Emergency Med Flashcards

1
Q

sever limb pain, worse on extension.
very tender muscles
parasthesia

A

Compartment syndrome

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2
Q

Mx of compartment syndrome

A

urgent fasciotomy, analgesia, fluids

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3
Q

Type 1 Resp failure + Mx

A

hypoxia (can’t breathe in)
CPAP

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4
Q

Type 2 Resp failure + Mx

A

hypercapnia (can’t breathe out)
BiPAP

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5
Q

Antifreeze poisoning Mx

A
  1. fomepizole
  2. ethanol
  3. haemodialysis
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6
Q

Mx of acute exacerbation of COPD

A
  1. oxygen (blue venturi)
  2. nebulised salbutamol
  3. IV hydrocortisone
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7
Q

scoring for PE and interventions

A

Wells score to test the risk for DVT
>4 CTPA
<4 D Dimer result in 4 hrs

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8
Q

Mx of PE

A

DOAC (rivaroxaban)

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9
Q

Px of upper GI bleed

A

coffee ground vomit, black tarry stool

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10
Q

fluid resus, RBC transfusion and platelets in upper GI bleed

A

normal saline
RBC if Hb is <70
platelets if <50

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11
Q

Mx of oesophageal varices

A

terlipressin IV + ABs
endoscopy

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12
Q

narrow complex tachycardia Mx

A

vagal maneuvres
adenosine

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13
Q

broad complex tach Mx

A

amiodarone

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14
Q

torsades des pointes Mx

A

magnesium sulphate

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15
Q

indications for DC cardioversion

A

HISS
heart failure, ischaemia, shock, syncope

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16
Q

emergency Mx of angle closure glaucome

A

oral acetozolomide + timolol drops

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17
Q

emergency Mx of acute asthma

A

nebulised salbutamol
hydrocortisone IV or pred PO

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18
Q

life threatening asthma

A

33 92 CHEST
PEF <33%
Sats <92
Cyanosis
Hypotension
Exhaustion
Silent chest
Tachycardia

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19
Q

emergency Mx of acute COPD

A

nebulised salbutamol
hydrocortison IV or pred PO

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20
Q

presentation of pulmonary edema

A

extreme dyspnea, anxiety
signs of fluid overload: raised JVP, peripheral oedema, S3 gallop

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21
Q

Mx of pulmonary edema

A

furosemide IV

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22
Q

emergency Mx of addisonian crisis

A

IV hydrocortisone

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23
Q

emergency Mx of anaphylaxis

A

IM adrenaline

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24
Q

emergency Mx of aspirin overdose

A

sodium bicarb + KCL

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25
emergency Mx of AF <48 hrs, no life-threatening signs
rate control (beta blocker / verapamil / diltiazem)
26
emergency mx of AF, life threatening
HISS (heart failure, ischaemia, shock, syncope) immediate DC cardioversion
27
Mx of AF >48 hrs
anticoagulation for 3 weeks, cardioversion
28
Mx of Pul Embolism
anticoagulation (DOAC e.g. apixaban) thrombolysis (alteplase) in massive PE
29
Mx of status epilepticus
1. Iv lorazepam / PR diazepam 2. valproate
30
regular SVT Mx
1. vagal maneuvres 2. adenosine IV
31
asthmatic Pt with regular SVT
use verapamil instead of adenosine
32
broad complex tachycardia MX
amiodarone
33
Mx of bradycardia
1. atropine 2. transcutaneous pacing
34
grey-turners sign
flank bruising suggests retroperitoneal bleeding
35
cullens sign
peri-umbilical bruising suggests abdominal bleeding
36
signs of transfusion reaction
pyrexia tachycardia SOB loss of consciousness
37
fluid resus for burns
follow the parkland formula children: 3ml/kg/TBSA adults: 4........ give half for 8 hrs, remaining half for 16 hrs
38
what would you see on ABG in an opiate overdose
hypercapnia respiratory acidosis
39
pinpoint pupils
opiate overdose
40
what does a benzodiazepine overdose look like Mx
reduced GCS reduced RR hypotension bradycardia supportive Mx
41
beta blocker overdose Px Mx
bradycardia hypotension syncope arrythmia drowsiness Mx: bradycardia (atropine/isoprenaline); hypotension (glucagon)
42
what acid base disturbance does ethylene glycol poisoning cause
metabolic acidosis
43
presentation of paracetamol overdose
nausea, vomiting, pallor jaundice, confusion, deranged LFTs
44
what does a positive FAST scan show
intra abdominal bleeding
45
where is the carina bifurcation
T4-5 intervertebral disc
46
triple a screening
<3cm no more screening 3-4.5 = every year 4.5-5.5 = every 3 months >5.5 = surgery
47
acute mountain sickness cause and Px Mx
light headed ness, infrequent dull headaches stop ascent until they acclimatise
48
what can acute mountains sickness develop into
high altitude cerebral oedema (HACE) high altitude pulmonary oedema (HAPE)
49
Px and MX of HACE
ataxia, confusion, progressive decline of mental function and consciousness Mx: dexamethasone and hyperbaric treatment
50
Px of HAPE
productive cough dyspnea hypoxaemia tachycardia
51
Digoxin overdose
Nausea Vomiting Diarrhoea Visual disturbance (yellow halo)
52
Amitriptyline overdose
Tachycardia Hypotension Seizures
53
initial fluid resus for burns
hartmanns (or any crystalloid compared to colloid)
54
first line for acute symptomatic SIADH
hypertonic saline 3%
55
boaerhaave syndrome vs mallory weiss tear
boerhaave is the full oesophageal tear MW is a laceration in the inner wall of the oesophagus both after forceful vomiting boerhaave: haemodynamic instability, subcutaneous emphysema, GI contents enter the thoracic cavity, sepsis Mw: blood vomiting
56
imaging for urethral injury in trauma
retrograde urethography
57
which layers of the aorta are dilated in AAA rupture
all 3: intima, media, adventitia
58
difference between rhythm in A fib and A flutter
A flutter is regular e.g. 2:1 whereas A fib is irregular
59
2 episodes of vomiting: when is CT head
1 hr
60
normal anion gap values
8-14
61
what do you see on ABG in aspirin overdose
mixed primary respiratory alkalosis and metabolic acidosis
62
3 causes of metabolic acidosis with normal anion gap
diarrhoea renal tubular acidosis addisons disease
63
3 causes of metabolic acidosis with raised anion gap
lactate urate DKA
64
Mx of organophosphate poisoning
atropine