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EM oral boards Flashcards

1
Q

iron toxicity

A
  • IV, O2, Monitor
  • EKG
  • Acet/sal
  • Fluids
  • Whole body irrigation
  • deferoxamine
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2
Q

Hypertrophic pyloric stenosis

A
  • IV, O2, Monitor
  • NG tube
  • GS consult
  • NPO
  • Fluids
  • US
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3
Q

Intracranial hemorrhage

A
  • IV, O2, Monitor
  • CT Head
  • Manage airway
  • Coags
  • Reverse if necessary
  • ICU admission
  • Neurosurgery consult
  • Bedside glucose
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4
Q

Tension PTX

A
  • IV, O2, Monitor
  • Needle/Tube thoracostomy
  • CXR
  • Analgesia
  • Surgical consult
  • Full exam
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5
Q

Cholecystitis

A
  • IV, O2, Monitor
  • Analgesia
  • US
  • NPO
  • Antibiotics
  • GS consuit
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6
Q

1 month infant sepsis

A
  • IV, O2, Monitor
  • fluid bolus (20 ml/kg) up to four
  • CXR
  • UA, Urine Culture
  • Blood Culture
  • LP
  • Antibiotics
  • PICU
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7
Q

Boerhaave Syndrome

A
  • IV, O2, Monitor
  • CXR
  • Antibiotics (vanc, cefepime)
  • GI/CT/ENT consult
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8
Q

Epidural abscess

A
  • IV, O2, Monitor
  • MRI
  • Antibiotics (Vanc, cef, flagyl)
  • Determine cause of infection
  • NS consult
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9
Q

Necrotizing fasciitis

A
  • IV, O2, Monitor
  • Fluids
  • Antibiotics (vanc, cef, clinda)
  • GS consult
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10
Q

Hyperkalemia

A
  • IV, O2, Monitor
  • Insulin. D50
  • Albuterol
  • Lasix
  • Kayexelate
  • Calcium
  • EKG
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11
Q

Acute Angle Glaucoma

A
  • IV, O2, Monitor
  • Visual acuity
  • IOP
  • Slit lamp/flurescein
  • Timolol, Alphagan, Pilocarpine, Acetazolamide
  • Ophtho consult
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12
Q

Incarcerated hernia with bowel obstruction

A
  • IV, O2, Monitor
  • CXR
  • XR abdomen (obstructive series)
  • NPO
  • Analgesia
  • GS consult
  • Antibiotics
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13
Q

Aspirin toxicity

A
  • IV, O2, Monitor
  • acet
  • EKG
  • sodium bicarb drip
  • ICU
  • monitor salicylate levels
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14
Q

HSP

A
  • IV, O2, Monitor
  • Fluids
  • XR abdomen
  • GS consult
  • Pain mgmt
  • Labs of liver and renal injury
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15
Q

Dry snake bite

A
  • IV, O2, Monitor
  • ABCs
  • Assess wound
  • Identify snake
  • Labs for signs of envenomation
  • Observe for signs of envenomation
  • contact poison control
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16
Q

Retinal Vascular Occlusion

A
  • IV, O2, Monitor
  • Ocular exam
  • Ophto consult
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17
Q

Torsades

A
  • IV, O2, Monitor
  • Magnesium
  • Defibrillate
  • EKG
  • CXR
  • Trop
  • Consult Cards
  • ICU
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18
Q

Retropharyngeal abscess

A
  • IV, O2, Monitor
  • Airway mgmt
  • Antibiotics (clinda)
  • ENT consult
  • XR lateral
  • ICU admission
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19
Q

Slipped capital femoral epiphysis

A
  • IV, O2, Monitor
  • Bilateral pelvis exam
  • Bilateral pelvis xray
  • Ortho consult
  • Analgesia
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20
Q

Testicular Torion

A
  • IV, O2, Monitor
  • US
  • Urology
  • Analgesia
  • NPO
  • Manual detorsion
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21
Q

Gastric Perf

A
  • IV, O2, Monitor
  • Analgesia
  • NPO
  • Fluids
  • GS consult
  • Antibiotics
  • Upright CXR
  • XR obstructive series
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22
Q

