Dia Dia 2 Flashcards
Abdominal Pain Critical Diagnoses
- AAA
- Appendicitis
- Biliary Disease
- Bowel Obstruction
- Perforated Viscus
- Mesenteric Ischemia
- Testicular / Ovarian Torsion
- PID/Tuboovarian Abscess
- Ectopic Pregnancy
The discriminatory zone
β-hCG level at which an IUP should be visible by transvaginal ultrasonography
typically 1500-2000 mIU/mL
Ectopic Pregnancy accounts for about ______ of all pregnancy-related maternal deaths
9%
combination of positive FAST and positive pregnancy test should prompt this immediate action?
an immediate call to OB-GYN
____________ is the most successful method to medically manage a patient with ectopic pregnancy and may preserve fertility better than surgical interventions.
Methotrexate
__________ values should not be used to determine which patients should have transvaginal ultrasound.
Serum β-hCG- cannot be used to predict the presence of an ectopic or an IUP
An ectopic pregnancy can be ‘ruled out’ in the presence of an IUP in a patient not undergoing ______________.
infertility treatment
___________ should be checked on all pregnant patients with vaginal bleeding
Rh status
Cerebral edema rx
mannitol- unless hypotensive
inc resp rate
HYPERtonic saline
Urinalysis with pyuria or hematuria can be ____________ (not renal origin)
appendicitis due to an inflamed appendix next to the bladder
A ____________ should be in the differential diagnosis for any patient older than 50 years with abdominal, back, or flank pain.
ruptured AAA
*Aggressive fluid resuscitation can worsen hemorrhage and should not delay transportation to the operating room
When can you give charcoal
must be protecting the airway
within 4 hours
When do you give NAAC for APAP od
within 8 hours
>150 apap at 4 hour mark
toxic tylenol metabloism pathway
tylenol –(p450)–> NADQI (very toxic)
in OD, other metabolism is overwhemled and shunts into more NADQI
glutithione helps with the NADQI (how NAC works)
Old guy with hematuria can be ____________ (not renal origin)
AAA
