Dr. Hogan Bedside Tut #6

Question 1

why would you used unfractionated heparin ever?

Answer 1

can be fully reversed

Question 2

4 high risks for DVT?

Answer 2

LL ortho surgery
pelvic surgery
malignancy
older people

Question 3

NSAIDS in trauma good for?

Answer 3

pleuritic pain

Question 4

why not give morphine IM in trauma?

Answer 4

impaired distribution kinetics, could be unpredictable

Question 5

how to manage severe rib pain?

Answer 5

intercostal block

Question 6

5 causes of confusion a few days after being in hospital?

Answer 6

infection
hypoxaemia
blood loss
ETOH withdrawal
PE

Question 7

4 ways to dx PE?

Answer 7

CTPA
VQ Perfusion scan
D-Dimers
ECG: S1, Q3, T3

Question 8

global ST elevation caused by?

Answer 8

pericarditis

Question 9

Top 4 DDx for epigastric pain?

Answer 9

Cholidocholithsiasis
duodenal ulcer
cholecystitis
pancreatitis

Question 10

5 Fs for cholidocholithiasis?

Answer 10

Female
Fat
Fertile
Forties
Flatus

Question 11

2 ways to dx pancreatitis?

Answer 11

U/S

Bloods: Amylase

Question 12

3 side effects of anti-emetics?

Answer 12

hypertension
sedation
extrapyramidal tract effects

Question 13

what is oculogyric crisis?

Answer 13

dystonic reaction of ocular muscles, bilateral elevation of visual gaze

Question 14

how to reverse metaclopramide induced oculogyric crisis?

Answer 14

diphenhydramine