Truelearn Flashcards
(3382 cards)
Carcinoid tumor
1 cause of death is cardiac failure with carcinoid
Mainly in gi tract
High 5 hiaa in urine
Excess of serotonin in systemic circulation
Flushing diarrhea abdominal pain hypotension right heart lesions
Ulnar neuropathy
Thin males
Don’t put pressure on condylar groove of humerus
Most common perioperative neuropathy is ulnar
Nerve conduction studies look at both motor and sensory
Decrease smoking for two days
Less carboxyhemoglobin and oxyhemoglobin curve shifts to the right
Takes two months to see reduced sputum increased ciliary function improved closing volume
Causes of failed neuraxial block during c-section
Maternal obesity
Late labor epidural placement
Rapid conversion from labor to C section
Hyperparathyroidism main cause
Single adenoma
Leads to hypercalcemia with abdominal pain nephrolothiasis
Parathyroid stimulates osteoclast activity
Familial hypocalcemic hypocalciuria is due to
Decreased excretion of calcium and magnesium
Normal creatinine and BUN I’m pregnant patient
In pregnancy
GFR
Blood clotting factors increase/decrease
Hemoglobin
Increases
Increase
Decrease -physiologic anemia
Sitting pain =
Discogenic
Morning stiffness back pain
Anklyosing spondylitis
Primary hyperthyroidism
High serum and urinary calcium
Low phosphorus
Causes non anion gap acidosis
Non parathyroid causes of hypercalcemia
Multiple myeloma, vitamin d intoxicating
Renal failure
Secondary hyperthyroidism
Caliciun low phosphorus hugh
Gas score verbal
5 normal
4 confused
3 inappropriate words
2 incomprehensible words
GCS score
Movement
6 normal 5 localize to pain 4 withdraw to pain 3 flex ion 2 extension 1 nothing
An acute drop in ventilation during a single lung case is to
Ventilate with both lungs
Dependent lung is the
Ventilated lung
Can give peep if hypoxemic
Septic shock
More glucose formation with insulin resistance
Sepsis leads to hyper metabolism which increases protein catabolism
SVT with WPW syndrome slanted R wave
ProcainAmide
Paroxysmal SVT first line
Adenosine
Elimination half life of labetolol
5.5 hrs
Diltiazem increases
AV nodal conduction
Anyicholingeric
Tachycardia
Mydriasis
Carbamazepine side effects
Widened qrs
Hypotension
Seizures
Anti-cholinergic symptoms