5/13/13 b Flashcards
What is the treatment for hydrocele in a newborn?
reassurance and observation, as it will likely spontaneously resolve by 12 mos
If a communicating hydrocele does not resolve by 12 mos of age, what should be done? Why?
surgical removal; risk of indirect inguinal hernia
What should be done next for a pt w/ lower GI bleeding in whom the source of bleeding cannot be identified by colonoscopy?
erythrocyte scintigraphy
What is erythrocyte scintigraphy?
radio-labeled RBC scan
What adult bone tumor typically occurs at the epiphysis of the distal femur or proximal tibia and has a “soap bubble” appearrance on X-ray?
Osteoclastoma (giant cell tumor of bone)
In a middle-aged adult, superficial unilateral hip pain that is exacerbated by external pressure to the upper lateral thigh suggests a diagnosis of _______.
trochanteric bursitis
What is the respiratory quotient?
ratio of O2 consumed to CO2 produced
What is the main determinant of the respi quotient?
type of fuel being oxidized to ATP
What is the respiratory quotient for carbs alone?
1.0
What is the respi quotient for protein?
0.8
What is the respi quotient for fatty acids?
0.7
Why is the respi quotient relevant for mechanical ventilation?
weaning is harder if respi quotient is high
What do needle-shaped crystals on urinalysis indicate?
uric acid stones
How are uric acid renal stones best visualized?
CT or IVP
What is enteroclysis?
x-ray of small intestine w/ contrast
What should be done next if an unstable trauma pt is highly suspicious for intraperitoneal hemorrhage but FAST is inconclusive?
diagnostic peritoneal lavage
What are the 3 major components of the Glasgow coma scale?
eye opening, verbal response, and motor response
What is the usual tx of a hairline fracture of the 2nd, 3rd, or 4th metatarsal?
rest and analgesics, hard-soled shoe
Does bowel obstruction or paralytic ileus cause decreased/absent bowel sounds?
paralytic ileus
If there is an amputation injury outside of the hospital, what should you do with the amputated part before transportation to the hospital?
wrap in sterile gauze with saline, place in plastic bag, and place on ice
What is the tx for a penile fracture?
- urethrogram
2. surgical decompression of hematoma and suturing of tunica albuginea
What structure is torn, causing the pain and snapping sensation in penile fracture?
tunica albuginea, which invests the corpus cavernosum
