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Flashcards in Stuff To Learn Deck (13)
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1
Q

ABC score

A

Predictive of the need for massive transfusion. 2 or more 75%sensitive 86% specific

1) penetrating trauma
2) sbp <90
3) arrival heart rate >120
4) positive fast exam

2
Q

Drugs that cause angioedema

A

Ace inhibitors but also arbs and renin antagonists (unknown mechanism) and nsaids cause accumulation of leukotriene mediators usually with urticaria and facial swelling

3
Q

Helpful labs in hereditary angioedema

A

c4 and tryptase

C4 is low in hereditary angioedema
Tryptase level is normal in hae and elevated in anaphylaxis and mastcell mediated disorders

4
Q

Additional adjunct treatments for angioedema

A

Ffp

5
Q

What is tsi

A

“Transient symptoms with infarction”. Between tia and stroke, evidence of infarction imaging but resolution of symptoms

6
Q

Absence of restricted diffusion on MRI and abcs2 score <4

A

100% sensitivity excluding stoke at 7 days

7
Q

Why do we do permissive hypertension in stroke?

A

The thought is ischemic brain loses ability to auto regulate and requires higher cerebral perfusion pressure

8
Q

What percent risk reduction does aspirin allow in tia?

A

15% of recurrent stroke

Dose doesn’t matter 81 is just as good

9
Q

What inr is tpa contraindicated?

A

1.7

10
Q

What percentage of strokes are thrombotic versus embolus?

A

60% thrombotic

40% embollic

11
Q

When is renal imaging in trauma appropriate?

A

Gross hematuria, microscopic hematuria with hemodynamics instability

12
Q

Intrinsic plus

A

15 90 15

13
Q

Best treatment for mallet finger

A

Dorsal splint, less soft tissue betweenfixation and fracture

Splint in extension, no removed for 6-8 weeks