Very Common Cases & Their TTT

Question 1

What is the most commonly used antibiotic to treat UTI in ER? Dosage

Answer 1

Cefaks ( Cephalosporin ) 500mg injection

Question 2

What’s the most commonly used antibiotic for tonsillitis in ER? Dosage?

Answer 2

Rocephin ( ceftriaxone= cephalosporines 3rd generation)

1mg IV for moderate
2mg IV for sever

Advice follow up with ENT

Question 3

Gastritis ?

Question 4

URTI

Question 5

LRTI

Question 6

Dehydration

Question 7

Ovarian cyst

Question 8

Af

Question 9

MI

Question 10

Thumb injury/inflammation

Answer 10

Clean, dressing, anti-inflammatory tablet for 5 days

Question 11

Mangment of Pharyngitis ?

Answer 11

Labs ; CBC, CRP, ???

DRUGS; IV or IM
Antihistamines
Vitamin C
Panadol

Question 12

Bronchitis

Question 13

Pneumonia

Question 14

What’s the management of neck pain in ER?

Answer 14

Request xray ( MRI is better but first Xray is done otherwise insurance will not accept MRI order)

Give Mydocalm ( tab 50-150 mg×2

Question 15

Nausea

Answer 15

Give Zofran ( Ondansetron ) IV 2mg over 15 minutes
( tab is 4,8,24 mg )

Question 16

Abdominal pain

Answer 16

Buscopan ( antispasmodic ) IV 20mg
Oral 10mg

Question 17

Management of panic attack ?

Answer 17

Give Dormicum ( midazolam ) = benzodiazepine ( given to help ptn relax ) IV 1mg 0ver 2 minutes

Question 18

Urticaria/ allergy

Answer 18

Give :
NS

Hydrocortisone100- 200 max

Chlorohistol IV 20mg is the max

Home prescription :

antihistamine = Telfast ( fexofenadine hydrochloride) 180mg × 1 daily
{ if the ptn wants another drug, we can give Desloratidine 5mg once daily }

Gupisone ( prednisone ) can also be given 20mg × once daily ×3

Diphenhydraamine 50mg ( Antihistamines )

Question 19

Sore throat managment?

Answer 19

Augmentine ( amoxiciline/ clavulanate ) tablet 500-825mg or extended release tablet 1000mg ×2×10
Antihistamine

Question 20

Constipation management?

Answer 20

Order Xray
Enema ( incase of ptn took dulcolax already)

Question 21

Papatation + dizziness ( pulse is normal ) what’s the management?

Answer 21

Chest x ray ( SOB )

ECG

CBC

Random blood sugar

Electrolytes

TSH

Medication:
NS
Nebulizer

Question 22

History of low back pain, ptn was told there was pressure on the nerves causes his pain , MRI was done by neurologist before, mana9?

Answer 22

Perfalgan
Voltaren
Vitamin B12 injection

Question 23

Ptn had seizure for first time, management? Possible cause?

Answer 23

The cause was postcoital seizure because of the rupture of aneurysm chich caused subarachnoid haemorrhage

Check blood gases ( usually there’s metabolic acidosis )

CT scan was done

Was given dormicum because ptn was agitated

Was given zofran for his nausea

Ptn shifted to ICU for coiling surgery

Question 24

Chest pain ( muscular ) managment?

Answer 24

Order chest xray

Order POC test ( troponin, d-dimer )

Muscle relaxant was given

Voltaren

Perfalgan

Question 25

Palpitations

Question 26

Transverse mylitis

Question 27

Throat pain

Question 28

Pulmonary embolism

Question 29

Headache

Question 30

Agitation maybe alcohol

Question 31

Panic attacks

Question 32

Head trauma

Question 33

Case with fracture of the ankle , management?

Answer 33

Split Give painkillers Nexium Aspirin because ptn is >45 years to prevent DVT

Question 34

Sepsis ( because of diabetic foot ) managment?

Answer 34

Give fluid full speed if there's hypotension to prevent septic shock Give Imipenem and Cilastatin IV ( if not available give flagyl with ceftriaxone ) Insert Catheter Sift to ICU

Question 35

Pulled elbow

Answer 35

Xreay was done Ibuprofen was given ( child 4 years )

Question 36

Lower abdominal pain ( female ) managment

Answer 36

Point in History: LMP, UTI symptoms, ovarian Order : US : Abdomen , pelvis Order: CBC, CRP, Creatinine, Urine Give : buscopan IV stat Gotex stat Perfalgan stat

Question 37

Management of Afib

Answer 37

ABC Attached monitor IV access ECG Echo Give B-blockers Anticoagulants direct or Warfarin For hypotension, give Atropine If there's known foci, ablasion is done