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Emergency Medicine > EM V > Flashcards

EM V Flashcards

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1
Q

Central Retinal Artery Occlusion tx: (+doses)

  • […]
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber
A

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber

goal is to lower IOP and dislodge clot

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2
Q

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • […] // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber
A

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber

goal is to lower IOP and dislodge clot

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3
Q

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // […]
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber
A

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber

goal is to lower IOP and dislodge clot

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4
Q

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • […]
  • +/- paracentesis of anterior chamber
A

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber

goal is to lower IOP and dislodge clot

How well did you know this?
1
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5
Q

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- […]
A

Central Retinal Artery Occlusion tx: (+doses)

  • intermittant digital massage
  • timolol 0.5% // acetazolamide 500mg IV
  • rebreathe into paperbag = increase CO2
  • +/- paracentesis of anterior chamber

goal is to lower IOP and dislodge clot

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6
Q

Central Retinal Vein Occlusion prx:

  • […]
  • retinal hemorrhages on exam
A

Central Retinal Vein Occlusion prx:

  • sudden painless u/l vision loss
  • retinal hemorrhages on exam
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7
Q

Central Retinal Vein Occlusion prx:

  • sudden painless u/l vision loss
  • […]
A

Central Retinal Vein Occlusion prx:

  • sudden painless u/l vision loss
  • retinal hemorrhages on exam
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8
Q

Central Retinal Vein Occlusion tx:

  • […]
  • often surgical management
A

Central Retinal Vein Occlusion tx:

  • lower IOP (timolol, pilocarpine, acetazolamide)
  • often surgical management

no proven tx

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9
Q

Central Retinal Vein Occlusion tx:

  • lower IOP (timolol, pilocarpine, acetazolamide)
  • […]
A

Central Retinal Vein Occlusion tx:

  • lower IOP (timolol, pilocarpine, acetazolamide)
  • often surgical management

no proven tx

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10
Q

Central Vertigo ddx:

• […]

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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11
Q

Central Vertigo ddx:

• tumor/mass

  • […]
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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12
Q

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • […]
  • cerebellar stroke
  • intracranial bleed
  • infection
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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13
Q

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • […]
  • intracranial bleed
  • infection
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insuficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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14
Q

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • […]
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insuficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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15
Q

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • […]
  • infection
A

Central Vertigo ddx:

• tumor/mass

  • carotid dissection
  • vertebro-basilar insufficiency
  • cerebellar stroke
  • intracranial bleed
  • infection
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16
Q

Central Vertigo is caused by disturbance in […].

A

Central Vertigo is caused by disturbance in CNS blood flow.

i.e. blood flow, tumor, mass, bleed, carotid dissection

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17
Q

Cervicitis tx: (+ doses)

  • […]
  • azithromycin 1g PO (+zofran)
A

Cervicitis tx: (+ doses)

  • ceftriaxone 250mg IM
  • azithromycin 1g PO (+zofran)

cervicitis = no CMT but positive swab

substitute for azithromycin= Doxycycline 100mg PO BID x 14 days

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18
Q

Cervicitis tx: (+ doses)

  • ceftriaxone 250mg IM
  • […]
A

Cervicitis tx: (+ doses)

  • ceftriaxone 250mg IM
  • azithromycin 1g PO (+zofran)

cervicitis = no CMT but positive swab

substitute for azithromycin= Doxycycline 100mg PO BID x 14 days

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19
Q

Chemical Burns pearls:

  • […]
  • differentiate alkali vs acidic
  • give topical anesthetic
A

Chemical Burns pearls:

  • pts need copious irrigation (until pH is nl 6.5-7.5)
  • differentiate alkali vs acidic
  • give topical anesthetic
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20
Q

Chemical Burns pearls:

  • pts need copious irrigation (until pH is nl 6.5-7.5)
  • […]
  • give topical anesthetic
A

Chemical Burns pearls:

  • pts need copious irrigation (until pH is nl 6.5-7.5)
  • differentiate alkali vs acidic
  • give topical anesthetic
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21
Q

Chemical Burns pearls:

  • pts need copious irrigation (until pH is nl 6.5-7.5)
  • differentiate alkali vs acidic
  • […]
A

