EM Basic podcast

Question 1

PERC criteria

Answer 1

“BREATHS”

Blood in sputum

Room air sat <95%

Estrogen

Age 50

Thrombosis (both hx and clinical signs/sxs)

HR>100

Surgery, past

Question 2

Appendicitis signs

Answer 2

Psoas: flex R hip (raise against hand on R knee)

Obturator: (with R thigh flexed, internally rotate)

Rovsing’s: press right side, feel left

Reverse rovsing’s:

Question 3

How is hypoK related to abdominal pain complaint?

Answer 3

hypoK can cause ileus

Question 4

What % of appys have normal WBC?

Answer 4

30% have normal WBC

Question 5

Types of mesenteric ischemia

Answer 5

1. Clot in mesentary (eg AFib pt)
2. low flow state (eg pt in ICU with multple pressors, hypotensive)

Question 6

AAA:

what sizes matter?

Answer 6

>2cm and sxs to suggest AAA rupture–immediate surgery c/s

2-5cm, no sxs–needs outpt f/u

5cm, no sxs–immediate surgery c/s with close monitoring

Question 7

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