Pertussis

A
  • IV, O2, Monitor
  • CXR
  • Airborne precautions
  • Antibiotics (azithromycin)
  • Prophylaxis for family
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23
Q

AAA

A
  • IV, O2, Monitor
  • US
  • Fluids
  • Blood (type and cross)
  • Vascular Surgery
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24
Q

carbon monoxide poisoning

A
  • IV, O2, Monitor
  • Carboxyhemoglobin level
  • Transfer to hyperbaric chamber
  • Fingerstick glucose
  • 100 NRB
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25
Q

Maxillofacial Trauma

A
  • IV, O2, Monitor
  • Control hemorrhage
  • Airway Mgmt
  • CT Head, face, c-spine
  • Trauma Surgery
  • C-spine immobilization
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26
Q

Thermal Burn

A
  • IV, O2, Monitor
  • Fluids (parkland)
  • Analgesia
  • Airway Mgmt
  • Escharotomy
  • Transfer to burn unit
  • Tetanus
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27
Q

Variceal Bleeding

A
  • IV, O2, Monitor
  • PPI
  • Octreotide
  • GI consult
  • Fluids
  • Blood (Type and Cross)
  • Ceftriaxone
  • ICU
  • Platelet/FFP transfusion
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28
Q

Bradycardia

A
  • IV, O2, Monitor
  • Atropine
  • Transcutaneous pacing
  • EKG
  • Cards Consult
  • ICU
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29
Q

Acute Asthma

A
  • IV, O2, Monitor
  • Albuterol
  • Atrovent
  • Steriods
  • Mag
  • BIPAP
  • ICU
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30
Q

Stevens Johnson Syndrome

A
  • IV, O2, Monitor
  • Stop offending drug
  • Fluids
  • Derm/optho consult
  • ICU
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31
Q

GBS

A
  • IV, O2, Monitor
  • Neuro exam
  • LP
  • intubation (based on FVC, NIF)
  • ICU admission
  • IVIG/plasmapheresis
  • Neuro consult
  • Fingerstick glucose
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32
Q

SBO

A
  • IV, O2, Monitor
  • Analgesia
  • CXR upright
  • XR abdomen (obstructive series)
  • NG tube
  • Fluids
  • GS consult
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33
Q

Cocaine induced chest pain

A
  • IV, O2, Monitor
  • trop
  • EKG
  • CXR
  • Asa
  • Ativan
  • Nitrate
  • Admit (observation)
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34
Q

SImple febrile seizure

A
  • IV, O2, Monitor
  • Tylenol/Ibuprofen
  • Reasurrance
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35
Q

PE

A
  • IV, O2, Monitor
  • EKG
  • PT/PTT
  • Anticoagulant
  • CT PE
  • Admit
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36
Q

Analphylaxis

A
  • IV, O2, Monitor
  • Epi
  • Steroids
  • Benadryl
  • Pepcid
  • Fluids
  • Pressors
  • Observe for at least 6 hours
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37
Q

Appendicitis

A
  • IV, O2, Monitor
  • Analgesia
  • CT abdomen & pelvis
  • Antibiotics
  • GS consult
  • Fluids
  • NPO
  • Serial abdominal exam
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38
Q

subdural hematoma

A
  • IV, O2, Monitor
  • CT head
  • Glucose
  • Coags
  • Reverse coagulopathy
  • Airway mgmt
  • NS consult
  • Pain mgmt
  • ICU
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39
Q

Uncomplicated perianal abscess

A
  • IV, O2, Monitor
  • I & D
  • Analgesia
  • Follow-up
  • Wound care counseling
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40
Q

ectopic pregnancy

A
  • IV, O2, Monitor
  • Beta HCG
  • Pregnancy test
  • Analgesia
  • TVUS
  • NPO
  • Ob Gyn consult
  • Fluid bolus
  • Blood type and cross
  • RH and possible rhogam
  • Pelvic exam
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41
Q

alcohol intoxication

A
  • IV, O2, Monitor
  • CT head
  • Acet/sal
  • etoh level
  • UDS
  • Glucose
  • EKG
  • Thiamine, MVI
  • Anion gap, osmolar gap
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42
Q

DKA

A
  • IV, O2, Monitor
  • K replacement
  • Insulin
  • Fluids
  • ICU admission
  • EKG
  • Glucose
  • Look for cause (non-compliance v infection)
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43
Q