Chemical Burns pearls:

  • pts need copious irrigation (until pH is nl 6.5-7.5)
  • differentiate alkali vs acidic
  • give topical anesthetic
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22
Q

Chest Pain + […] or new LBBB = cath lab

A

Chest Pain + 1mm/2 leads or new LBBB = cath lab

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23
Q

Chest Pain + 1mm/2 leads or new […] = cath lab

A

Chest Pain + 1mm/2 leads or new LBBB = cath lab

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24
Q

Chest Pain + 1mm/2 leads or new LBBB = […]

A

Chest Pain + 1mm/2 leads or new LBBB = cath lab

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25
Q

Chest Pain 6 deadly causes: (PET MAC)

  • […]
  • esophageal rupture
  • tension pneumothorax
  • MI
  • aortic dissection
  • cardiac tamponade
A

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • esophageal rupture
  • tension pneumothorax
  • MI
  • aortic dissection
  • cardiac tamponade
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26
Q

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • […]
  • tension pneumothorax
  • MI
  • aortic dissection
  • cardiac tamponade
A

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • esophageal rupture
  • tension pneumothorax
  • MI
  • aortic dissection
  • cardiac tamponade
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27
Q

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • esophageal rupture
  • […]
  • MI
  • aortic dissection
  • cardiac tamponade
A

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • esophageal rupture
  • tension pneumothorax
  • MI
  • aortic dissection
  • cardiac tamponade
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28
Q

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • esophageal rupture
  • tension pneumothorax
  • […]
  • aortic dissection
  • cardiac tamponade
A

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • esophageal rupture
  • tension pneumothorax
  • MI
  • aortic dissection
  • cardiac tamponade
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29
Q

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • esophageal rupture
  • tension pneumothorax
  • MI
  • […]
  • cardiac tamponade
A

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • esophageal rupture
  • tension pneumothorax
  • MI
  • aortic dissection
  • cardiac tamponade
How well did you know this?
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30
Q

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • esophageal rupture
  • tension pneumothorax
  • MI
  • aortic dissection
  • […]
A

Chest Pain 6 deadly causes: (PET MAC)

  • PE
  • esophageal rupture
  • tension pneumothorax
  • MI
  • aortic dissection
  • cardiac tamponade
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31
Q

Chest Pain hx questions:

  • […]
  • provocation
  • quality
  • relieving/radiation
  • severity
  • time
A

Chest Pain hx questions:

  • onset
  • provocation
  • quality
  • relieving/radiation
  • severity
  • time
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32
Q

Chest Pain hx questions:

  • onset
  • […]
  • quality
  • relieving/radiation
  • severity
  • time
A

Chest Pain hx questions:

  • onset
  • provocation
  • quality
  • relieving/radiation
  • severity
  • time
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33
Q

Chest Pain hx questions:

  • onset
  • provocation
  • […]
  • relieving/radiation
  • severity
  • time
A

Chest Pain hx questions:

  • onset
  • provocation
  • quality
  • relieving/radiation
  • severity
  • time
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34
Q

Chest Pain hx questions:

  • onset
  • provocation
  • quality
  • […]
  • severity
  • time
A

Chest Pain hx questions:

  • onset
  • provocation
  • quality
  • relieving/radiation
  • severity
  • time
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35
Q

Chest Pain hx questions:

  • onset
  • provocation
  • quality
  • relieving/radiation
  • […]
  • time
A

Chest Pain hx questions:

  • onset
  • provocation
  • quality
  • relieving/radiation
  • severity
  • time
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36
Q

Chest Pain hx questions:

  • onset
  • provocation
  • quality
  • relieving/radiation
  • severity
  • […]
A

Chest Pain hx questions:

  • onset
  • provocation
  • quality
  • relieving/radiation
  • severity
  • time
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37
Q

Chest Pain pts need a […] EKG before dispo.

A

Chest Pain pts need a pain free EKG before dispo.

make sure there are no changes!

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38
Q

Chest Pain that’s persitant despite interventions consider:

  • […]
  • admission to CCU
A

Chest Pain that’s persitant despite interventions consider:

  • unstable angina
  • admission to CCU

not stable enough for telemetry!

