Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Scribing > Day 2 Review > Flashcards

Day 2 Review Flashcards

1
Q

CAD

A

Coronary Artery Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What past Hx suggest that Pt had CAD?

A

MI, Angina, CABG, Stent, Angioplasty

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Does a surgical Hx of Angioplasty mean Pt has CAD?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Dif btw CAD and MI

A

CAD: broad term for heart disease

MI: included in CAD; an active heart attack

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

If someone has PMHx of A-Fib or CHF, do they also have CAD?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

cardiac risk factors

A

HTN, DM, HLD, CAD, smoking, FHx CAD < 55 y/o

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How is CAD diagnosed ?

A

NOT done in ED

cardiac catheterization done by cardiologist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Name 2 ways a MI can be diagnosed

A

STEMI: EKG

Non-STEMI: Troponin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Associated Sx’s of MI other than CP

A

N/V, SOB, Diaphoresis (sweating)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Associated Sx’s of CHF

A

-SOB
• Orthopnea (worse with lying flat )
• PND (Paroxysmal Nocturnal Dyspnea)
• DOE (Dyspnea on exertion)

-Pedal edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

PND

A

Paroxysmal Nocturnal Dyspnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

DOE

A

Dyspnea on Exertion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What 2 studies would diagnose CHF

A
  • CXR

- elevated BNP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is AFib

A

Atrial Fibrillation

- electronic abnormality of the heart causing top part of heart (atria) to quiver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What might someone feel with AFib?

A

Palpitations (fast/ pounding/ irregular heart beat )

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How is AFib diagnosed ?

A

EKG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What could be the CC of someone with a PE?

A

Pleuritic CP, SOB

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are risk factors for a PE?

A

Known DVT, PMHx of DVT or PE, FHx of DVT or PE, recent surgery, CA, AFib, immobility, pregnancy, BCP, smoking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What study would diagnose a PE?

A

CTA Chest/VQ Scan

D-dimer can only rule it out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Can a CT Chest without IV contrast diagnose a PE? Why or why not?

A

No

No IV contrast does not allow for intravenous visibility

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is a PTX?

A

Pneumothorax “collapsed lung”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Most common cause of PTX

A

Trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How is a PTX diagnosed?

A

CXR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What SHx will most COPD Pt’s also have?

A

Smoking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is the dif btw an inhaler and a nebulizer for asthma?

A

Inhaler: portable, one time dose, rapid release of meds

Nebulizer: home machine, continuous treatment over period of time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is asthma?

A

Constricting of airways due to inflammation and muscular contraction of bronchioles.

AKA Reactive Airway Disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What PE finding closely associates with asthma?

A

Wheezing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What is PNA?

A

Pneumonia

Bacterial infection (infiltrates) and inflammation inside lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What might a person with PNA c/o?

A

Productive cough and fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

How is PNA diagnosed?

A

CXR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Name all 7 areas of the abdomen

A

Epigastrium, RUQ, LUQ, RLQ, LLQ, Suprapubic, Periumbilical (Right/left flank)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Layman’s name for GERD

A

“Heartburn” or Acid Reflux

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What might someone with GERD c/o?

A

Epigastric pain “burning”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

For older Pt’s with GERD, what life-threatening disease may also need to be ruled out?

A

MI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What does bile do? Where is it stored?

A
  • emulsifies the fats in food
  • made in liver
  • stored in gallbladder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What is the dif btw Cholelithiasis and Cholecystitis ?

A

Cholelithiasis is gallstones

Cholecystitis is acute inflammation/ infection of gallbladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

CC of Pt with gallstones

A

RUQ Abd Pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

PE finding closely associated with Cholecystitis

A

Murphy’s sign (hook finger under right rib and ask Pt to take deep breath)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

How are gallstones diagnosed?

A

Abd US of RUQ

40
Q

Associated Sx’s of appendicitis

A

Fever, N/V , decreased appetite (anorexia)

41
Q

CC of appendicitis

A

RLQ pain gradual and constant, worse with movement

42
Q

How is appendicitis diagnosed

A

CT A/P with PO contrast

43
Q

What would Pt with pancreatitis c/o?

A

LUQ Abd Pain, N/V, fever

44
Q

How is pancreatitis diagnosed

A

Elevated lipase (or amylase which is less specific)

45
Q

4 possible CC’s for GI bleed Pt

A

Hematemesis, coffee ground emesis, hematochezia, Melena

46
Q

How is a GI bleed diagnosed in ED?

A

Guaiac positive or heme + stool, gastroccult

47
Q

What are we worried about for someone with a GI bleed?

A

Too much blood loss, anemia

48
Q

What pre-existing condition must you have before you can get diverticulitis?

A

Diverticulosis

49
Q

CC of Pt with diverticulitis

A

LLQ Abd Pain

50
Q

What studies would Dx diverticulitis

A

CT A/P with PO contrast

51
Q

SBO

A

Small bowel obstruction

52
Q

What might a person with a SBO c/o?