Inferior MI

A
  • IV, O2, Monitor
  • Right sided EKG
  • EKG
  • Fluids
  • ASA, plavix, heparin/lovenox
  • Activate cath lab
  • Avoid nitro
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44
Q

Ovarian Torsion

A
  • IV, O2, Monitor
  • US
  • Analgesia
  • Preg test
  • Beta HCG
  • NPO
  • Ob Gyn consult
  • Pelvic exam
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45
Q

Opioid overdose

A
  • IV, O2, Monitor
  • Glucose
  • CT head
  • Narcan
  • Airway mgmt
  • EKG
  • Reassessment
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46
Q

Traveler’s diarrhea

A
  • IV, O2, Monitor
  • ova, parasite, culture, giardia, c-diff, fecal leukocytes
  • Fluids
  • Electrolyte replacement
  • Antibiotics
  • Follow-up
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47
Q

TTP

A
  • IV, O2, Monitor
  • Steroids
  • Plasmapheresis
  • Note petechiae
  • CBC/peripheral smear
  • Hematology consult
  • Admit
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48
Q

Ludwig’s angina

A
  • IV, O2, Monitor
  • Airway mgmt
  • ENT consult
  • Antibiotics (Clinda)
  • ICU admission
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49
Q

Acute pericardial tamponade

A
  • IV, O2, Monitor
  • Cards consult
  • Trauma
  • Airway mgmt
  • Pericardicentesis
  • Fluids
  • Blood transfusion
  • OR
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50
Q

Cat bite

A
  • IV, O2, Monitor
  • Assess/clean wound
  • tetanus
  • augmentin
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51
Q

TOA

A
  • IV, O2, Monitor
  • Pelvic exam
  • TVUS
  • Antibiotics (doxy + cefoxitine)
  • Fluids
  • Ob Gyn consult
  • Preg test
  • Analgesia
52
Q

Cavernous Venous Sinus Thrombosis

A
  • IV, O2, Monitor
  • CT head
  • LP
  • Antibiotics (cef, vanc)
  • Steroids
  • MRI/MRV
  • ICU
53
Q

Kawasaki

A
  • IV, O2, Monitor
  • ASA, IVIG
  • Infectious or rhuem consult
54
Q

cauda equina

A
  • IV, O2, Monitor
  • Neuro exam
  • Post void residual
  • MRI
  • Neurosurgery consult
  • Pain control
  • Consider steroids with NS
55
Q

SIDS

A
  • IV, O2, Monitor
  • PALS
  • Assess signs for abuse
  • Resuscitation
  • Support for family
56
Q

Septic Arthritis

A
  • IV, O2, Monitor
  • Arthrocentesis (gram stain, crystals)
  • Antibiotics (Vanc,cef)
  • Ortho consult
  • Xray
  • Admit
57
Q

RMSF

A
  • IV, O2, Monitor
  • Doxy
  • Exam
  • Relevant hx (camping)
58
Q

Acute Chest Syndrome

A
  • IV, O2, Monitor
  • CBC, Retic
  • CXR
  • Analgesia
  • Antibiotics (cef, azith)
  • FLuids
  • Heme consult for consideration of exchange transfusion
  • ICU
59
Q

Bacterial meningitis

A
  • IV, O2, Monitor
  • CT head
  • LP
  • Antibiotics (vanc, cef)
  • steroids
  • Reporting to public agency
  • ICU admission and isolation
60
Q

Pericarditis

A
  • IV, O2, Monitor
  • EKG
  • Ibuprofen
  • Bedside Echo
  • Admit if pericardial effusion
61
Q

Hypoglycemia due to sulfonylurea

A
  • IV, O2, Monitor
  • Glucose
  • D50
  • Food
  • Admit
62
Q

HACE

A
  • IV, O2, Monitor
  • Steroids
  • Acetazolamide
  • Descent
  • CT head
  • Glucose
63
Q

Dig Toxicity

A
  • IV, O2, Monitor
  • Digibind
  • EKG
  • CCU
  • Treat electrolyte abnormalities (hyper K)
64
Q

