2/05 Flashcards
Allergic reaction to blood product caused by
Iga deficiency
OD on phenobarbital hx taking clonazepam to contraidicated
Flumazenil
Throw into withdrawal
Sexual assault post exposure to
Azithro, cef, metronidazole, HIV post, hep B vaccine and immunoglobulin if unknown vaccine status
Concern for obstructive uropathy with hydro next test
Ureterenoscopy
Asymptomatic preg bacteria in urine tx
Amoxicillin or cephalexin
Nitro causes birth defects
Cric position
Inferior to thyroid cartilage
Thrombosed hemrhoids tx
Excision
Not incision
Olioarticular juvenile arthritis ass sx and test
Uveitis Positive ANA (systemic is negative)
Sensory ataxia, need eyes to walk, what physical exam finding be abnormal
Romberg
Parrot pneumonia bug and tx
Chlamydia psitacci
Doxycycline
Arm stuck up type of dislocation
Inferior shoulder dislocation
Decorticate posture is arms and legs are
Arms in and legs extended
Decerebrate posturing is
Arms and legs extended
TRALI vs transfusion associated circulatory overload difference
TRALI high fever
Botulism is most common in
Infants
Cutting rings with
Ring cutter for soft metal
Dremel for hard metal
Old lady syncope with crackles and murmur dx
Aortic stenosis
Tx poison ivy
Prednisone taper 21 days
Croup tx
Depends on severity Cough = PO decadron Cough with stridor/retractions = +epi \+ distress = same with admit \+ resp failure = same maybe tube
Only time is mass cas you check dead person
Lightening strike
Peripheral neuropathy side effect from tx for dz
TB
Isoniazid
Axial load frx
C1 burst frx
Aspiration pna abx
Ceftriaxone and azithromycin
Clinda only if abscess or empeyema
Erythema nodosum tx
NSAIDS and potassium iodide
Acute anxiety and impeding doom tx
Benzos w
Tarry new born poop cause with vegan mom
Swallowed maternal
Orchitis, leg bruising, tender anterior shin nodules dx and tx
PAN
Steroids and cyclophosphamide
Virus spread by droplets
Flu, adenovirus, RSV
Best indicator of occult hemorrhagic shock
Shock index= HR/SBP
Most common cause of death in autosomal dom polycystic kidney dz
CAD
Most common cause of dirrhea in AIDS
Cryptosporidium
Glyburide OD tx
Octeeotide
Vaginal birth see cord and a foot next step
Elevate presenting part to relive cord
Phimosis (can’t retract) next step
Urology follow up for sx control
Dorsal skit is for paraphimosis
Diaphragm nerve roots
C3, C4, C5 keep the diaphragm alive
Exam for traumatic iritis
Cell flare
Seidel sign eye exam define
Concern for globe rupture, hole all the way through
Erythemarous papules on baby butt after URI sx, dx?
Popular acrodermatitis
Failed abx tx for UTI with trim-sulfa and Cipro next abx?
Fosfomycin
Nitrofuratoin
Pivmecillnam
IM/IV ertapenem once
Foreign body sensation, difficulty with fluids and solids, tx for GERD pecoiusly, dx?
Achalasia
Schatzki ring difficulty with solids only
Hemolytic transfusion rxn associated with lab result?
Haptoglobin decreases
LDH and bilirubin increase
Positive direct Coombs test
Pregnant chest tube placement
3rd or 4th intercostal
Diaphragm goes up
Blood disorder that cause venous and arterial clots, sole omega my and abnormal proliferation in all three myeloid cell lines
Polycythemia Vera
Factors that increase mortality in pancreatitis
Age>55, WBC>16 Glucose >200 LDH>350 AST>250
Lipase not a factor
Choledocholithiasis US findings
CBD >=6
Tularemia most common presentation
Red tender papule or ulcer with lymphadenopathy
Ammonia into eye, when stop irrigation?
