SBP 22 Altered mental status All even numbers

Cite Cards Flashcards by Paulie Bleeker

Triad of intussception

Abdo Pain
Vomitting
Red Current Stools

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Lead point in peds intussception?

Peyer Patch
Meckels
Celiac
CF
Adhesions
HSP
Vasculitis

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3 Indications for BiPAP per Rosens in COPD?

Acidosis
Failure non invasive therapy
Respiratory distress

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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

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Contraindication to local block

Neuroloic deficit in that limb
Overlying infection
Not cooperative or refusal

provider no experience
obcured anatomic landmarks
Hemodyanically unstable

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PECARN for abdominal CT in pediatric trauma

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Underlying mechanism of immerision syndrome

Vagal stimulation - prolong QT
Catecholamine surge onc ontact with water
Malignant arrythmia

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Poor prognosis in drowning or submersion injury

Submersion > 5 minutes
CPR >10 mintes after
Ongoing CPR

GCS 3
Unreactive pupils
Hypothermic
Severe acidosis

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qSOFA criteria?

SBP <100
RR >22
Altered mental status

All even numbers

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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

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Describe pathophysiology of NSAID induced asthma

NSAID -> COX inhiition -> less progstaglandin E2 -> inflammatory mediator release -> mast cell degranulation -> leukotriene release -> bronchoconstriction

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Risk factors for death from asthma

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Spinal epidural abscess - 4 investigations?

CBC
CRP
Blood culture
MRI

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Evidence based indication for a ED thoracotomy

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Bacteria for sepsis in neonates?

Listeria
E coli
GBS
Sex (gonorrhea, chalmydia)

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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

## Footnote 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

## Footnote <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 ## Footnote Ddx is normal pregnancy, completed abortion, ectopic

3 phases of schizophrenia

Premorbid Active Residual ## Footnote 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