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39
Q

Chest Pain that’s persitant despite interventions consider:

  • unstable angina
  • […]
A

Chest Pain that’s persitant despite interventions consider:

  • unstable angina
  • admission to CCU

not stable enough for telemetry!

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40
Q

Chest Tube placement steps:

  • […]
  • palpate 4th/5th intercostal space (lateral to nipple)
  • cut just above the rib => dissect down to muscle
  • puncture chest wall with curved kellys
  • insert finger into chest wall and twist 360*
  • place chest tube in controlled manner
A

Chest Tube placement steps:

  • prep skin with betadine
  • palpate 4th/5th intercostal space (lateral to nipple)
  • cut just above the rib => dissect down to muscle
  • puncture chest wall with curved kellys
  • insert finger into chest wall and twist 360*
  • place chest tube in controlled manner
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41
Q

Chest Tube placement steps:

  • prep skin with betadine
  • […]
  • cut just above the rib => dissect down to muscle
  • puncture chest wall with curved kellys
  • insert finger into chest wall and twist 360*
  • place chest tube in controlled manner
A

Chest Tube placement steps:

  • prep skin with betadine
  • palpate 4th/5th intercostal space (lateral to nipple)
  • cut just above the rib => dissect down to muscle
  • puncture chest wall with curved kellys
  • insert finger into chest wall and twist 360*
  • place chest tube in controlled manner
How well did you know this?
1
Not at all
2
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42
Q

Chest Tube placement steps:

  • prep skin with betadine
  • palpate 4th/5th intercostal space (lateral to nipple)
  • […]
  • puncture chest wall with curved kellys
  • insert finger into chest wall and twist 360*
  • place chest tube in controlled manner
A

Chest Tube placement steps:

  • prep skin with betadine
  • palpate 4th/5th intercostal space (lateral to nipple)
  • cut just above the rib => dissect down to muscle
  • puncture chest wall with curved kellys
  • insert finger into chest wall and twist 360*
  • place chest tube in controlled manner
How well did you know this?
1
Not at all
2
3
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5
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43
Q

Chest Tube placement steps:

  • prep skin with betadine
  • palpate 4th/5th intercostal space (lateral to nipple)
  • cut just above the rib => dissect down to muscle
  • […]
  • insert finger into chest wall and twist 360*
  • place chest tube in controlled manner
A

Chest Tube placement steps:

  • prep skin with betadine
  • palpate 4th/5th intercostal space (lateral to nipple)
  • cut just above the rib => dissect down to muscle
  • puncture chest wall with curved kellys
  • insert finger into chest wall and twist 360*
  • place chest tube in controlled manner
How well did you know this?
1
Not at all
2
3
4
5
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44
Q

Chest Tube placement steps:

  • prep skin with betadine
  • palpate 4th/5th intercostal space (lateral to nipple)
  • cut just above the rib => dissect down to muscle
  • puncture chest wall with curved kellys
  • […]
  • place chest tube in controlled manner
A

Chest Tube placement steps:

  • prep skin with betadine
  • palpate 4th/5th intercostal space (lateral to nipple)
  • cut just above the rib => dissect down to muscle
  • puncture chest wall with curved kellys
  • insert finger into chest wall and twist 360*
  • place chest tube in controlled manner
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

Chest Tube placement steps:

  • prep skin with betadine
  • palpate 4th/5th intercostal space (lateral to nipple)
  • cut just above the rib => dissect down to muscle
  • puncture chest wall with curved kellys
  • insert finger into chest wall and twist 360*
  • […]
A

Chest Tube placement steps:

  • prep skin with betadine
  • palpate 4th/5th intercostal space (lateral to nipple)
  • cut just above the rib => dissect down to muscle
  • puncture chest wall with curved kellys
  • insert finger into chest wall and twist 360*
  • place chest tube in controlled manner
How well did you know this?
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46
Q

CHF tx: (UNLOAD +doses)

  • U[…]
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)
A

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)

consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn’t work

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47
Q

CHF tx: (UNLOAD +doses)

  • Upright position
  • N[…]
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)
A

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)

consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn’t work

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48
Q

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • L[…]
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)
A

