4/27/13 Flashcards
Following blunt abdominal trauma, a pt. is normotensive, but has some respi distress. Breath sounds are decreased on the lower left chest. On X-ray, the left diaphragm is higher than the right. Dx?
Diaphragmatic rupture/hernia
What is a major complication of diaphragmatic hernia aside from respiratory distress?
incarcerated bowel
What would be a pathognomonic finding for diaphragmatic hernia?
NG tube in the chest
A pt who was rescued from a burning bldg and subsequently claims to have no memory of the event is using what neurotic defense mechanism?
dissociation
What are the 2 Tx options for acute cardiac tamponade?
pericardiocentesis or pericardiotomy
How can the cardiac silhouette be normal in acute cardiac tamponade?
pericardium is not very distensible
What receptors are blocked by typical antipsychotics?
D2
What receptors are blocked by atypical antipsychotics?
dopamine AND serotonin
What would be an average cardiac output?
about 5 L/min
Pain and numbness in one arm, limited neck rotation and lateral bending, and decreased sensation in the same arm in an older person.
cerviacl spondylosis
What is a common, but non–specific x-ray finding in spondylosis?
osteophytes
Person experiences popping sensation in knee during physical activity, followed by pain. Swelling of knee occurs gradually over the next 12-24 hrs. Tenderness on ant. and medial knee jt. Dx?
medial meniscus tear
Person feels popping sound in knee while doing physical activity and experiences immediate swelling and pain. Tenderness over ant. and medial knee. Dx?
ACL tear
Tenderness over the medial aspect of the knee with no precipitating event in an athlete or obese woman. Dx?
Anserine bursitis
Which neuro disease is amantadine used to Tx?
Parkinson’s