Day 1 of diadacts

Question 1

Non-accidental trauma workup

Answer 1

CBC
CMP
UDS

Head CT
Skeletal survey

+/- optho for proper eye exam

Question 2

AMS in a kid without ANY of the normal stuff apparent

Answer 2

w/ no better explanation, can order:
Ammonia

could be inborn error

Question 3

Old demented bitty from the nursing home w/ a fever. Important but non-obvious exam to do?

Answer 3

Skin exam for ulcer

full exam, strip em

Question 4

which is more acute, ESR or CRP

Answer 4

CRP is more acute you care more about this

Question 5

UTI categories

Answer 5

uncomplicated cystitis
uncomplicated pyelo
complicated

Question 6

uncomplicated cystitis abx

Answer 6

macrobid
Bactrim
keflex (although unjustified)

Question 7

CAP rx

Answer 7

CURB 65 to determine admission

shot of CTX, home on CTX
or
home on doxy

Question 8

CURB 65

Answer 8

determines admit for PNA

C- confusion 
U- bun >20
R- rr c> 30
B- bp < 90 
65- age over

Question 9

quick and dirty way to know CD4 in HIV via cbc

Answer 9

absolute lymph count

> 2000–> cd4 > 200

< 1000- aids probably

Question 10

Non-purulent cellulitis

Answer 10

bugs: strep, mssa
worry if: rapid spread, comorbid, sick, also r/o dvt
rx: keflex, augmentin, doxy

Question 11

AMS differential

Answer 11

A — Alcohol/Acidosis
E — Endocrine/ Epilepsy/ Electrolytes/ Encephalopathy
I — Infection
O — Opiates, Overdose
U — Uremia/Underdose
T — Trauma/ Tumor 
I — Insulin
P — Poisoning/Psychosis
S — Stroke/Seizure/syncope

Question 12

Undifferentiated AMS rx mnemonic

Answer 12

DONT

Dextrose
Oxygen
Naloxone
Thiamine

Question 13

Most common AMS in elderly per paul

Answer 13

overdose- from therapeutic drugs w/ bad liver/kidney