Flashcards in SECRETS Deck (214)
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1
Common cause of wheezing in children
RSV, which classically occurs in winter and causes a fever. Asthma may be cause but usually associated with chronic hx.
2
When should you intubate
CO2>50 or O2
3
Best way to reduce pulmonary complications post op
STOP SMOKING (especially when at least 8 weeks before surgery)
4
Classic cause of PNA in TB pt
Pulmonary cavitation -- > Aspergillus sp
5
Classic cause of PNA in child
RSV
6
Classic cause of PNA in child 2-5
Parainfluenza (croup)
7
Why should you get a follow up CXR in all pts >40 who develop PNA
Make sure it clears after appropriate abx treatment. If it doesn't clear by 4-6 weeks, suspect malignancy, specifically BRONCHOALVEOLAR CA.
8
Complications of infant RDS
Intraventricular hemorrhage and pneumothorax or bronchopulmonary dysplasia (complications of acute or chronic mechanical ventilation)
9
What is the fluorescence polarization test?
Reflects ratio of surfactant to albumin in amniotic fluid and is direct measurement of surfactant concentration.
10
Cyanosis with attempted feedings in a neonate
TE fistula
11
Triglycerides in a pleural effusion
Chylous effusion
12
Screening for aortic aneurysm
Abdominal US
13
Confirmatory for aortic aneurysm
CT with contrast
14
Screening for aortic aneurysm should occur in?
Male smokers 65-75
15
Screening for aortic trauma/tear
CT with contrast
16
Confirmatory for aortic trauma/tear
MRA or TEE
17
Screening for appendicitis
US (partic in prig and children)
18
Confirmatory for appendicitis
CT with contrast
19
Screening for bowel obstruction
Abdom Xray
20
Confirmatory for bowel obstruction
CT with contrast
21
Screening for cholecystitis
US
22
Confirmatory for cholecystitis
HIDA
23
Screen for choledocholithiasis
US
24
Confirmatory for choledocholithiasis
ERCP or MRCP
25
Screen for diverticulitis
CT with contrast. No endscopy acutely as there is a risk of perforation
26
Screen for esophageal disease
Gastrografin or barium xray
27
Confirmatory test for esophageal rupture
CT with contrast.
28
Screen for PUD
Endoscopy
29
Screen for pyloric stenosis
US
30
