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
2
Q
Turner syndrome therapy
A
Growth hormone estrogen-progesterone Vitamin D calcium Nutrition consult Psych consult Optho consult
3
Q
new diagnosis of HTN orders
A
Repeat BP x 3
THEN: CBC BMP UA Lipid profile ECG 12-lead
4
Q
therapy new diagnosis HTN
A
Life style modifications (low salt diet, exercise, no smoking, no alcohol, diet)
THEN:
Oral anti-HTNs
5
Q
diverticulitis orders
A
CBC BMP LFT's UA CT abdomen Blood cultures
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)
7
Q
Child abuse orders
A
pulse oximetry
CBC
PT-PTT-INR
CXR
8
Q
child abuse rib fracture therapy
A
NSAIDs chest physiotherapy Incentive spirometry Child protective services Psych consult
9
Q
Menopause workup
A
no labs needed
10
Q
menopause therapy
A
estrogen-progesterone
Counseling (high calcium diet, regular exercise)
Vitamin D
Calcium
11
Q
DVT workup
A
CBC
BMP
lower extremity DOPPLER US
12
Q
DVT therapy
A
Enoxaparin, subcutaneous
warfarin, oral (same time)
bed rest
counseling (no smoking)
13
Q
DVT timing
A
Transfer to ED
Schedule follow-up with PT/INR
14
Q
PE workup
A
D-dimer Troponin CBC BMP CXR ABG Spiral chest CT
15
Q
PE therapy
A
discontinue OCP
Fondaparinux, but if creatinine elevated use lovenox
Warfarin
Counseling (no smoking, medication compliance)
16
Q
PE monitoring
A
PTT q6h
17
Q
IDA management
A
Admit to hospital Abdominal CT CXR CEA UA ECG coags blood type and cross surgery consult
18
Q
orders with colon cancer diagnosis
A
NPO-IV-NS
Metronidazole IV
Cipro IV
hemicolectomy
19
Q
Fatigure orders
A
CBC BMP LFTs ESR TSH
20
Q
mania workup
A
CBC
BMP
TSH
Utox
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
meningitis therapy
```
NPO
IV, NS
IV CTX + vanc
IV dexamethasone
zofran
```
26
new HIV diagnosis
```
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
HIV therapy
IV access
Antifungals if OI
Counseling (medication compliance, no smoking, no alcohol, safe sex, HIV support group)
28
New HIV diagnosis location
Office
ED
Ward
29
meningitis-encephalitis workup
```
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
viral meningitis management
Suspect herpes
If temporal lobe involvement
get CSF PCR + start acyclovir empirically
Patient counseling
```
O2
NPO
IV access
NS
Phenergan
Acetaminophen
```
31
temporal arteritis workup
```
CBC
BMP
ESR
UA
UCX
BCX
head CT
CXR
temp artery biopsy
```
32
temporal arteritis therapy
```
steroids
aspirin
PPI?
calcium
vitamin D
```
33
pre-op orders
possibly ABX
PT-PTT-INR
NPO
34
unilateral pain in female workup
```
CBC
BMP
UA
beta-HCG
Pelvic US
```
35
ovarian cyst-ovarian torsion orders
```
IV access
IV NS
IV antiemetics
IV analgesics
NPO
Gyn consult
Laparoscopy
```
36
ovarian cancer orders
```
CBC
BMP
LFTs
UA
Pelvic US
Colonoscopy
mammogram
pap smear
Abdominal + pelvic CT
CA 125
CXR
ECG
coags
```
37
ovarian cancer therapy
```
NPO
gyn consult
IV cefazolin
DVT ppx
laparotomy
oncology consult
Counseling (cancer diagnosis, no smoking, no alcohol)
```
38
ovarian cancer timing
Get CA 125 before surgery
39
volvulus workup
CBC
BMP
Abdominal X-ray
UA
40
volvulus therapy
```
NPO
IVF
IV d5NS or D5-1/2NS
KCL
NG tube
GI consult
sigmoidoscopy
counseling
```
41
cholecystitis workup
```
CBC
BMP
LFTs
BCX
Abdominal x-ray
abdominal US
coags
```
42
cholecystitis therapy
```
NPO
NG tube
IV access
IV D5-1/2NS
ketorolac
phenergan
IV antibiotics
Bed rest
Surgery consult
Laparoscopy
```
43
cholecystitis location
admit, surgery during same admission
44
rhinosinusitis workup
none, clinical diagnosis
45
rhinosinusitis therapy
```
Augmentin
Acetaminophen
Nasal saline irrigation
Flonase
Counseling (oral hydration, medication compliance)
```
46
AAA orders
```
NPO
IVF
IV morphine
phenergan
Type and cross
vascular surgery consult
IV cefazolin
Aneurysmectomy
Counseling
```
47
intussusception orders
CBC with diff
BMP
abdominal x-ray
abdominal US
48
intussusception orders
```
NPO
NG tube
IV access
IVF
surgery consult
air enema
counseling
```
49
HAART components
2 Nucleoside reverse transcriptase inhibitors (NRTI) + 1 NNRTI, protease inhibitor (PI) or Integrase inhibitors.
50
NRT's are..
zidovudine, abacavir, lamivudine, emtricitabine, and tenofovir
51
NNRTIs are...
1st generation NNRTIs include nevirapine and efavirenz. 2nd generation NNRTIs are etravirine and rilpivirine
52
protease inhibitors are...
lopinavir, indinavir, nelfinavir, amprenavir and ritonavir.
