Surgery Other Systems Flashcards
(96 cards)
tx for cellulitis if we think its MRSA
-outpatient non MRSA
IV Vanco or linezolid–> IV ABX is IND if they meet SIRS criteria
-bactrim, clinda, doxy= outpatient
NON MRSA OP–>dicloxacillin, cephalexin** amoxicllin
poorly demarcated boarders of erythema
cellulitis
MC pathogens for cellulitis
GAS
Strep pyogenes
STaph aureus
MRSA
cat bite abx
augmentin or doxy
puncture wound– what abx?
ciprofloxacin or ceftazidime to cover pseudomonas
lab values for primary hyperthyroidism aka?
Graves Disease
Increased T3 T4
Low TSH
MCC of hyperthyroidism?
-sx?
graves
tachycardia, palpiations, afib, PVCs anxiety, tremors, insomnia, brittle hair, moist and warm skin weight loss heat intolerance exopthalmos, pretibila myxedema
stages of pressure ulcers
- nonblanching erythema, intact skin, may be painful—-only involves epidermis
- partial thickness, shallow open ulcer, red/pinnk wound bed
- full thickness skin loss, subcu fat may be visible, slough or eschar present, bone muscle tendon not expose, can include tunneing—>through the epidermis
- exposed bone, tendon or muscle,
how often to respotion patient to avoid pressure ulcers
2 hours
which stage of ulcer is adipose tissue exposed but not bone and tendon
3
what is a late sign for acute arterial oclusion
loss of motor function
cold leg, weak or loss of pulses—-
acute arterial occlusion
pain out of proportion to exam pallor pulselessness paresthesia poikilothermia paralysis
acute aterial occlusion and acute compartment syndrome
which type of AAA needs immediate surgery
type A— a for ASCENDING
tx for type B AAA
reduce BP—–IV BBs–>esmolol, labetalol, propranalol (DO NOT GIVE TO PT WITH HX OF ASTHMA)
xanthochromia on LP can indicate
early s/s of sub arachnoid hem
pharmalogical management for SAH
to reduce BP give Nimodipine—- a DHP CCB
60 mg q4h
this will decrease vasopsasms
if CT scan is negative for a bleed but suspicions are high for a SAH– next test?
LP
xanthochromia will show
increased fibrin degradation products and schistocytes on CBC consistent with?
DIC
intervention for suspected melanoma
excisinoal biopsy with skin margins of at least 2 mm
Pheochromocytoma
- dx
- tx
DX–urine metanephrines and VMA elevated, CT shows adrenal mass
TX– complete adrenalectomy and PREOP we will give NONSELECTIVE alpha blockers 7-14 days prior to surgery and BBs after surgery
HX of thyroidectomy—- pt will comes in with tinginling aorund mouth, muscle sapsms, numbness and tingling in hands/feet
-hyperactive DTR
DX?
primary hyPOparathyroidism
DECR in PTH means DECR in Calcium HIGH phosph
epidural
traffic accident, falls, trauma, assualts— MC type of brain bleeed ?
epidural