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)

consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn’t work

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49
Q

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • O[…]
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)
A

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)

consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn’t work

50
Q

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • A[…]
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)
A

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)

consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn’t work

51
Q

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • D[…] // dobutamine 10mcg/kg/min (decomp CHF)
A

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)

consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn’t work

52
Q

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // […]
A

CHF tx: (UNLOAD +doses)

  • Upright position
  • Nitroglycerin 0.4mg Q5min => 0.3mcg/kg/min drip
  • Lasix 40mg IV (or double home dose)
  • Oxygen BiPAP/CPAP (10/5)
  • Ace-I enalaprilat 1.25mg IV Q6
  • Diltiazem 10mg IV => infuse at 5-15mg/hr (comp CHF) // dobutamine 10mcg/kg/min (decomp CHF)

consider nitroprusside 0.3 mcg/kg/min if nitroglycerin doesn’t work

53
Q

Chondrocalcinosis is […].

A

Chondrocalcinosis is calcification of synovium and surrounding ligaments.

54
Q

Chronic Hyponatermic pts that are asymptomatic may be […].

A

Chronic Hyponatermic pts that are asymptomatic may be discharged safely.

depends on severity of hyponatremia

55
Q

Classic Virchow’s Triad equates to […]% chance of risk.

A

Classic Virchow’s Triad equates to ~15% chance of risk.

56
Q

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • […]
A

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
57
Q

Common Rash ddx:

  • […]
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
A

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
58
Q

Common Rash ddx:

  • contact dermatitis
  • […]
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
A

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
59
Q

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • […]
  • scabies
  • secondary syphillis
A

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
60
Q

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • […]
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
A

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
61
Q

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • […]
  • secondary syphillis
A

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
62
Q

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • […]
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
A

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
63
Q

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • […]
  • lyme disease
  • scabies
  • secondary syphillis
A

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
64
Q

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • […]
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
A

Common Rash ddx:

  • contact dermatitis
  • erythema multiforme
  • pityriasis
  • tinea
  • zoster
  • viral exanthem
  • lyme disease
  • scabies
  • secondary syphillis
65
Q

Concerning vitals include:

  • SBP […]
  • HR >120
  • HR <45
  • RR >25
  • SpO2% <90
A

Concerning vitals include:

  • SBP <90
  • HR >120
  • HR <45
  • RR >25
  • SpO2% <90
66
Q

Concerning vitals include:

  • SBP <90
  • HR […]
  • HR <45
  • RR >25
  • SpO2% <90
A

Concerning vitals include:

  • SBP <90
  • HR >120
  • HR <45
  • RR >25
  • SpO2% <90
67
Q

Concerning vitals include:

  • SBP <90
  • HR >120
  • HR […]
  • RR >25
  • SpO2% <90
A

Concerning vitals include:

  • SBP <90
  • HR >120
  • HR <45
  • RR >25
  • SpO2% <90
68
Q

Concerning vitals include:

  • SBP <90
  • HR >120
  • HR <45
  • RR […]
  • SpO2% <90
A

Concerning vitals include:

  • SBP <90
  • HR >120
  • HR <45
  • RR >25
  • SpO2% <90
69
Q

Concerning vitals include:

  • SBP <90
  • HR >120
  • HR <45
  • RR >25
  • SpO2% […]
A

Concerning vitals include:

  • SBP <90
  • HR >120
  • HR <45
  • RR >25
  • SpO2% <90
70
Q

Conjunctivitis prx:

  • bacterial= […]
  • viral= watery d/c
A

Conjunctivitis prx:

  • bacterial= purulent d/c
  • viral= watery d/c
71
Q

Conjunctivitis prx:

  • bacterial= purulent d/c
  • viral= […]
A

Conjunctivitis prx:

  • bacterial= purulent d/c
  • viral= watery d/c
72
Q

Consider adding […] in Sepsis pts at risk for drug resistant organisms.

A

Consider adding levaquin (levofloxacin) in Sepsis pts at risk for drug resistant organisms.

