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Emergency Medicine > EM Other > Flashcards

EM Other Flashcards

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Royal College: Emergency Medicine flashcards
1
Q

What is the treatment for an uncomplicated dental abscess?

Who do they need to follow-up with?

A
  • NSAIDs
  • Penicillin VK or Clindamycin
  • Drain gingival abscess

Dentist, can not see PCP

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2
Q

What is the treatment for a complicated dental abscess?

A
  • IV Clindamycin
  • Consultation with ENT or dental
  • May require a CT scan to evaluate for deep space abscess or Ludwig
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3
Q

The treatment to epistaxis is a step-wise approach, what are the steps?

A
  1. Blow out boogers, Afrin and clamp x20 minutes
  2. Look for bleeder, silver nitrate if possible
  3. TXA
  4. Balloon
  5. Consider posterior bleed - lubricate larger balloon, insert straight back and fill. If posteriro packing, concern for airway compromise
  6. Nasal packings should be removed in 12-48 hours
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4
Q

What are the symptoms associated with peritonsillar abscess?

What is the work-up?

A
  • Sore throat
  • Hot potato voice (trismus)
  • Stridor
  • Sniffling position
  • Drooling
  • Unilateral peritonsillar swelling
  • Uvular displacement

CT with contrast for definitive dx and sizing

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5
Q

What are the presenting symptoms of retropharyngeal abscesses?

What is the treatment?

A
  • Fever
  • Neck pain/swelling
  • Nuchal regidity

To the OR! Clindamycin, dexamethasone if significant swelling

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6
Q

What is the imaging modality of choice to diagnose retropharyngeal abscess?

A

CT

Will see widening of prevertebral space on lateral XR

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7
Q

What is the treatment for all mouth stuff?

A

Clindamycin and dexamethasone

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8
Q

What are the exam findings in anisocoria?

A

Asymmetric pupil size

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9
Q

What are the exam findings in Horner’s Syndrome?

A

(drooping of lid), miosis (pupillary constriction) and anhidrosis (decreased sweating)

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10
Q

What is the treatment for acute glaucoma?

A

Call Optho!
Timolol drops Q15 min x2-3x
Acetazolamide IM

If unable to manage medically will require surgery

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11
Q

What antibiotics are used to treat a globe rupture?

A

Vanco PLUS ceftazadime

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12
Q

What is the IOP level that requires emergent canthotomy to release the pressure?

What is the IOP level to diagnose?

A

40

21

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13
Q

What is the treatment for a retrobulbar hematoma with increased IOP?

A

Lateral canthotomy to release compartment

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14
Q

What is the treatment for priapism?

Why?

A

Intercorpial phenylphrine

Will vasoconstrict the artery to relieve compartment pressure

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15
Q

What are the indications for ECMO?

A
  • Severe pneumonia
  • ARDS
  • Status asthmaticus
  • Bridge to transplant
  • Cardiogenic shock
  • Myocarditis
  • MI
  • Massive PE

Can they survive?

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Emergency Medicine (19 decks)

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