Flashcards in Treatments And Tests Deck (184)
What is the treatment of exertional heat stroke?
Rapid cooling with ice water immersion
What is the treatment for nonexertional heat stroke?
What is the treatment for cocaine abuse resulting in chest pain?
IV BZDs + oxygen
Aspirin ( to retard thrombus formation because cocaine promotes platelet aggregation and activation)
Nitroglycerin & CCBs for pain
May do cardiac cath if have ST elevation with maximal medical therapy
What is the tx for SVC syndrome?
What is the tx for poly arteritis nodosa?
What is the tx for Kawasaki disease?
IVIG and ASA
What is the tx for urge incontinence?
Frequent voluntary voiding
How do you diagnose HSP?
What is the best next step when you suspect an aortic rupture in stable patient ?
TEE or CT chest
How do you diagnose cataracts?
How do you diagnose duodenal hematoma?
Ab CT with oral contrast
How do you treat a duodenal hematoma?
NG tube decompression
How do you diagnose pelvic fracture?
What is the tx of a pelvic fracture?
External binder and surgical eval
Emergent external fixation.
Angiography with embolization of bleeding vessels
Internal fixation for stable patients
What is the tx for warm autoimmune hemolytic anemia?
What is the tx for autoimmune hemolytic anemia that is not responsive to prednisone?
What is the diagnostic test for retained products of conception?
Pelvic US: shows increased vascularity, increased echogenicity, thick endometrial stripe
What is the tx for retained products of conception/septic abortion?
Blood and endometrial cultures
Surgical evacuation of the uterus (suction curettage)
What is the management for caustic ingestion?
2. Decontamination: remove clothing, irrigate exposed skin
3. CXR for respiratory sx
4. Endoscopy within 24 hours
What should you do if there are esophageal burns on endoscopy?
Order barium swallow 2-3 weeks after to look for strictures
What is the tx for septic arthritis with greater than 100K WBC, >90% neutrophils and purulent drainage?
Emergent surgical drainage to prevent joint destruction. And lifelong consequences
What is the best next step for someone with predominantly elevated alk phos and slightly elevated LFTs?
Ab US or CT
What is the first step in the evaluation of primary amenorrhea?
Pelvic exam and US
What is the best next step after a pelvic US reveals an absent uterus in the eval or primary amenorrhea?
Karytotyping and serum testosterone
What is the best next step after pelvic US revealing the presence of a uterus in the eval of primary amenorrhea?
If serum FSH is decreased, what is the next step?
If serum FSH is increased, what do you do next?
What should be done before starting Clozapine?
What is the tx of akithisia?