6/01 Week Flashcards
Open fracture
Any fracture with cuts or punctures near the skin
Initial tx for open fracture neuro vascularly intact
Abx (don’t delay more than 3 hours) - initial choice cephalosporin
Entamoeba histolytica dz name
Amebiasis
Entamoeba histolytica clinic presentation
Diarrhea and liver abscess
Aortic dissection, hypotensive and with evidence of Tamponade next tx
Immediate percardiocenticis
HA and vomiting after dialysis dz name
Dialysis disequilibrium syndrome (osmolality shift causing cerebral edema)
Dialysis disequilibrium tx
Mannitol
Clavicle fracture prone to nonunion
Superiorly displaced distal clavicle fracture
Emergent ortho consult for clavicle fracture
Open, neurovascular compromise, tenting of skin
Tumor lysis presentation
Hx of ca with extreme electrolyte abnormalities
Tumor lysis tx
IV hydration
Reduce sudden infant death
Breast feeding, pacifier use, supine sleeping position
Young ten age girl with toxic shock stable and shipping out, must do this before you do
GU exam for tampons
Stable trauma Pt with no injuries and painless microscopic hematuria next step
Observe in ED
Painless microscopic hematuria in trauma Pt dx
Blunt renal injury
Sac in uterus, no fetal pole, dx and next step
Concern for ectopic, consult OB
Head bleed, on enoxaparin, what drug is that and next step
Low weight molecule heparin
Reverse with protamine sulfate
Unstable Brady with low urine output dx and to
ECG with sine wave
Hyperkalemia (ecg changes, peaked t wave, wide QRS, sine wave)
Give calcium
Nonbloddy diarrhea iliocolitis pathogen
Yersinia enterocolitica
Rash and proximal extremity weakness with elevated CK, dx and underlying dx
Dermatomyositis
Occult malignicancy
Assessing for abdominal compartment syndrome in intubated Pt next step
Paralyze
HIV hx of toxoplasmosis infection has blurry vision and floaters, retinal exam shows lesion dx and tx
Choriorerinitis from previous toxo infection
Trim-sulfa
Black widow bite tx
Benzos, pain meds and anti nausea and tetanus
Testicular torsion manual untwist how
Medial to lateral 360 degrees
Not treat fever in peds increases risk of
Dehydration
OD
Low BP, lethargic, pinpoint pupils, Brady
Med od?
Clonidine
Relative contraindication for escharotomy to limb
Irreversible gangrene to limb - non-salvageable
Grief tx
Natural with friend and family support, no better than support group
Can’t retract foreskin dx tx
Phimosis
Urology follow up if able to urinate and no serious infection
Peds knee pain and gi symptoms dx and exam finding
Hemochromatosis-Schonlein putouts
Rash
Acute closure glaucoma tx
IV acetazilemide
Topical apraclonidine, topical timolol
Second line mannitol
Eye trauma, not able to look up dx
Inferior recurs muscle entrapment
Acute chest syndrome sx and evidence
Fever or respiratory sx AND imaging evidence (pulmonary infiltrate)
Activated charcoal doesn’t absorb
Metals, ions, corrosive, gasoline, alcohol, oil
Draining to dollar abscess can damage what anatomy
Carotid
Tonsilar abscess tx
Most aspiration
Then I&D
All abx- pencilin plus metronidazole
Clindamycin if pen allergic
Aortic dissection clinically becomes step
Esmolol drip before imaging
High sodium, how much decrease over 24 hour period
10-12
Blurry vision with hx of HTN and dm dx and eye findings
Retinal vein occlusion
Blood and thunder
(Artery would be complete loss)
Interested HIV with fever, wt loss, sweats, diarrhea dx and tx
MAC
Clarithromycin, ethambutol, rifampin
Loxosceles sp bite is a
Brown recluse
Latrodectus sp bite is a
Black widow
Mumps tell tale sign
Parotid swelling
Diabetes insipidus dz pathophys
Osmolalilty results
Can’t concentrate urine bc no vasopressin
Low urine osmol and high serum