Ph of 7.0-7.2
Ammonia is alkaline
+ topical erythromycin
+ cycloplegic if defect or clouding
Drug side effect anaplastic anemia
Phenytoin
Side effect leukopenia
Clozapine -agranulocytosis
Pinworms, itchy butt to
Mebendazole or albendazole
Pipe bends
Drugs ok for ET
NAVEL (adults) LANE (peds)
Naloxone, Atropine, Vasopressin, Epinephrine, Lidocaine
Lidocaine, Atropine, Naloxone, Epinephrine
Hx of systemic sclerosis
hypertensive, AKI, encelopathic
Dx
Scleroderma renal crisis = rapid renal decline and hypertensive encelopathy
Need to intubate Pt in c-collar how
Take off collar, maintain C-spike precautions and tube
Toddler ingested one flip oxide next step
Obs for 24hr
Octreotide if symptomatic
AKI with FENa <1% cause
Hypovolemia
Toddler mouthful of house bleach next step
Obs and PO challenge before dc
Household bleach very dilute
Active TB infection more sensitive infection
Mantoux test (PPD skin test)
Sepsis picture with extremely high WBC
DX and next steps
Hyperleukocytosis
IV abx, fluids, consult oncology for chemo, admit ICU
32 week preg SOB test consistent
Hyperventilating
<7.4 with normal CO2
Swelling and red after ear piercing tx
Oral cipro 1 week fu ENT 24 hrs
Trauma with swollen and painful testicle tx
Urology consult for OR
for traumatic testicle dislocation
Neck zones
Number 1-3 from clavicles up
Zone 3 his mandible to base of skull
Come to ED with nothing really wrong with a bunch of different complaints dx
Somatic symptoms disorder
Malingering has an end goal
Traumatic perforated ear drum tx
No intervention
Abx only when infectious cause
Ebstein anomaly define
Big right atrium with inferior tricuspid
Big brain Ebstein
Eisenmenger syndrome define
Atrial or ventral septal defect that reverse flow
Syndrome, not a defect itself
Sickle cell hx, presented with joint pain and anemia dx and to
Parvo - aplastic anemia
Droplet precautions, transfuse, admit time heme for more blood
High pressure paint gun finger injury no frx management
Radial guttedr splint, admit consult hand > debridment
Ankle arthrocentesis location
Between big toe ligaments and medial malleolus
Hypothermic and frostbite tx
Reward body before frostbite
Torsion next step
Urology consult
Only manually when urology not available and it’s medial to lateral
Retroperitoneal organs bleeding that might not show on FAST
Kidneys
Max dose epi
4-5mg/kg
Multiply by concert ration to get ml
Tx acute angle glaucoma
Topical beta blocker - timilol
Apraclonidine
Pilocarpine
12yo Migrating joint pain, fever rash
Penicillin allergy
Dx and tx
Acute rheumatic fever
Erythromycin or cephalosporins
Breast feeding mastitis tax
Diclixacillin
Cephalexin
Test determine difference bn iron def and thalassemia
Red blood cell distribution width
Increase in iron def
HAPE tx besides decent
Portable hyperbaric
COPD intubate with respiratory acidosis how change vent
Increase tidal volume, they retain air
Inflamed erupting tooth dx
Pericorinitis
Best indicator of PPV in new born working
Increase HR
Inflamed blocked lacrimal duct dx and tx
Dacrocysitis
Abx
Most common congenital
Hear defect
Ventricular septal defect
Way to reduce SIDS
Pacifier and nap time and bedtime
Head impulse test result concern for cerebellar stroke
Eyes remain on target
Retropjaryngeal appears falsely enlarged on X-ray when
Body rotated
Male UTI tx
Ceftriaxone IM and doxy x7days
Assume due to STI in males
Liver abscess manage
Consult IR for aspiration and drianage
Skin colored leasion for months no drainage or pustule dx
Epidermoid cyst/sebaceous cyst
