9/26/21 Flashcards
True or false: Waldenstrom macroglobulinemia is a rare malignancy causing excess production of monoclonal IgM from B cells.
True.
How long does it take to reverse alcoholic ketoacidosis?
12–24 hours
rx: D5NS
What study should be performed in a patient with a classic presentation of pyloric stenosis but a normal ultrasound?
An upper GI contrast series, which not only can confirm pyloric stenosis but rule out reflux, malrotation, or an antral web.
Delirium tremens
most severe manifestation of alcohol withdrawal symptoms.
rapid onset of confusion
occurs as early as 48–72 hours after the cessation of alcohol and can last for 2–3 days.
The hallmark of delirium tremens is severe agitation, global confusion, disorientation, visual and auditory hallucinations, formication (tactile hallucinations of something crawling on the skin), fever, heavy sweating, and autonomic hyperactivity (tachycardia and hypertension).
_____________ is the first line treatment for a hypertensive patient with an aortic dissection.
Esmolol
At what ages should infants begin to roll over and walk?
5 months and 12–15 months, respectively.
What rate of compressions is recommended in adult patients?
100–120 compressions per minute
________________ are not indicated in the treatment of Guillain-Barré syndrome, and may in fact be harmful.
High-dose intravenous corticosteroids
_____________________ are both treatments that reduce the time to recovery in Guillain-Barré syndrome,
Intravenous immunoglobulin and plasmapheresis
In GBS If a patient’s FVC falls below ____________ it indicates severely impaired pulm function and is an indication for early intubation.
20 mL/kg
How can the ST elevations of a posterior wall myocardial infarction be visualized on an ECG?
By putting leads V7-V9 on the patient’s back.
Sgarbossa criteria for STEMI with LBBB
- Concordant ST elevation > 1 mm in leads with a positive QRS (5 points)
- Concordant ST depression > 1 mm in V1–V3 (3 points)
- Discordant ST elevation 5 mm in leads with a negative QRS (2)
3 = STEMI
The earliest sonographic finding of cardiac tamponade
large pericardial effusion
evidence of right atrial collapse.
Septic thrombophlebitis
- infected clot of the jugular vein caused by local invasion from bacterial pharyngitis
- commonly affects patients ages 16–25 years within a week of pharyngitis
- fever, anterior neck pain and stiffness, as well as possible respiratory distress from septic pulmonary emboli
Postpartum Hemorrhage caused by uterine atony rx
Treatment is uterine massage, oxytocin, prostaglandins, or surgery
