transmission
MC Fall & Summer
S/s: Fever, Malaise, Sore throate, Anorexia, rash
Tx: Self-limted 7-10 days, Pain medicine, magic mouth wash

16

Transudative vs Exudative

Transudate: Low protein & LDH
Exudate: High protein & LDH

17

Acute Angle Closure Glaucoma

Painful VL, Vomiting, seeing halos around lights
PE: cloudy cornea & Fixed dilate pupil
Labs: IOP > 21mmHg
Tx: Tpical BB, Carbonic anhydrase inhibitors, topical steroids, miotics

18

ALS
Amyotrophic Lateral Sclerosis

Asymmetrical distal weakness w/out sensory findings
Bowel/bladder func intact

19

Aplastic Crisis

MC a/w Parovirus B19