Rosh 2 Flashcards
Ph in Vaginal candidiasis? Treatment?
Acidicic, <4.5. Oral fluconazole or topical azole.
What does impetigo look like? Organism? Treatment?
Honey crusted non painful lesions on the face. S. Aureus. Mupirocin topical for limited area, cephelexin or Dicloxaccin for more extensive.
Definition of neutropenic fever? ABx of choice?
ANC < 500, Cefepime. 100.4 for an hour or 101 reading once with ANC <500 (or even 1K)
High risk features of a BRUE?
Age less 60 days, CPR by trained professional, duration longer than a minute, multiple events
Opening pressure for Idiopathic intracranial hypertension? Treatment?
Above 250 mm or 25 cm. Serial LP’s as well as Acetazolomide.
Dosing for naloxone drip?
2/3rd of reversal dose an hour. Ex. if 0.6 mg reversed patient should start drip at 0.4 mg/hr.
What is the additional fracture in Lefort 3 versus 2?
Zygomatic bones.
Presentation of botulism?
Dysphagia, dysploplia, dilated pupils, symmetrical descending paralysis. First muscles are often bulbar and facial. Exposure is usuall
Serotonin symptom
Rapid onset 2+ serotonin symptoms Mental status changes Tachy, shivering, diaphoresis, mydriasis Clonus, hyperreflexia
Treatment is benzo, hydration, cyproheptadine
First line treatment for OM, for PCN allergic? Severely PCN allergic?
Amoxicillin, Cefpodoxime, Clindamycin + Bactrim
Presentation in post strep glomerulonephritis? Treatment, timing?
Malaise, proteinuria, pitting edema in the legs. Fluid restriciton and salt restriction. Symptomatic management. Sometimes Lasix. Abx do not prevent this. Usually 7-14 days after Strep A infection
Presentation of Legg-Calve-Perthe disease? What is the other name? Presentation of Slipped capital femoral epiphysis?
Avascular necrosis of the femoral head. Often 4-10 year old, more common in boy, limping. SCFE is usually a little older, obese boy.
When is hyperbaric oxygen a consideration for CO poisoning?
Level > 25 in general population. 15 in pregnant. Older patient with CAD also higher risk or if you suspect end organ damage, AMS. Otherwise do a non rebreather. What is the half life of CO? 5 hours, 1.5 hours if on 100% O2.
How does Measles present?
Fever, rash starting head and moving it’s way inferior. Koplic spots (red spots with gray white center in buccal mucosa). Conjunctivits.
How does keratitis present?
Keratitis is where the cornea becomes inflamed or swollen making the eye appear red and inflamed. Patients will often present with pain, photophobia, redness, burning, itching, blurred vision, and a foreign body sensation.
