Emergency Flashcards
What are the Centor Criteria for testing for suspected Strep throat? (4)
- fever by history
- absence of cough
- tonsillar exudate
- tender anterior cervical lymphadenopthy
(if 3 or above, likely strep throat-> treat empirically)
What is the empiric antibiotic treatment for suspected sepsis in a neonate (less than 29 days old) who presents with fever?
- ampicillin
- ceftriaxone/ gentamicin
- acyclovir (for possible HSV meningitis until CSF cultures return)
What is the initial diagnostic workup for a pt with suspected Wilm’s tumor (abdominal mass, hematuria, abdominal pain, hypertension)?
- Abdominal Ultrasound (to assess if renal mass) with doppler studies (assess invasion of vasculature)
- CMP (to assess liver involvement, renal function, elevated Ca suggesting other type of cancer)
- Urinalysis (assess proteinuria, hematuria)
- CBC with diff (to assess for anemia)
What diagnostic tests are performed to further evaluate a pt with suspected Wilms tumor of abdominal ultrasound?
CT/MRI of abdomen and chest to assess for metastatic disease
used to stage tumor
What is the best initial management for a pt with isolated benign and recurrent headaches (not malignancy/ trauma/ infectious related)?
- IV placement and IVFs
- anti-emetic with anti-headache properties (Reglan/ Metoclopromide; Prochlorperazine/ Compazine)
- Sumatriptan 6 mg IM (if migraine and no help with #2)
- DHE (not if triptan used in last 24 hr) with anti-emetic
True or false. Ibuprofen should not be administered to an infant less than 6 months old.
True
True or false. Antipyretics should not be administered to an infant less than 8 weeks.
True
What is the best initial steps in management of a pt with with suspected hyperglycemia/ DKA? (5)
- POC glucose (if > 200mg/dl proceed with following)
- cardiac monitoring, pulse ox, IV access (use LMX)
- NS bolus 10 ml/kg
- ISTAT Chem 9 and VBG
- NPO, anti-emetics for vomiting
