Flashcards in Reading notes Deck (40)
4 Ms, 4 Is
Missing drugs (withdrawal, noncompliance)
Miscellaneous (eclampsia, HTN cerebral edema)
Intox (cocaine, lithium, lidocaine, theoph, metal, CO)
Infection (sepsis, meningitis, abscess)
Ischemia (stroke, TIA)
Seizure, don't know the patient...what labs to check?
Na, Ca, Glc, BUN
Tx for severe hypovolemic hypernatremia
Normal saline, then switch to 1/2NS once volume status is repleted
Tx for mild hypovolemic hypernatremia
D5 0.45% saline
Tx for euvolemic and hypervolemic hypernatremia
D5W (dextrose prevents the osmotic burst of free water)
Oral free water (mild)
Chronic cough w/ white sputum, worse at night (adult), no other URI/LRI symptoms...suspect what?
Coronary angiogram and stenting --> AKI, abdominal pain, mottling of LEs, elevated eosinophils on CBC
Cholesterol emboli syndrome
When to Xray vs. MRI the back
XRay - osteoporosis, compression fxr, malignancy, Ank Spond, MM
MRI - sensory/motor deficits, cauda equina, epidural abscess/infection
Biggest risk factor for cerebral palsy
PREMATURITY (NOT hypoxia)
Function of adenosine in a stress test
Vasodilate the coronary vessels, thus exaggerating which vessel is blocked
Fever, pleuritic chest pain, hemoptysis, nodules w/ surrounding ground glass opacities in upper lobe
Modified Wells Criteria
3 points = signs of DVT, or nothing more likely
1.5 points = previous DVT/PE, recent surg/immob, HR > 100
1 point = hemoptysis or cancer
4+ = PE
6-week child, dyspnea and crackles w/ feeding, VSD murmur, LUSB systolic ejection murmur, loud S2
Complete AV septal defect - DS
Baby, triple or quadruple gallop, LLSB systolic murmur
Baby, loud systolic ejection murmur w/ click LSB, cyanosis, tachypnea, heart failure
Truncus arteriosus - DGS
Baby, cyanosis, tachypnea, murmur, relatively comfortable
Transposition of great vessels
LE pain, pale, cool temperature, loss of distal pulses, tingling/numbness, weakness
Do what first?
LE arterial occlusion (6 Ps - pain, pallor, poikilothermia, paresthesias, paralysis, pulseless)
Turner syndrome...heart anomalies?
Bicuspid aortic valve
Coarctation of aorta
Meds that improve long term survival in LV dysfunction
Mineralocorticoid receptor blockers (eplerenone, Spironolactone)
Hydralazine + Nitrates (AFRICAN AMERICANS)
Permanent pacemaker --> R heart failure...why?
Pacemaker wire passes through tricuspid valve to supply charge to ventricles...can accidentally obstruct tricuspid valve --> TRICUSPID REGURG
Mid-left sternal border...murmurs?
AR, PR, HOCM
TR, TS, VSD, ASD (really increased T)
PS, Flow murmur, ASD (really increased P)
L 5th intercostal (apex)...murmurs?
MS, MR, MVP
Stable A fib in WPW...tx options?
Aortic dissection...possible complications (w/ structure) (8)
Tamponade (pericardial sac)
AR (aortic valve)
Abd pain (mesenteric)
Horner syndrome (superior cervical symp ganglion)
Hemothorax (pleural cavity)
LE weakness or ischemia (spinal or common iliac aa)
Fibromuscular dysplasia...see what?
CAROTID and RENAL stenosis