73
Q

Consider stool labs for AGE if:

  • […]
  • travel to high-risk country
  • fever
  • bloody stool
  • persistent diarrhea
  • HIV/immunosuppressed
A

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • travel to high-risk country
  • fever
  • bloody stool
  • persistent diarrhea
  • HIV/immunosuppressed

AGE = acute gastroenteritis

74
Q

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • […]
  • fever
  • bloody stool
  • persistent diarrhea
  • HIV/immunosuppressed
A

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • travel to high-risk country
  • fever
  • bloody stool
  • persistent diarrhea
  • HIV/immunosuppressed

AGE = acute gastroenteritis

75
Q

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • travel to high-risk country
  • […]
  • bloody stool
  • persistent diarrhea
  • HIV/immunosuppressed
A

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • travel to high-risk country
  • fever
  • bloody stool
  • persistent diarrhea
  • HIV/immunosuppressed

AGE = acute gastroenteritis

76
Q

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • travel to high-risk country
  • fever
  • […]
  • persistent diarrhea
  • HIV/immunosuppressed
A

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • travel to high-risk country
  • fever
  • bloody stool
  • persistent diarrhea
  • HIV/immunosuppressed

AGE = acute gastroenteritis

77
Q

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • travel to high-risk country
  • fever
  • bloody stool
  • […]
  • HIV/immunosuppressed
A

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • travel to high-risk country
  • fever
  • bloody stool
  • persistent diarrhea
  • HIV/immunosuppressed

AGE = acute gastroenteritis

78
Q

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • travel to high-risk country
  • fever
  • bloody stool
  • persistent diarrhea
  • […]
A

Consider stool labs for AGE if:

  • >10 stools in previous 24hr
  • travel to high-risk country
  • fever
  • bloody stool
  • persistent diarrhea
  • HIV/immunosuppressed

AGE = acute gastroenteritis

79
Q

Consider WPW w/AFib in […].

A

Consider WPW w/AFib in wide irregular tachycardia.

80
Q

Contraindications to using Succinylcholine:

  • […]
  • burns >24 hrs
  • hx of malignant hyperthermia
  • muscular dystrophy
A

Contraindications to using Succinylcholine:

  • crush injuries
  • burns >24 hrs
  • hx of malignant hyperthermia
  • muscular dystrophy
81
Q

Contraindications to using Succinylcholine:

  • crush injuries
  • […]
  • hx of malignant hyperthermia
  • muscular dystrophy
A

Contraindications to using Succinylcholine:

  • crush injuries
  • burns >24 hrs
  • hx of malignant hyperthermia
  • muscular dystrophy
82
Q

Contraindications to using Succinylcholine:

  • crush injuries
  • burns >24 hrs
  • […]
  • muscular dystrophy
A

Contraindications to using Succinylcholine:

  • crush injuries
  • burns >24 hrs
  • hx of malignant hyperthermia
  • muscular dystrophy
83
Q

Contraindications to using Succinylcholine:

  • crush injuries
  • burns >24 hrs
  • hx of malignant hyperthermia
  • […]
A

Contraindications to using Succinylcholine:

  • crush injuries
  • burns >24 hrs
  • hx of malignant hyperthermia
  • muscular dystrophy
84
Q

COPD flares abx tx: (+doses)

OutPt:

• […]

InPt:

• azithromycin 500mg IV // levaquin 500mg IV

A

COPD flares abx tx: (+doses)

OutPt:

• azithromycin 500mg => 250mg x 4d

InPt:

• azithromycin 500mg IV // levaquin 500mg IV

85
Q

COPD flares abx tx: (+doses)

OutPt:

• azithromycin 500mg => 250mg x 4d

InPt:

• […] // levaquin 500mg IV

A

COPD flares abx tx: (+doses)

OutPt:

• azithromycin 500mg => 250mg x 4d

InPt:

• azithromycin 500mg IV // levaquin 500mg IV

86
Q

COPD flares abx tx: (+doses)

OutPt:

• azithromycin 500mg => 250mg x 4d

InPt:

• azithromycin 500mg IV // […]

A

COPD flares abx tx: (+doses)

OutPt:

• azithromycin 500mg => 250mg x 4d

InPt:

• azithromycin 500mg IV // levaquin 500mg IV

87
Q

Corneal Abrasions in contact wearers need to be checked for […].

