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Medicine > CCS 3 > Flashcards

CCS 3 Flashcards

1
Q

Turner syndrome workup

A 
Karyotype
FSH-LH-TSH
BMP
Fasting glucose
Lipid profile
Renal US
Pelvic US
Echo
skeletal survery
hearing test
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2
Q

Turner syndrome therapy

A 
Growth hormone
estrogen-progesterone
Vitamin D
calcium
Nutrition consult
Psych consult
Optho consult
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3
Q

new diagnosis of HTN orders

A

Repeat BP x 3

THEN:
CBC
BMP
UA
Lipid profile 
ECG 12-lead
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4
Q

therapy new diagnosis HTN

A

Life style modifications (low salt diet, exercise, no smoking, no alcohol, diet)
THEN:
Oral anti-HTNs

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5
Q

diverticulitis orders

A 
CBC 
BMP
LFT's 
UA 
CT abdomen
Blood cultures
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6
Q

diverticulitis therapy

A 
NPO
IV access
IV NS
morphine IV
zofran
IV ampicilin-sulbactam
Clears, advance as tolerated
Counseling (high fiber diet, med compliance)
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7
Q

Child abuse orders

A

pulse oximetry
CBC
PT-PTT-INR
CXR

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8
Q

child abuse rib fracture therapy

A 
NSAIDs
chest physiotherapy
Incentive spirometry
Child protective services
Psych consult
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9
Q

Menopause workup

A

no labs needed

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10
Q

menopause therapy

A

estrogen-progesterone
Counseling (high calcium diet, regular exercise)
Vitamin D
Calcium

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11
Q

DVT workup

A

CBC
BMP
lower extremity DOPPLER US

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12
Q

DVT therapy

A

Enoxaparin, subcutaneous
warfarin, oral (same time)
bed rest
counseling (no smoking)

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13
Q

DVT timing

A

Transfer to ED

Schedule follow-up with PT/INR

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14
Q

PE workup

A 
D-dimer
Troponin
CBC
BMP
CXR
ABG
Spiral chest CT
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15
Q

PE therapy

A

discontinue OCP
Fondaparinux, but if creatinine elevated use lovenox
Warfarin
Counseling (no smoking, medication compliance)

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16
Q

PE monitoring

A

PTT q6h

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17
Q

IDA management

A 
Admit to hospital
Abdominal CT
CXR
CEA
UA
ECG
coags
blood type and cross
surgery consult
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18
Q

orders with colon cancer diagnosis

A

NPO-IV-NS
Metronidazole IV
Cipro IV
hemicolectomy

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19
Q

Fatigure orders

A 
CBC
BMP
LFTs
ESR
TSH
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20
Q

mania workup

A

CBC
BMP
TSH
Utox

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21
Q

mania therapy

A 
Olanzapine IM (as soon as exam is done)
Lithium
psychiatry consult
psychotherapy
Counseling (med compliance, med SE's, suicide contract, patient education)
22
Q

mania location

A

ED, then admit to ward

23
Q

indications for head CT prior to LP

A 
papilledema
focal neuro deficits
obtundation
recent seizure
immunocompromise
24
Q

meningitis workup

A 
CBC
UA
BMP
CXR
BCX
LP
CSF cell count, glucose, protein, gram stain, bacterial antigen, culture
Head CT
25
Q

meningitis therapy

A 
NPO
IV, NS
IV CTX + vanc
IV dexamethasone
zofran
26
Q

new HIV diagnosis

A 
HIV by ELISA
CBC
BMP
HIV by western blot
CD4 count
HIV viral load
Work u  for OI's
IF headache:
Head CT
LP
CSF cell count, glucose, protein, gram stain, bacterial antigen, culture, CrAg, India ink stain, fungal culture, AFB
SErum AFB
Serum CrAg
Blood culture
27
Q

HIV therapy

A

IV access
Antifungals if OI
Counseling (medication compliance, no smoking, no alcohol, safe sex, HIV support group)

28
Q

New HIV diagnosis location

A

Office
ED
Ward

29
Q

meningitis-encephalitis workup

A 
CBC
BMP
UA
CXR
BCX
UCX
LP
(need to work up sepsis too)
CSF cell count, glucose, protein, gram stain, bacterial antigen, PCR, culture
Coags
Head CT
30
Q

viral meningitis management

A

Suspect herpes
If temporal lobe involvement
get CSF PCR + start acyclovir empirically
Patient counseling

O2
NPO
IV access
NS
Phenergan
Acetaminophen
31
Q

temporal arteritis workup

A 
CBC
BMP
ESR
UA
UCX
BCX
head CT
CXR
temp artery biopsy
32
Q

temporal arteritis therapy

A 
steroids
aspirin
PPI?
calcium
vitamin D
33
Q

pre-op orders

A

possibly ABX
PT-PTT-INR
NPO

34
Q

unilateral pain in female workup

A 
CBC
BMP
UA
beta-HCG
Pelvic US
35
Q

ovarian cyst-ovarian torsion orders

A 
IV access
IV NS
IV antiemetics
IV analgesics
NPO
Gyn consult
Laparoscopy
36
Q

ovarian cancer orders

A 
CBC
BMP
LFTs
UA
Pelvic US
Colonoscopy
mammogram
pap smear
Abdominal + pelvic CT
CA 125
CXR
ECG
coags
37
Q

ovarian cancer therapy

A 
NPO
gyn consult
IV cefazolin
DVT ppx
laparotomy
oncology consult
Counseling (cancer diagnosis, no smoking, no alcohol)
38
Q

ovarian cancer timing

A

Get CA 125 before surgery

39
Q

volvulus workup

A

CBC
BMP
Abdominal X-ray
UA

40
Q

volvulus therapy

A 
NPO
IVF
IV d5NS or D5-1/2NS
KCL
NG tube
GI consult
sigmoidoscopy
counseling
41
Q

cholecystitis workup

A 
CBC
BMP
LFTs
BCX
Abdominal x-ray
abdominal US
coags
42
Q

cholecystitis therapy

A 
NPO
NG tube
IV access
IV D5-1/2NS
ketorolac
phenergan
IV antibiotics
Bed rest
Surgery consult
Laparoscopy
43
Q

cholecystitis location

A

admit, surgery during same admission

44
Q

rhinosinusitis workup

A

none, clinical diagnosis

45
Q

rhinosinusitis therapy

A 
Augmentin
Acetaminophen
Nasal saline irrigation
Flonase
Counseling (oral hydration, medication compliance)
46
Q

AAA orders

A 
NPO
IVF
IV morphine
phenergan
Type and cross
vascular surgery consult
IV cefazolin
Aneurysmectomy
Counseling
47
Q

intussusception orders

A

CBC with diff
BMP
abdominal x-ray
abdominal US

48
Q

intussusception orders

A 
NPO
NG tube
IV access
IVF
surgery consult
air enema
counseling
49
Q

HAART components

A

2 Nucleoside reverse transcriptase inhibitors (NRTI) + 1 NNRTI, protease inhibitor (PI) or Integrase inhibitors.

50
Q

NRT’s are..

A

zidovudine, abacavir, lamivudine, emtricitabine, and tenofovir

51
Q

NNRTIs are…

A

1st generation NNRTIs include nevirapine and efavirenz. 2nd generation NNRTIs are etravirine and rilpivirine

52
Q

protease inhibitors are…

A

lopinavir, indinavir, nelfinavir, amprenavir and ritonavir.

Medicine (71 decks)

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