Cases 21-25 Flashcards
What is the centor criteria? (Give the criteria)
Tonsillar exudate or erythema (+1)
Anterior cervical adenopathy (+1)
absent cough (+1)
fever present (+1)
Age 3-14 (+1)
Age 15-45 (+0)
Age >45 (-1)
Should you perfoem a rapid antigen test on an adult with a score of 2? Children with a score of 2?
Adults with a score of 2 = no
Children with a score of 2 = yes
If rapid strep comes back negative for an adult, what do you do? children?
Adult = symptomatic treatment
children = culture to make sure
What is a healthy BMI range for children? overweight range? Obese?
healthy = 5 - 85th percentile
overweight = 85 - 95th percentile
obese = > 95th percentile
When should you screen children for DM?
age 10 if they have a BMI >85th percentile with risk factore or 95th percentile without risk factors
What are 5 physical exam findings indicating consolidation?
Egophony (E –> A)
Tactile fremitus (feel 99 or toy boat louder with hand)
Dullness to percussion
Crackles
Whispered pectoriloquy (hear it louder)
Define orthostasis
a reduction in systolic BP by at least 20mmHg
OR
a reduction in diastolic BP by at least 10mmHg
Name the 4 mechanisms of TIA or possible stroke
embolic
thrombotic
cardiogenic (decrease in perfusion)
hemorrhagic
When can tPA be given fro stroke? Intra-arterila therapy?
tPA within 3 hours
Intra-arterila within 6 hours
should thrombolytic therapy be given if they are bleeding in the brain? have thrombocytopenia? on warfarin or heparin? unknown use of anticoagulants?
NO
How do you rate control someone with AF?
IV diltiazem, beta-blockers, or verapamil
A right parietal infact would present with what type of symptoms?
left hemiplegia
spatial and perceptual abilities
may ignore people and objects in their LEFT visual field
middle cerebral artery stroke woud cause what type of symptoms? (3)
Expressive aphagia
Receptive aphasia
right facial weakness
Name 3 common complications of strokes
Aspiration pneumonia
malnutrition/dehydration
pressure sores
What is the difference between IADLs and ADLs?
IADLs are thing that allow a person to live independently:
housework
preparing meals
taking meds
shopping
using the phone
managing money
What is the FAST test for strokes?
Face (asymmetry)
Arm (look for arm weakness)
Speech (slurred speech)
test
A patient at risk for stroke from AF should be considered for what type of therapy?
warfarin
antiplatelet with ASA
duel antiplatelet with ASA
What calculator should you use to assess risk of stroke in someone with AF?
CHADS2
Name 5 abx that can treat GBS pharyngitis
Pen V
Pen G IM
Amoxicillin
first gen ceph
macrolide
When does significant volume of milk production begin?
48-72 hours after birth
What is the wessel definition of a colicky or fussy baby?
crying lasting at least 3 hours a day
at least 3 times a week
longer than 3 weeks
How many hours a day does a healthy 2 week old cry? 6 week? 3 month?
2 week = 2 hours/day
6 weeks = 3 hours/day
3 months = 1 hour/day
How long does postpartum blues last?
10 days
What two joint diseases cause restriction in both active and passive ROM of shoulder?
adhesive capsulitis
glenohumeral arthritis
