100 Top Secrets (5)

Question 1

6 Ws of postoperative fever

Answer 1

Water, Wind, Walk, Wound, “wawa” and Weird drugs
- water for UTI. Wind for atelectiasis or pneumonia, walk for DVT, wound for sx infection, wawa for breast postpartum, weird drugs causing fever

Question 2

What to suspect in patient with daily fever spikes that don’t respond to antibiotics

Answer 2

post-Sx abscess, order a CT and drain the abscess

Question 3

ABCDEs of trauma

Answer 3

Airway, breathing, circulation, disability, and exposure

Question 4

6 Rapidly Fatal Thoracic Injuries

Answer 4

1. Airway obstruction
2. Open pneumothorax
3. Tension pneumothorax
4. Cardiac Tamponade
5. Massive Hemothorax
6. Flail Chest

Question 5

Tx for airway obstruction

Answer 5

establish airway

Question 6

Tx for open pneumothorax

Answer 6

intubate and close defect on 3 sides

Question 7

Tx for tension pneumothorax

Answer 7

needle thoracocentesis followed by chest tube

Question 8

Tx of cardiac tamponade

Answer 8

pericardiocentesis

Question 9

Tx of Massive hemothorax

Answer 9

place test tube to drain; thoracotomy if bleeding doesn’t cease

Question 10

Tx of Flail chest

Answer 10

Consider intubation and posiive pressure ventilation is O2 not adequate

Question 11

Neonatal Conjunctivitis

Answer 11

Chemical rxn (in 12-24hrs after prophylaxis drops)
gonorrhea (drops, 2-5d post partum prevent this)
Chlamydia (5-14d post partum, drops don't prevent it)

Question 12

Most common cause of blindness in African Americans

Answer 12

Open-angle glaucoma

Question 13

painless and asymptomatic glaucoma until irreversibile vision loss (periphery)

Answer 13

Open-angle glaucoma

Question 14

Uveitis is a systemic condition for which systemic conditions

Answer 14

Juveinile RA, sarcoidosis, IBS, ankylosing spondylitis, reactive arthritis, MS, psoriasis, or Lupus

Question 15

Photophobia, blurry vision, eye pain

Answer 15

Uveitis

Question 16

6 P’s of Compartment Syndrome

Answer 16

Pain (passive movement hurts more than expected)
Paresthesia (numbness, tingling, decreased sensation)
Pallor (cyanosis)
Pressure (firm feeling)
Paralysis (late, omnious sign)
Pulselessness (very late sign)

Question 17

Treatment of compartment syndrome

Answer 17

Fasciotomy