Culture Generale Flashcards
What is used to reverse narcotics
Naloxone
What is used to reverse benzodiazepines
Flumazenil
What is the traetment of malignant hyperthermia
IV dantrolene, cooling body, discontinuation of anesthesia
What are the side effect of spinal anesthesia
Urinary retention
Hypotension (neurogenic shock)
Triad of Wernicke’s encephalopathy
Confusion
Ophtalmoplegia
Ataxia
What treatment provides protection from Wernicke’s encephalopathy
Rally pack: thiamine, folate, magnesium
What treatment provides protection from oral/esophagal fungal infection during IV antibiotic treatment
PO Nystatin
What measures provide protection from postoperative atelectasis/pneumonia
Incentive spirometry, coughing, smoking cessation, ambulation
What are the classic W’s of postoperative fever
Wind: atelectasis Water: UTI Wound: wound infection Walking: DVT/ trombophlebitis Wonder drug: drug fever
What isFitz-Hugh-Curtis syndrome
Right upper quadrant pain from gonococcal perihepatitis in women
What are the signs of tetanus
Lockjaw, muscle spasm, laryngospasm, convulsions, respiratory failure
Pseudomembranous colitis can be caused by any antibiotic, but especially
Penicillins, cephalosporins and clindamycin
What is the treatment of pseudomembranous colitis
PO Metronidazole or PO vancomycin, discontinuation of causative agent. Never give antiperistaltics
What is the acronym for treatment options for anaphylactic shock
BASE
Benadryl - Aminophylline - Steroids - Epinephrine
What are the signs/symptoms of neurogenic
Hypotension and bradycardia
What is the treatment of neurogenic shock
IV Fluids (vasopressors reserved for hypotension refractory to fluid ressucitation)
What type of patient does not mount a normal tachycardiac response to hypovolemic shock
Patient on B-Blockers, spinal shock, endurance athlete
What is the tumor marker for hepatocellular carcinoma
Elevated a- fetoprotein
What is the most common site of metastasis of hepatocellular carcinoma
Lungs
What is the name of the periumbilical bruit heard with caput medusae
Cruveilhier-Baumgarten bruit
What is the most common site of AAA
Infrarenal (95%)
Classic triad of rupture AAA
1- Abdominal pain
2- Pulsatile abdominal mass
3- Hypotension
What is the mean normal abdominal aortic diameter
2
What are the signs of colonic ischemia
Heme positive stool
Or bright red blood per rectum (BRBPR)
Diarrhea
Abdominal pain
What is anterior spinal syndrome
Classically - Paraplegia - Loss of bladder/bowel control - Loss of pain / temperature sensation below level of involvement - Sparing of proprioception
Which artery is involved in anterior spinal cord syndrome?
Artery of Adamkiewicz - supply the anterior spinal cord
What are the most common bacteria involved in aortic graft infection
Staphylococcus aureus Staphylococcus epidermidis (late)
How is a graft infection with an aortoenteric fistula is treated?
Perform an extra anatomic bypass with resection of the graft