CHF

A
  • IV, O2, Monitor
  • BNP
  • CXR
  • Nitro
  • BIPAP
  • Lasix
  • ASA
  • CCU
65
Q

Coarctation of Aorta

A
  • IV, O2, Monitor
  • BP in upper and lower extremities
  • CXR
  • Prostagland E
  • Cards consult
  • EKG
66
Q

Nephrolithiais

A
  • IV, O2, Monitor
  • Analgesia
  • CT Stone
  • UA
  • Urology follow-up
67
Q

Status epilepticus

A
  • IV, O2, Monitor
  • benzo
  • glucose
  • airway mgmt
  • uds
  • chemistries
  • Neuro consult
68
Q

Fournier gangrene

A
  • IV, O2, Monitor
  • Antiobiotics (vanc, zosyn, clinda)
  • GS/Urology consult
  • cultures
69
Q

Intussussception

A
  • IV, O2, Monitor
  • GS consult
  • fluid
  • enema
70
Q

HIV, likely PCP

A
  • IV, O2, Monitor
  • CXR
  • Cultures
  • Antibiotics - Cef, Azith, Bactrim
  • UA
  • Respiratory isolation
71
Q

SVT

A
  • IV, O2, Monitor
  • EKG
  • Vagal manuever
  • Adenosine
  • Rhythm strip and repeat EKG
  • Patient education about adenosine
72
Q

CAP

A
  • IV, O2, Monitor
  • CXR
  • Antibiotics (cef, azith)
  • Fluids
  • admit v DC
73
Q

Drowning/diving

A
  • IV, O2, Monitor
  • C-spine precautions
  • CT C-spine
  • NS consult
  • Intubation
  • Fluids
  • Pressors
74
Q

Pancreatitis

A
  • IV, O2, Monitor
  • Analgesia
  • Fluids
  • NPO
  • Type and hold
  • Discuss alcohol cessation
75
Q

Ischemic bowel, embolism to sma

A
  • IV, O2, Monitor
  • CT AP
  • Antibiotics
  • GS/Interventional radiology consult
  • Analgesia
  • EKG
76
Q

COPD

A
  • IV, O2, Monitor
  • Albuterol
  • Atrovent
  • Steroids
  • BIPAP
  • Fluids
  • CXR
  • Antiobiotics if admitted (levaquin/cef, azith)
77
Q

alcohol withdrawal with seizures

A
  • IV, O2, Monitor
  • GLucose
  • Ativan
  • UDS
  • Etoh
  • Acet/Sal
  • CT head
  • Airway mgmt
  • Thiame/MVI
  • ICU admission
  • Management of agitation
78
Q

Stroke

A
  • IV, O2, Monitor
  • Airway
  • PT/PTT
  • EKG
  • CT head
  • Neurology
  • Control BP if necessary
79
Q

Pelvic fracture with hemorrhage

Open right ankle fracture

A
  • IV, O2, Monitor
  • CT head, c-spine, chest, ap
  • CXR, pelvis
  • tetanus
  • right ankle xray
  • ancef
  • trauma
  • bind pelvis
  • IR
  • fluids
  • Blood Transfusion
  • Type and cross
  • Fast
80
Q

Pyelo

A
  • IV, O2, Monitor
  • UA
  • Urine culture
  • Antibiotics
  • Fluids
  • Analgesia
  • Proper follow-up.
81
Q

thyrotoxicocis

A
  • IV, O2, Monitor
  • CXR
  • Antibiotics
  • ## Propranolol, PTU, iodine, steroids
82
Q

NAT

Splenic Lac

A
  • IV, O2, Monitor
  • CT AP
  • Recognition of potential abdominal injury
  • Recognition of possible abuse
  • Surgery Consult
  • Social Work/Child Services
83
Q

HUS

A
  • IV, O2, Monitor
  • Discussion with family
  • Admission
  • Heme consult
84
Q

Foreign body aspiration

A
  • IV, O2, Monitor
  • CXR (insipiration and expiration)
  • Airway mgmt
  • ENT
85
Q

Acetaminophen overdose

A
  • IV, O2, Monitor
  • Determine timing of ingestion
  • EKG
  • Acet/Sal
  • UDS
  • NAC
  • sitter
86
Q

