9/16/21 Flashcards
Spontaneous Bacterial Peritonitis most common bug
Most commonly caused by E. coli, Streptococcus
What physical exam finding is classically associated with necrotizing enterocolitis?
Abdominal wall erythema.
For what disease process is an air enema the appropriate therapy?
Intussusception.
What antibiotic is appropriate for a pediatric patient with bacterial parotitis and a severe penicillin allergy?
Clindamycin.
What is the likely diagnosis in a patient with a fever and diffuse rash that starts twelve hours after being treated for syphilis?
Jarish-Herxheimer reaction.
Scorpion Sting rx
BZDs for neuromuscular symptoms
Atropine for excessive secretions
Antivenin
Defibrillation should only occur in patients with no pulse and no blood pressure in _________ (rythem) and not in patients with vital signs.
ventricular tachycardia or ventricular fibrillation
Cat scratch disease is a typically self-limited illness caused by the gram-negative bacteria ___________
Bartonella henselae.
What is the classic time of presentation for pyloric stenosis?
First three to six weeks of life.
Acute Mitral Regurgitation murmur
Unique, harsh, midsystolic murmur, best heard at the apex that radiates to the base rather than the axilla
What is the Winter formula used for?
used to determine the appropriate respiratory compensation and estimates pCO₂, indicating whether there is a concomitant respiratory acidosis or alkalosis.
______________ is the recommended corticosteroid for adrenal crisis
Hydrocortisone 100 mg IV
Primary Adrenal Insufficiency (Addison Disease) labs willl show
Labs will show hyponatremia and hyperkalemia
What class of drugs should be avoided in patients with cocaine-induced chest pain?
Beta blockers.
What size endotracheal tube should be used for intubation in massive hemoptysis?
Size 8.0 to facilitate bronchoscopy.
Hemoptysis with renal dysfunction, consider
Goodpasture’s syndrome or Granulomatosis with Polyangiitis (GPA, Wegener’s)
Bilateral facial nerve palsy is virtually pathognomonic for ____________
Lyme disease
Light Criteria
- Fluid is exudate if one of the following Light criteria is present:
- Fluid protein/serum protein ≥ 0.5
- Fluid lactate dehydrogenase (LDH)/serum LDH ≥ 0.6
- Fluid LDH level > 2/3 the upper limit of normal of serum LDH
What is the treatment for acute angle closure glaucoma?
- Topical timolol or apraclonidine
- topical prednisolone
- intravenous acetazolamide
- -> immediately followed one hour later with topical pilocarpine.
