10/27/21 Bonus Flashcards
A 24-year-old man is stabbed in the chest with a knife. Which of the following cardiac structures is most likely to be injured?
Right ventricle
likelihood: RV > LV > RA > LA
In the case of uterine rupture, how much time is available for successful intervention before the onset of significant fetal mortality?
< 30 minutes.
What is the most common extraintestinal manifestation of Crohn disease?
Arthritis involving large joints.
In severe croup, ____________ should be the first line therapy.
racemic epinephrine
Gram stain of CSF
only 60–80% of CSF Gram stains return positive, thus a negative Gram stain does not rule out bacterial infection.
How to correct hypoglycaemia in PEDs, rule of 50
Under 1 yr: 5 ml/kg of 10% Dextrose (10×5=50)
1-8 yr: 2 ml/kg of 25% Dextrose (25×2=50)
> 8 yr: 1 ml/kg of 50% Dextrose (50×1=50)
ST segment elevation in aVR greater than 1 mm is most concerning for occlusion of the ____________
left main coronary artery.
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS)
- Begins 2–6 weeks after initiation of drug
- Facial edema, fever, rash, internal organ involvement
- Rash initially spares mucous membranes
- Eosinophilia
- rx: Steroids, immunoglobulin
Fungal Pneumonia
southwest, arthritis, erythema nodosum
Coccidioidomycosis
Fungal Pneumonia
northeast, budding yeast, bone lesions
Blastomycosis
Fungal Pneumonia
Ohio and Mississippi river valleys, bird and bat droppings
Histoplasmosis
True or false: Shivering is absent in myxedema crisis, which may help differentiate this from accidental hypothermia.
True.
Myxedema Coma Rx
IV levothyroxine
Hypothyroidism exacerbation → ↓ metabolic state + AMS
Stupor, Hypoventilation, Hypotension, bradycardia
High mortality
Trauma in Pregnancy should be in the _________ position to prevent supine hypotension syndrome
Left lateral decubitus
Anaphylaxis with Refractory hypotension after epi in a patient on beta-blockers should be given ___________
glucagon