A

Abd Pain, bloating, V, abd distention, no BM’s, constipation

53
Q

How is an SBO diagnosed

A

CT A/P with PO contrast or AAS (acute abd series) XR

54
Q

What is Pyelo

A

Pyelonephritis, kidney infection (dif and worse than UTI) usually spread from UTI

55
Q

CC of someone with UTI

A

Dysuria (painful urination), frequency/ burning/ hesitancy/ malodorous urine

56
Q

Where would a Pt feel pain if the had pyelo

A

Flank pain

57
Q

How is a UTI diagnosed

A

Urine drip or urinalysis (UA) (more accurate) showing WBC

58
Q

CC of Pt with kidney stones

A

Flank pain, sudden onset, radiating to groin

59
Q

How are kidney stones diagnosed

A

CT A/P or RBC in UA

60
Q

What is an ectopic pregnancy

A

Tubal pregnancy, fertilized egg develops outside uterus (usually in Fallopian tube)

High risk for rupture and death

61
Q

How is ectopic pregnancy diagnosed

A

US of pelvis

62
Q

What is an ovarian torsion

A

Twisting of ovarian artery, reduces blood flow to ovary, could result in infarct of ovary

63
Q

How is ovarian torsion diagnosed

A

US pelvis

64
Q

Name the 2 types of CVA

A

Hemorrhagic CVA

Ischemic CVA

65
Q

What Sx might a person with a brain bleed c/o

A

HA (sudden “thunderclap” onset), Worst HA of their life, changes in speech, vision, motor (weakness), sensation (numbness), AMS (altered mental status)

66
Q

What study would diagnose a brain bleed

A

CT head or lumbar puncture

67
Q

What Sx might person with Ischemic CVA c/o

A

Focal Neurological Deficit: changes in speech, changes in vision, one-sided motor changes (weakness), one-sided sensation changes (numbness)

68
Q

How is an Ischemic CVA diagnosed

A

Clinically, potentially normal CT head

69
Q

TIA

A

Transient ischemic attack (mini stroke, temporary loss of blood to brain)

70
Q

TIA vs CVA

A

TIA: mini stroke, Sx’s usually resolved in < 1 hr

CVA: stroke, Sx’s last longer and potentially may not go away

71
Q

Common cause for seizures in children

A

Fever

72
Q

What is the name for the state after a seizure

A

Postictal

73
Q

3 Sx’s of meningitis

A

Fever, neck pain/stiffness, headache

74
Q

What study would Dx meningitis

A

LP (lumbar puncture)

75
Q

4 important things to document for syncopal episodes

A

How they felt before, during, after and how they currently feel

76
Q

4 causes of AMS

A

Hypoglycemia, infection, intoxication, neurological

77
Q

AMS vs Focal Neurological Deficit

A

AMS: generalized and usually caused by something that affects the whole brain (drugs, hypoglycemia)

Focal Neurological deficit (FND): usually localized (weakness/ numbness/ speech/ vision) to one specific area and corresponds with damage to specific spot in brain

78
Q

FND

A

Focal Neurological Deficit

79
Q

DVT

A

Deep venous thrombosis

80
Q

Risk factors for DVT

A

Known DVT, PMHx of DVT or PE, FHx of DVT or PE, recent surgery, CA, AFib, immobility, pregnancy, BCP, smoking

81
Q

Common signs of DVT

A

Extremity pain, atraumatic swelling

82
Q

AAA

A

Abdominal aortic aneurysm

83
Q

What is an aortic dissection

A

Separation of muscular wall from the membrane of the artery

Pt at risk for aortic rupture and death

84
Q

3 Sx of cellulitis

A

Redness, swelling, pain to an area of the skin

85
Q

How is an abscess dif from cellulitis

A

Abscess is cellulitis with fluctuance (pus pocket)

86
Q

What procedure will be performed for every abscess

A

Incision and drainage

87
Q

What is the main concern with an allergic rxt

A

Anaphylaxis or respiratory failure

88
Q

What are the ONLY 3 Sx or a true allergic rxt

A

S.I.R. - swelling, itching, rash

  • airway swelling -> SOB
89
Q

How can DKA be diagnosed

A

Arterial blood gas showing low pH (XS acid) or positive serum ketones

90
Q

DKA

A

Diabetic Ketoacidosis

91
Q

What is an emergency physician’s main responsibility for psychiatric Pt’s

A

Medical clearance

92
Q

3 important things to document for any trauma Pt

A

LOC (loss of consciousness), head injury, neck or back pain, numbness, weakness

93
Q

Sx’s of Peylo

A

Flank pain, fever, dysuria

94
Q

Meds used as vasodilator/bronchodilator

A

NTG, NEBULIZER/inhaler

95
Q

EOMI

A

Extraocular movements intact

96
Q

What is the opposite of nuchal rigidity

A

Supple

97
Q

Cyanotic skin correlates to ________

A

Hypoxia

Scribing (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions