Deck 2

Question 1

Outline the general Afib treatment cascade

Answer 1

1. Stable or unstable? If unstable, ABCs (THIS IS FOR EVERYTHING, not just Afib)
2. symptomatic or asymptomatic? (hypotensive),– if symptomatic, cardioconvert
3. Onset <48 or >48 hours? If <48 hours, more likely to cardioconvert, as this is a new onset Afib and not a continuous paroxysmal Afib
4. If asymptomatic or has been present for. along term, control Rate vs Rhythm: often with diltiazem (clalcium channel blocker), vs metoprolol. Amlodipine.
5. anticoagulants for all for stroke prevention
6. determine CAUSE; infection, infarct/ischema, structural

Question 2

causes of Afib

Answer 2

Things that most often lead to AFib Include:

Age
Genes
Heart disease
Sick sinus syndrome
Heart attack
High blood pressure
Lung disease, such as chronic obstructive pulmonary disease (COPD) or emphysema, or a blood clot in your lung (pulmonary embolism)
An overactive thyroid gland (hyperthyroidism)
Obesity, diabetes, and metabolic syndrome
Sleep apnea
Infections caused by a virus

Question 3

safety profile of odansetron

Answer 3

it’s very high. Hard to mess up. If you give A LOT (like a lot a lot), person may get diarrhea, but that’s about it.

Question 4

T/F if a kid is just vomiting, it can be gastroenteritis

Answer 4

false. If they don’t have diarrhea, very unlikely to be gastroenteritis. Make sure to rule out intussiception, malrotation, appy, gerd, etc.

Question 5

best NSAID for renal covid

Answer 5

ketorolac. Otherwise both ibuprofen and ketorolac have the same efficacy for MSK pain.

Question 6

red flags for back pain (TUNA FISH)

Answer 6

t; trauma
U; unexplained weight loss
N; night sweats
A; age >50
F; fever
I; intravenous drug use
S; steroid use
History of cancer.

Question 7

sick sinus syndrome

Answer 7

Sinus node dysfunction (SND), also known as sick sinus syndrome (SSS), is a group of abnormal heart rhythms (arrhythmias) usually caused by a malfunction of the sinus node, the heart’s primary pacemaker.[1][2] Tachycardia-bradycardia syndrome is a variant of sick sinus syndrome in which the arrhythmia alternates between fast and slow heart rates

Question 8

anatomy involved in Nursemaids Injury

Answer 8

The radiocapitellar joint, made up of the radius and part of the humerus, allows for rotation of the forearm so that the hand can be turned palm up or palm down.
The radiocapitellar joint is involved in nursemaid’s elbow.

Nursemaid’s elbow is a common injury of early childhood. It is sometimes referred to as “pulled elbow” because it occurs when a child’s elbow is pulled and partially dislocates. The medical term for the injury is “radial head subluxation.”

Question 9

vertigo red flags

Answer 9

• long occurring
• not positional
• focal neuro defecits; diplopia, dysarthria, ataxia, dysphagia.

Question 10

general emerge “management of Anything” according to Dr. Parks

Answer 10

1. Resus–> ABC
2. analgesia
3. Pt factors: ADLS, peds- parents
4. Investigations
5. Dispo: consult/admit/follow up plan.