A

Corneal Abrasions in contact wearers need to be checked for white spots in cornea.

white spots = infiltrates = optho referral ASAP (concern for pseudomonas)

88
Q

Corneal Abrasions tx:

  • […]
  • tylenol/motrin
  • no contacts: erythromycin 0.5% Q6 x3d
  • contacts: levaquin (levofloxacin) 0.5% Q2 x2d
A

Corneal Abrasions tx:

  • tetracaine/proparacaine drops
  • tylenol/motrin
  • no contacts: erythromycin 0.5% Q6 x3d
  • contacts: levaquin (levofloxacin) 0.5% Q2 x2d

non-contact alt= cipro, ofloxacin

contact alt= gentamicin, tobramycin

89
Q

Corneal Abrasions tx:

  • tetracaine/proparacaine drops
  • […]
  • no contacts: erythromycin 0.5% Q6 x3d
  • contacts: levaquin (levofloxacin) 0.5% Q2 x2d
A

Corneal Abrasions tx:

  • tetracaine/proparacaine drops
  • tylenol/motrin
  • no contacts: erythromycin 0.5% Q6 x3d
  • contacts: levaquin (levofloxacin) 0.5% Q2 x2d

non-contact alt= cipro, ofloxacin

contact alt= gentamicin, tobramyci

90
Q

Corneal Abrasions tx:

  • tetracaine/proparacaine drops
  • tylenol/motrin
  • no contacts: […]
  • contacts: levaquin (levofloxacin) 0.5% Q2 x2d
A

Corneal Abrasions tx:

  • tetracaine/proparacaine drops
  • tylenol/motrin
  • no contacts: erythromycin 0.5% Q6 x3d
  • contacts: levaquin (levofloxacin) 0.5% Q2 x2d

non-contact alt= cipro, ofloxacin

contact alt= gentamicin, tobramycin

91
Q

Corneal Abrasions tx:

  • tetracaine/proparacaine drops
  • tylenol/motrin
  • no contacts: erythromycin 0.5% Q6 x3d
  • contacts: […]
A

Corneal Abrasions tx:

  • tetracaine/proparacaine drops
  • tylenol/motrin
  • no contacts: erythromycin 0.5% Q6 x3d
  • contacts: levaquin (levofloxacin) 0.5% Q2 x2d

non-contact alt= cipro, ofloxacin

contact alt= gentamicin, tobramycin

92
Q

Correcting Na too quickly leads to […].

A

Correcting Na too quickly leads to Central Pontine Myelinolysis.

93
Q

CPAP vs BiPAP differences:

  • CPAP: […]
  • BiPAP: baseline level of pressure + increased pressure with inhalation
A

CPAP vs BiPAP differences:

  • CPAP: constant level of positive pressure
  • BiPAP: baseline level of pressure + increased pressure with inhalation

CPAP- continuous positive airway pressure

BiPAP- bi-level positive airway pressure

CPAP more comfortable

94
Q

CPAP vs BiPAP differences:

  • CPAP: constant level of positive pressure
  • BiPAP: […]
A

CPAP vs BiPAP differences:

  • CPAP: constant level of positive pressure
  • BiPAP: baseline level of pressure + increased pressure with inhalation

CPAP- continuous positive airway pressure

BiPAP- bi-level positive airway pressure

CPAP more comfortable

95
Q

Croup tx: (+doses)

  • […]
  • decadron (dexamethasone) 0.6mg/kg PO (max 10 mg)
  • w/stridor at rest= racemic epi 0.05ml/kg (requires 4 hr obs)
A

Croup tx: (+doses)

  • humidified air
  • decadron (dexamethasone) 0.6mg/kg PO (max 10 mg)
  • w/stridor at rest= racemic epi 0.05ml/kg (requires 4 hr obs)

make sure true stridor at rest

96
Q

Croup tx: (+doses)

  • humidified air
  • […]
  • w/stridor at rest= racemic epi 0.05ml/kg (requires 4 hr obs)
A

Croup tx: (+doses)

  • humidified air
  • decadron (dexamethasone) 0.6mg/kg PO (max 10 mg)
  • w/stridor at rest= racemic epi 0.05ml/kg (requires 4 hr obs)

make sure true stridor at rest

97
Q

Croup tx: (+doses)

  • humidified air
  • decadron (dexamethasone) 0.6mg/kg PO (max 10 mg)
  • w/stridor at rest= […]
A

Croup tx: (+doses)

  • humidified air
  • decadron (dexamethasone) 0.6mg/kg PO (max 10 mg)
  • w/stridor at rest= racemic epi 0.05ml/kg (requires 4 hr obs)

make sure true stridor at rest

98
Q

CT head may still be negative in the first few hrs after […].

