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Flashcards in PREP:EM Notes Deck (27):
1

IV Meds to Tx HTN Emergency (4)

1. labetalol 0.2-1mg/kg
2. nitroprusside gtt
3. nicardipine gtt
4. fenoldapam

2

HOCM murmur

systolic murmur that gets louder with valsalva or standing from squatting

3

hCG levels at which you should see a pregnancy on US (transabd vs transvag)

transabd > 6500
transvag > 1000

4

DDx of Late Pregnancy Bleeding? (3)
What do you do?

DDx: placenta previa, placental abruption, preterm labor
Actions: get OB STAT and don't do a pelvic

5

Management Options for Laryngospasm (5)

-reposition airway
-give sustained BVM pressure/PEEP
-stimulate "laryngospasm notch" (behind the earlobe, the soft area between the skull base, mastoid bone, and mandible)
-sux 0.1-0.2mg/kg
-propofol 0.5-1mg/kg

6

If you see metabolic acidosis + respiratory alkalosis, you should think of this poisoning

salicylate poisoning

7

classic blood gas abnml with salicylate poisoning

metabolic acidosis + respiratory alkalosis

8

key difference in presentation between ethylene glycol and methanol poisonings

ethylene glycol: results in oxalic crystals in the urine and hurts the kidneys
methanol: results in formic acid and causes blindness

9

toxic alcohol resulting in blindness

methanol

10

toxic alcohol resulting in renal failure

ethylene glycol

11

J-waves/Osborn waves are seen in:

hypothermia

12

characteristic EKG finding of hypothermia

J-waves/Osborn waves

13

In treating hypothermia, at what temperature should you initiate resuscitation meds and defibrillation attempts?

T > 30C

14

characteristics of organic etiologies to psychosis (7)

1. abrupt onset
2. <12yo
3. abnml VS
4. abnml physical exam
5. mental status changes
6. abnml neuro exam findings
7. visual hallucinations

15

treatment of adrenal crisis

1-2mg/kg of hydrocortisone

16

meds to acutely treat thyroid storm (4)

1. propanolol
2. iodide/lugols
3. methimazole
4. steroids

17

Patient comes in with occipital HA associated with ataxia/vertigo, dysarthria with short period of LOC. Symptoms resolve after emesis. What less scary dx should you think of?

basilar artery migraine

18

zones of the neck

3. angle of mandible to base of skull
2. cricoid to angle of mandible
1. cricoid to clavicles/thoracic inlet

19

Patient with alkaline serum but aciduria - what is this???

paradoxical aciduria secondary to potassium depletion

20

Malaria mimic seen in New England?
Transmission?
How do you diagnose it?
Treatment?

Babesiosis
Ixodes tick
dx with thick and thin smears (like malaria); may see the Maltese cross
atovaquone + azithromycin OR clinda + quinine

21

Cutaneous ulcer OR purulent conjunctivitis with preauricular lymph nodes should make you think of this disease:

tularemia

22

radiopaque toxins (5)

***COINS***
1. chloral hydrate
2. opiate packets
3. iron and Hg, As, Li
4. neuroleptics
SR/enteric coated meds

23

poisonings that activated charcoal won't work for (3)

ions/metals
acids/bases
alcohols

24

this common household object can be 17% EtOH

mouthwash

25

toxin that smells like rotten eggs

hydrogen sulfide

26

toxin that smells like almonds

cyanide

27

toxin that smells like garlic

arsenic