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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

Confiramtory for pyloric stenosis

Barium Xray