A

CT head may still be negative in the first few hrs after SAH.

Stroke/TIA: make sure it’s not an early SAH prior to giving tPA!

99
Q

CXR of Esophageal Rupture:

  • […]
  • abnormal cardiomediastinal contour
  • pneumothorax
  • pleural effusion
A

CXR of Esophageal Rupture:

  • pneumomediastinum
  • abnormal cardiomediastinal contour
  • pneumothorax
  • pleural effusion
100
Q

CXR of Esophageal Rupture:

  • pneumomediastinum
  • […]
  • pneumothorax
  • pleural effusion
A

CXR of Esophageal Rupture:

  • pneumomediastinum
  • abnormal cardiomediastinal contour
  • pneumothorax
  • pleural effusion
101
Q

CXR of Esophageal Rupture:

  • pneumomediastinum
  • abnormal cardiomediastinal contour
  • […]
  • pleural effusion
A

CXR of Esophageal Rupture:

  • pneumomediastinum
  • abnormal cardiomediastinal contour
  • pneumothorax
  • pleural effusion
102
Q

CXR of Esophageal Rupture:

  • pneumomediastinum
  • abnormal cardiomediastinal contour
  • pneumothorax
  • […]
A

CXR of Esophageal Rupture:

  • pneumomediastinum
  • abnormal cardiomediastinal contour
  • pneumothorax
  • pleural effusion
103
Q

D-dimer cutoff ~ […].

A

D-dimer cutoff ~ 500.

104
Q

D-dimer measures the […].

A

D-dimer measures the degradation products of cross-linked fibrin.

105
Q

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • […]
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

106
Q

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • […]
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

107
Q

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • […]
  • pemphigus vulgaris
  • RMSF
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

108
Q

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • […]
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

109
Q

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • […]
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

110
Q

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • […]
  • RMSF
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

111
Q

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • […]
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

112
Q

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • […]
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

113
Q

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • […]
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

114
Q

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • […]
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

115
Q

Dangerous Rash ddx:

  • […]
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF
A

Dangerous Rash ddx:

  • urticaria/anaphylaxis
  • necrotizing fasciitis
  • meningococcemia
  • endocarditis
  • SSSS
  • TEN/SJS
  • toxic shock syndrome
  • DRESS, erythroderm
  • MAHA/TTP/DIC
  • pemphigus vulgaris
  • RMSF

SSSS = staph scalded skin syndrome

DRESS = drug reaction with eosinophilia and systemic symptoms

116
Q

Deep Sedation meds: (+doses)

• […]

A

Deep Sedation meds: (+doses)

• propofol 1mg/kg IV (repeat 1/4 or 1/2 dose as needed

117
Q

Degenerative Arthritis tx:

  • […]
  • tylenol
  • rest/ice/PT
  • weight loss
A

Degenerative Arthritis tx:

  • NSAIDs
  • tylenol
  • rest/ice/PT
  • weight loss
118
Q

Degenerative Arthritis tx:

  • NSAIDs
  • […]
  • rest/ice/PT
  • weight loss
A

Degenerative Arthritis tx:

  • NSAIDs
  • tylenol
  • rest/ice/PT
  • weight loss
119
Q

Degenerative Arthritis tx:

  • NSAIDs
  • tylenol
  • […]
  • weight loss
A

Degenerative Arthritis tx:

  • NSAIDs
  • tylenol
  • rest/ice/PT
  • weight loss
120
Q

Degenerative Arthritis tx:

  • NSAIDs
  • tylenol
  • rest/ice/PT
  • […]
A

Degenerative Arthritis tx:

  • NSAIDs
  • tylenol
  • rest/ice/PT
  • weight loss

Emergency Medicine (6 decks)

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