AMI

A
  • IV, O2, Monitor
  • EKG
  • ASA, Plavix, Heparin/Lovenox
  • Activate Cath
  • Cards Consult
  • Nitro
  • Analgesia
87
Q

SIRS

A
  • IV, O2, Monitor
  • Lactic
  • Fluids
  • antibiotics
  • cultures
  • CXR
  • UA
88
Q

Heatstroke

A
  • IV, O2, Monitor
  • Evaporative cooling
  • Liver Profile
  • Fluids
  • Glucose
  • Acet/Sal
  • PT/PTT
  • UDS
  • CT Head
  • Rectal temp (continuous)
  • ICU
89
Q

Pericardial Tamponade

A
  • IV, O2, Monitor
  • Fluids
  • EKG
  • Bedside US
  • CXR
  • CT surgery
  • Pericardiocentesis
90
Q

Diverticulitis w faver

A
  • IV, O2, Monitor
  • blood cultures
  • UA
  • CXR
  • CT AP
  • fluids
  • lactate
  • antibiotics (zosyn)
  • general surgery consult
91
Q

Eclampsia

A
  • IV, O2, Monitor
  • Beta Hcg
  • EKG
  • Magneisum\
  • Hydralazine/Labetolol
  • Ob Gyn
  • CT Head
  • UA
92
Q

VTACH

A
  • IV, O2, Monitor
  • EKG
  • Trop
  • Amio
  • Synchronized cardioverson
  • Sedation
  • Cards consult
93
Q

TCA toxicity

A
  • IV, O2, Monitor
  • EKG
  • Acet/sal
  • UDS
  • Poison Control
  • Sodium Bicarb
  • ICU
  • FLuids
94
Q

Post transplant fever (liver)

A
  • IV, O2, Monitor
  • Cultures,
  • UA, CXR
  • antibiotics (vanc, cefepime, fluconazole_
  • Analgesia
  • FLuids
  • transplant team consult
95
Q

Blunt trauma (abdominal)

A
  • IV, O2, Monitor
  • CT head, C-spine, Chest, AP
  • CXR, Pelvic XR
  • Fluid
  • Blood type and cross
  • Trauma
  • Fast
  • Analgesia
96
Q

Necrotizing enterocolitis

A
  • IV, O2, Monitor
  • XR abomen
  • Fluids
  • Antibiotics (amp, gent, clinda)
  • CXR
  • General Surgery Consult
97
Q

SBP

A
  • IV, O2, Monitor
  • Paracentesis
  • Antibiotics
  • Ceftriaxone
  • Fluids
  • Analgesia
98
Q

Pulmonary Inhalation Anthrax

A
  • IV, O2, Monitor
  • CXR
  • antibiotics (cef, azith, cipro)
  • Isolation
  • Intubation
  • CDC
  • Prophylaxis for contacts
99
Q

Hypertensive Emergency

A
  • IV, O2, Monitor
  • EKG
  • Trop
  • BMP
  • CT Head
  • IV antihypertensive
  • LP
  • Admission
100
Q

Hypothermia

A
  • IV, O2, Monitor
  • Rectal monitor
  • Bear hugger
  • Airway mgmt
  • ICU admission
101
Q

aortic coarctation

A
  • IV, O2, Monitor
  • Anterior and back for murmurs
  • CXR
  • Prostaglandin E1
  • Discussion with family
  • Cards consult
102
Q

Enteroinvasive diarrhea

A
  • IV, O2, Monitor
  • Rehydration
  • Repletion of electrolytes
  • Antibiotics
103
Q

PCP

A
  • IV, O2, Monitor
  • CXR
  • Airway mgmt
  • steroids
  • Antibiotics (cef, azith, bactrim)
  • Airborne isolation
  • MICU
104
Q

INH

A
  • IV, O2, Monitor
  • pyroxidine
  • airway mgmt
  • glucose
  • Acet/Sal
  • CT head
105
Q

Elder Abuse

Dehydration

A
  • IV, O2, Monitor
  • Reporting to APS
  • Social work
  • Fluids
  • CPK
  • EKG
  • Infection workup, UA, CXR
106
Q

acute gout

A
  • IV, O2, Monitor
  • arthrocentesis (crystals, cell count, stain, culture)
  • analgesia
  • Counseling on meat, alcohol
107
Q

carotid artery dissection

A
  • IV, O2, Monitor
  • CT head
  • CTA neck
  • Pain
  • Anticoagulation (heparin)
  • Neurology
108
Q

