Cite Cards Flashcards
Triad of intussception
Abdo Pain
Vomitting
Red Current Stools
Lead point in peds intussception?
Peyer Patch
Meckels
Celiac
CF
Adhesions
HSP
Vasculitis
3 Indications for BiPAP per Rosens in COPD?
Acidosis
Failure non invasive therapy
Respiratory distress
Criteria that are not modofied scarbossa for VT?
Marriot sign - L rabbit ear taller
Josephson sign - notching in nadir or S
Absence of typical RBBB or LBBB pathology
Extreme axis deviation
Very broad complex >160ms
Contraindication to local block
Neuroloic deficit in that limb
Overlying infection
Not cooperative or refusal
provider no experience
obcured anatomic landmarks
Hemodyanically unstable
PECARN for abdominal CT in pediatric trauma
Underlying mechanism of immerision syndrome
Vagal stimulation - prolong QT
Catecholamine surge onc ontact with water
Malignant arrythmia
Poor prognosis in drowning or submersion injury
Submersion > 5 minutes
CPR >10 mintes after
Ongoing CPR
GCS 3
Unreactive pupils
Hypothermic
Severe acidosis
qSOFA criteria?
SBP <100
RR >22
Altered mental status
All even numbers
5 Complications of MTP and the treatment method
Coagluopathy - Cryo 10 untis, TXA
Hypothermia - warmer
Hyperkalemia - calcium gluconate, insulin, D50
Hypocalcemia - calcium gluconate
Volume overload - IV lasix
Describe pathophysiology of NSAID induced asthma
NSAID -> COX inhiition -> less progstaglandin E2 -> inflammatory mediator release -> mast cell degranulation -> leukotriene release -> bronchoconstriction
Risk factors for death from asthma
Spinal epidural abscess - 4 investigations?
CBC
CRP
Blood culture
MRI
Evidence based indication for a ED thoracotomy
Bacteria for sepsis in neonates?
Listeria
E coli
GBS
Sex (gonorrhea, chalmydia)
Rhabdo electrolyte abnormalities, complications and enviromental or tox cases (4 each)
HyperK
Hyperphos
High urea
Hypercalcemia
AKI
Compartment syndrome
DIC
Peripheral neuropthy
?arrythmia
Brown recluse spider
Black widow spider
Hyperthermia
Electrical injury
Hypothermia
PCP
Cocaine
Caffine
Statin
Identify this injury and what other soft tissue is affected? How do you treat?
Immobilze above the elbow in supination
**What are some XR findings that may suggest DRUJ?
**
Lateral - >20 degrees dorsal angulation or volar displacement (hard because may be too painful to get into a true lateral) # of ulnar styloid base increases your concern, widening of CRUJ
Radial head # (Essex-Lopresti)
PA - widening of distal radius and ulna
Test associated with mortaluty in radition injury? Red flag for a lethal dose based on onset of symptoms?
Absolute lymphocyte count
N/V vomitting within one hour likely lethal dose
Complications of meth
Stroke
ACS
Aortic Dissection
Aortic Dissection
Causes of a AAA?
Traumatic
Vasculitis
Connective tissue disorder
Mycotic
Infectious
Delayed complication of AAA repair?
Endovascular leak
Aortocaval fistula
Graft stenosis
Graft infection
Graft migration
Metabolic causes of seizure
Hypoglycemia
Hyperglycemia
HypoNa
Hypoca
High uremia
Pacemaker nomenclature
Sense, paced, RPA
Uncle TIDO
PMR, CO
PSD (PTSD without the T)
XR findings of transient synovitis
Medial joint space widening
Accentuated pericapsular shadow
Waldenstorm sign - lateral displacement of femoral epiphysis with surface flattening (effusion)
XR findings in SCFE
Get an AP and frog legg
for an unstable SCFE, anteroposterior and cross-table
lateral
Early - slippage is posterior and the AP view is generally normal in appearance or shows widening of the physis, lateral view is more
diagnostic
Evaluating the Klein line, a line drawn along the superior margin of the femoral neck. In a normal hip, the lines intersect with the epiphysis symmetrically; in a SCFE, the line does not intersect with the epiphysis
Angle of southwick - On a lateral radiograph,
a line is drawn from the anterior to the posterior epiphyseal edges and a second line is then drawn perpendicular to this line. A third line is drawn down the femoral diaphysis. The intersection between the perpendicular line and femoral shaft line is the epiphyseal shaft angle.The magnitude of slip displacement is the angle of the involved hip minus the angle of the normal hip.
Wilson method of grading
Slip of epiphysis on the X width of the metaphysis
0-1/3
1/3-1/2
>1/2 (same as hyphema)
Complications of cardioversion
Loss of airway and hypoxia (sedation)
Aspiration (sedation)
Embolic stroke
No effect
Ventricular dyshrythmia
Hypotension (procain)
Brady (procain)
Reasons to call ortho on an ankle fracture
Bimalleolar fractures
trimaleolar
Open
Pilon
Weber C
Displaced posterior mal
Displaced lateral mal
Signs of severe pre-eclampsia
BP >160/110 w=with epigastric or RUQ tenderness, visual changes, severe headache is treated like eclampsia
One contraindication for magnesium sulfate?
Myesthenia Gravis
Causes of non-traumatic torticolis
Infection related (Grisel syndrome) - Phayngitis, meningitis, RPA, spine infection (OM)
Tumor
AA instability (Down syndrome, marfan)
Drug induced
Movement disorder (spasmodtic torticolis)
Recent surgery
5 causes of non-athersclerotic disease
SCAD
Takotsubo
Cocaine
Prinzmetal
Acute aortic dissection
Ransom criteria and mortality risk
1-2 is 1%, 3-4 is 15% anything higher is 40%
PALS doses
Defib 2/kg
Epi 0.01mg (NRP is 0.02)
Amio 5mg/kg
Lido 1mg/kg
FeNa
<1% is pre renal, greater than 2% is intrinsic (cant concerntrate urine)
What is a blighted ovum?
A blighted ovum, or anembryonic pregnancy, is when a fertilized egg implants in the uterine lining but does not grow into an embryo. The gestational sac and placenta will grow, but an embryo doesn’t grow so the gestational sac stays empty. It causes a miscarriage in the first trimester of pregnancy
Ddx is normal pregnancy, completed abortion, ectopic
3 phases of schizophrenia
Premorbid
Active
Residual
on PAR with what we see clinically
PECARN over and under 2 for CT head
5 Indication for HD in lithium OD
PCP on XR
2 treatments?
Septra 20mg/kg/day TID divided
Steroids aa gradient >35 or o2 less 70, potnential for fatigue with resp failure
