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Clin Med IV: Emergency Medicine > EM "Other" > Flashcards

EM "Other" Flashcards

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1
Q

what is the treatment of uncomplicated dental abscess

A

NSAIDs
Penicillin VK or Clindamycin
Drain gingival abscesses

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2
Q

what ist he treatment of complicated dental abscess

A

may require CT neck to evaluate for deep space abscess/Ludwig
IV Clindamycin. Consult with ENT/dental

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3
Q

what are possible complications of dental blocks

A

allergy
pain
toxic OD on anesthetic
hematoma
Neuropathy
infxn
failure
needle break

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4
Q

what is it called when the entire tooth is out of the socket

A

tooth avulsion

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5
Q

what is a tooth luxation

A

not in normal position, can be impaction, extrusion or lateral luxation

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6
Q

what is Epistaxis

A

bloody nose

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7
Q

What is the most common area of nose bleed

A

Kiesselbach’s plexus

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8
Q

what are symptoms of peritonsillar abscesss

A

sore throat
hot potato voice
stridor
trismus
sniffing position
drooling
unilat peritonsillar swelling
uvular displacement

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9
Q

what is the typical abx given for peritonsilar abscess

A

clindamycin

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10
Q

what is the diagnostic test of choice for peritonsilar abscess

A

CT with contrast for definitive dx and sizing

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11
Q

where is the carotid artery located in relation to peritonsillar abscess

A

lateral

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12
Q

what is a retropharyngeal abscess

A

abscess that extends down postoperative oropharynx, can track into mediastinum

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13
Q

what is the presentation of retropharyngeal abscess

A

fever
neck pain/swelling
nuchal regidity

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14
Q

what is the test of choice for retropharyngeal abscess

A

CT

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15
Q

what is Ludwigs

A

cellulitis of submandibular space, often starts wtih infected molar
often - no abscess

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16
Q

what is the treatment of ludwigs

A

IV/O2/Monitor
monitor airway
dex for swelling/airway
abx: Clindamycin

17
Q

what is anisocoria

A

different pupil sizes

18
Q

what is relative afferent pupillary defect

A

defect in direct response dut to nerve damage or severe retinal disease, assess with swinging light test

19
Q

what is Argyll Robertson pupil

A

neurosyphilis, pupils will not constrict with light but will wtih accomodation

20
Q

what is Horner’s syndrome

A

loss of of sympathetic innervation leading to ptosis (drooping of lid), Miosis (pupillary constriction) and anhidrosis (decreased sweating)

21
Q

what is seen classically on exam for glaucoma

A

mid-dilated non-reactive pupil, steamy corena, ciliary conjunctival injection, decreased visual acuity

22
Q

what is the IOP with glaucoma

A

> 21mmHg

23
Q

what is the treatment for glaucoma

A

call optho
Timolol drops Q15 min x 2-3x
acetazolamide IV

24
Q

what medications will increase IOP

A

ketamine or succinylcholine

25
Q

what is a hyphema

A

blood in anterior chamber
associationed with damage to iris, ciliary body vasculature

26
Q

what ABX are given with globe rupture

A

vancomycin PLUS ceftazidime

27
Q

what is an open globe rupture

A

fulll thickness break in wall of the eye (ruptures of laceration)

28
Q

what is a clsoed glob ruputre

A

partial thickness scleral laceration, partial thickness corneal laceration (no loss of aqueous humor)

29
Q

what is retrobulbar hematoma

A

diminished/lost acuity, increased IOP, proptosis

30
Q

what is the treatment of retrobulbar hematoma

A

lateral canthotomy to release compartment

31
Q

what is priapism

A

painful erection > 4hours
urologic emergency

32
Q

what is the treatment of priapism

A

intercorpial phenlyephrine injection with TB needle into corpus at proximal aspect 2-4cm distal to the origin of the shaft, at the 10-2 o’clock

33
Q

what is ECMO

A

Extracorporeal membrane oxygenation
used during times of severe heart or lung dysfunction and acts as pulmonary bypass

Clin Med IV: Emergency Medicine (18 decks)

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