what RSI drug should be used in pts with increased ICP? Why?
fentanyl, doesn’t inc BP
retinal detachment
AIIS avulsion
What is this?
MC cause of dacrocystitis?
Staph aureus
Myasthenia gravis
what presents with motor and sensory deficits worse in the arms than the legs?
Central cord syndrome
trauma center classes
quad tendon rupture
cauda equina syndrome
What is this?
lunate dislocation
Patient looks like croup but is toxic appearing. Breathing treatment and steroids don’t work.
Hirschsprung
parkland formula
testicular cancer
traumatic iritis
spiders
what med to treat SAH?
nimodipine
Brudzinski
child trauma
what Salter-Harris?
acid burn
TIA
finger deformities
Lyme disease treatment
LisFranc injury
vertig
what is de Winter’s syndrome?
pt with GI bleed and hx of aortic aneurysm needs what?
has what?
EGD
transverse myelitis
What is this rhythm?
Treatment?
fluids is tx
local anesthetic table
What is the max dose of Lidocaine w/Epi before you reach toxicity?
What findings in Posterior Wall MI?
where to do ankle arthrocentesis?
medial to tibialis anterior tendon, directed towards anterior edge of medial malleolus
How to calculate severity of ARDS with an ABG?
Take the PaO2 as a whole number ex. PaO2 = 90
then divide by FiO2 as a decimal ex. FiO2 of 50 = .5
90/.5
> 300 is not ARDS
200-300 is Mild
100-200 is Moderate
< 100 is severe
4 causes of uterine atony?
Rupture of the UCL at the thumb is called what?
Management?
thumb spica and urgent surgical referral
Physiologic changes in pregnancy
how much is an “amp of D50”?
blast injury categories
What is described by inability to extend the DIP finger?
Mallet
Priapism treatment?
intracavernosal phenylephrine
How to dx inferior shoulder dislocation?
b/l facet dislocation
hangman fracture
what causes a teardrop fracture?
hyperextension
what are the facial nerve branches?
Tiny Zebra Bit My Cheek
What is the equation for factor replacement in hemophilia A?
amt = weight in kg x (% desired) x 0.5
cecal volvulus occurs in what age group?
20s-30s
Name the 5 sx of Kawasaki’s?
(mneumonic)
CRASH and Burn
conjuctivits, rash, adenopathy, strawberry tongue, hand/feet edema, burn = high fever
What level of Plts in TTP?
10-50,000
What is the target PaCO2 in post-resuscitation?
40-45
Treatment of ehrlichiosis?
Doxycycline
Perilunate v Lunate dislocation
describe the relationship in K+ drop of mEq to total body deficit?
0.3 = 100 mEq
treatment for erysipelas?
IV ceftriaxone
TIA info
Status epilepticus treatment algorithm
Central vs Peripheral vertigo
carotid artery dissection, treat how?
tPA
Xray findings of traumatic disruption of aorta
what are the complications of sickle cell
describe de Winter’s syndrome, means what?
LAD occlusion
8-12 y/o boy with heel pain has what?
shock categories and arrows
what is the CT showing?
red arrow?
yellow?
red = rupture appy
yellow = PSOAS muscle
What EKG finding presents with Q waves and persistent ST elevation?
desribe Wellens
describe Jones fracture
pt with COPD, sob, tachycardia, what to look for on EKG?
describe gamekeeper’s thumb
what PE finding?
what causes sudden, painless monocular vission loss with swelling of the optic disc and retinal edema?
CRVO
acute onset of skin rash with fever is what?
treatment?
what causes loss of color vision and edema of the optic disk?
describe Mallet finger
complication?
tx?
treatment for CAP
for CAP w/DM?
where to do ankle arthrocentesis?
medial to tibialis anterior tendon, directed toward anterior edge of medial malleolus
what saltr is this?
describe body part rule of 9s
what causes fever > 102F, a diffuse, blanching, erythematous rash that occurs followed by desquamation 1-2 weeks later?
tx?
TSS
clindamycin 900mg q8
What type HS is Goodpasture’s?
What about a delayed drug rash reaction?
2
4
Describe criteria for neutropenic fever
how to treat a cat bite?
do NOT close wound, let heal by 2ndary intention
augmentin x 7days
jones criteria is for what?
rheumatic heart fever
when does gi irritation occur in Iron toxicity?
how many stages are there?
Low flow priapism:
painful or less?
glans soft or hard?
causes?
main sx in serotonin syndrome?
clonus, hyperreflexia
Formula for kids ET size cuff?
uncuff?
age/4 + 3.5
age/4 + 4
how to treat posterior elbow dislocation?
see what on ekg for tca od?
treat how?
What med can be given as adjuct therapy for Coral Snake bite?
what kind of sx will they have?
AchE –> Neostigmine
minimal pain but neurotoxic effect –> parasthesia, fnd, weakness, cn3 dysfxn
what bacteria to worry about with hand bite from human?
Eikenella corrodens
what finding confirms compartment syndrome?
delta pressure < 30
pelvic fracture algorithm
what can cause nec fasc in an infant?
what causes scoop T waves directly after QRS?
What antibody forms first with Hepatitis?
IgM
Effect of HandGrip on HOCM?
same effect as squatting so Dec
what defines posterior MI?
> .5mm STE V7-V9
Acute angle glaucoma anatomy
What are the Cyanotic heart defects?
Acyanotic?
Abx for open fracture table
How to calculate delta ratio?
ratio of .8-2.0 means what?
AG / change in bicarbonate
