Data Flashcards
What will the percussion note be on the side of a tension pneumothorax?
Hyper-resonant
What is the emergency treatment for a tension pneumothorax?
Venflon in 2nd ICS, mid-clavicular line
What would cause increased hilar markings on a CXR?
Enlarged lymph nodes
Give 2 reasons you might see air under the diaphragm on an x-ray
1) Normal post-op sign if patient had laparoscopy 2) Perforation of bowel or ulcer
How can you tell if you are seeing small or large bowel on AXR?
Small: Valvular connvientes go all the way across, central, no faeces Large: Haustra go part of the way across, ‘window frame’, faeces present
Name 3 causes of small bowel dilatation
1) Obstruction from adhesions 2) Hernias 3) Peritoneal malignancy
Name 2 causes of large bowel dilataion
1) Carcinoma -> apple core lesion 2) Diverticular disease
Thumb printing is a radiological sign suggestive of what?
Intestinal ischaemia or inflammation
Pneumothorax, asthma and COPD (if emphysematous) all cause what percussion note?
Hyper resonant
Lobar collapse, pulmonary fibrosis, bronchiectasis and stridor cause what percussion note?
Resonant
What condition causes a stoney dull note on percussion?
Pleural effusion
What ulcers are typically medial - venous or arterial?
Venous
Describe 3 points that suggest an ulcer is venous
1) Medial 2) Shallow and large 3) Surrounded by dry skin 4) Haemosiderin deposit surrounding 5) Flat margins 6) Itchy 7) Normal pulses
Describe 4 points that suggest an ulcer is arterial
1) Lateral 2) Deep 3) Nil/faint pulses 4) Painful 5) Black necrotic tissue 6) Well defined edges
Name a cause of flame haemorrhages
Hypertension
What are hard exudates caused by?
Protein leakage from blood vessels
What are 3 potential causes of papilloedema?
1) MS 2) Head injury if it causes increased ICP 3) Uncontrolled Htn
Malaena indicates haemorrhage where in the GI tract?
Upper GI tract
Which rhythms are non-shockable? What do you do in this situation?
Pulseless electrical activity (PEA) Asystole Resume CPR for 2 minutes and then reassess rhythm
What are the shockable rhythms?
Pulseless VT and VF
If someone has a shockable rhythm when do you give adrenaline?
1mg given after 3rd shock and then every 3-5 mins
Give 4 Hs that are potential causes of cardiac arrest
1) Hypoxia 2) Hyperkalaemia (metabolic disorders) 3) Hypothermia 4) Hypovolaemia
What are the 4 Ts (causes of cardiac arrest)?
1) Tension pneumothorax 2) Toxic substances 3) Tamponade 4) Thromboembolic event
What are 2 relative contraindication to an ABG? (Use other arm)
Mastectomy Dialysis shunt