Sigmoid volvulus

A
  • IV, O2, Monitor
  • analgesia
  • GS/GI consult
  • Obstructive series
  • NG tube
109
Q

Heart Failure (LVAD failure due to thrombosis)

A
  • IV, O2, Monitor
  • EKG
  • Bedside Echo
  • Heparin gtt
  • VAD Coordinator, Cards, CT surgery
110
Q

radial head subluxation

A
  • IV, O2, Monitor
  • Reduction (hyperpronation, supination-flexion)
  • Reassessment
111
Q

Sepsis (from decub ulcer with DIC)

A
  • IV, O2, Monitor
  • fluids
  • finding decub ulcer as source
  • antibiotics (vanc, zosyn)
  • recheck lactic acid
  • recognize DIC
112
Q

Pulseless VT- cardiac arrest

A
  • IV, O2, Monitor
  • confirm airway
  • cardiac monitor
  • recognize VT arrest with ROSC
  • neuro exam
  • therapuetic hypothermia
  • appropriate sedation
113
Q

DVT

A
  • IV, O2, Monitor
  • anticoagulation
  • pain mgmt
114
Q

SVC syndrome

A
  • IV, O2, Monitor
  • clinical diagnosis
  • elevate head and give diuretics
  • consult oncology/IR
115
Q

Hydrofluoric acid exposure

A
  • IV, O2, Monitor
  • diagnose HF burns
  • EKG
  • Calcium therapy
  • Analgesia
  • Consult tox or burn specialist
  • admit patient
  • check labs, including calcium and potassium
116
Q

Malfunctioning pacemaker

A
  • IV, O2, Monitor
  • note pacemaker on left chest
  • EKG
  • Atropine .5 mg IV
  • transcutaneous pad placement
  • apply magnet over pacemaker
  • consult cards or device manufacturer
117
Q

hypo-osmolar hyponatremia with cerebral edema, secondary to beer potomania

A
  • IV, O2, Monitor
  • glucose, ABC, naloxone
  • recognize AMS out of proportion to etoh level
  • recognize hyponatremia with neuro findings
  • hypertonic saline
  • slow sodium correction
  • ICU admission
118
Q

Hypercalcemia from squamous cell lung cancer

A
  • IV, O2, Monitor
  • EKG
  • CXR
  • identification of clinical hypercalcemia
  • CA, iCa levels
  • bisphosphonate
  • icu admission
119
Q

cushing syndrome

A
  • IV, O2, Monitor
  • pregnancy test
  • CBC (platelets, coags)
  • recognize cushing/endocrine etiology
  • endocrine consult/referral
  • random cortisol level
120
Q

aplastic anemia

A
  • IV, O2, Monitor
  • CBC
  • Retic count
  • blood cultures
  • transfusion
  • CXR
  • Pain control
  • Admit
121
Q

Rhabdo
heat exhaustion
aki

A
  • IV, O2, Monitor
  • fluids
  • EKG
  • Analgesia
  • Obtain cardiac hs
  • Renal for potiental HD
  • ICU
122
Q

Migraine

A
  • IV, O2, Monitor
  • Full neuro
  • fluids
  • meds
  • possible imaging
123
Q

acute cerebellar stroke

A
  • IV, O2, Monitor
  • time of onset
  • neuro exam
  • MRI/MRA
  • Neuro and NS consult
  • BP control with IV agents
  • Aspirin within 24 hours
124
Q

Myasthenia Gravis

A
  • IV, O2, Monitor
  • Neuro consult
  • Airway prep
  • Avoid or reduce the use of depolarizing or nondepolarizing agents
  • ICU
125
Q

ethylene glycol poisoning

hypocalcemia causing prolonged QT

A
  • IV, O2, Monitor
  • EKG
  • Glucose testing
  • Sodium bicarb (bolus, gtt)
  • Correct hypocalcemia
  • Fomepizole/alcohol
  • HD
  • ICU

em oral boards (1 decks)

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