differentials Flashcards
chest pain
CAD, MI, PE, aortic dissection
consti and diarrhea extras
mg and phosphate
arthritis orders
arthorocentesis but also synovial fluid analysis. arthroscopy for rx. do blood culture. give ampicillin and ceftriax
cellulitits orders
wound culture and gram, xray and bone scan, DOPPLER for dvt, clinda, cipro, ceftriax, vanco
gout
pt ptt synovial fluid, colchicine indomethacin, esr, ANA, rf, CRP, uric acid.
pneumocystitic orders
chest xray then immed tmp sulfa, sputum, BAL, HIV kit, ziduvudine, indinavir, VDRL, hep orders, influenzam pneumococcal, prednisone 35, 70.
HIV kit orders
cd 4, elisa, viral load, western blot, vdrl, hepatitis, PPD
perforated ulcer
cardiac enzymes, amylase lipase, xray, omeprazole, ampicillin sulbactm consult sx lapaortomy.
post op orders
clear fluid diet, incentive spirometry, comprssion stox
g6pd
avoid fva beans, ldh, reticulo, COOMBS TESTS, OSMOTIC FRAGILITY test
PCOD orders
lh fsh, testosterone, dheas, estradiol, 17 keto, cortisol, METFORMIN, OCP, clomiphene citrate, wt loss.
nephrotic ds
lipids, lft, pt ptt, urine output complement, urine protein, prednisone, furosmide,
graves ds
ophtho consult
percardial fluid
pericardiocentesis, pericardial fluid analysis, chest xray and echo, SWANZ catheter
hepatitis A
notify health dpt
gi bleeding due to ulcer
FFP, rbc transfusion, NG tube, pt ptt, PPI, endoscopy consult. ng tube is to locate site of bleeding. do this in lower gi bleed doo
sickle cell ds
morphine hydration incentive spirometry. antibx, oxygen albuterol.
anaphylaxis
sq epinephrine, if severe intubate, hydrocrtisone and diphenhydramine, radioallergenic test to identify problem. CONSULT IMMUNOLOGIST
back pain differential orders
SPEP, xray and mri.
bleeding ulcer
fobt, pt ptt, also get IRON FOLATE TRANSFERRIN
breast stuff orders
mammo, breast usg, dont forget breast physical exam
LN enlargement order
LN biopsy!!
Malignancy orders
def order ct or pet scan body. and DO FULL PHYS EXAM cuz cancer can be anywhere- mets! so full phys exam and also full pet scan.
what to order along urine tox for overdose
ct head!! urine tox but also ethanol serum and aceta serum. give thiamine glucose and naloxone. act charcoal. DO EKG and ABG, TCA (tricy) and aspirin levels and also LACTATE and CPK levels
