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PA > Emergency Medicine > Flashcards

Emergency Medicine Flashcards

1
Q

What are the features of sepsis?

A 
Systolic BP <90
HR >130
O2 <91%
RR >25
Lactate >2
VPU on AVPU scale
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2
Q

What are the causes of RUQ pain?

A 
Gallstones- biliary colic/cholecystitis/cholangitis
Hepatitis
Costochondritis
Pneumonia
Renal stone
MSK
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3
Q

What investigations are needed for ? Gallstones and what would they show?

A

Bedside- raised temp in cholecystitis/cholangitis
Bloods- raised WCC/CRP
Imaging- USS- gallstones/dilated CBD. If dilated need ERCP

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4
Q

What features are suggestive of an Addisonian crisis?

A

Severe hypovolaemia

Hyponatraemia

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5
Q

What are the causes of an Addisonian crisis?

A

Sepsis/surgery
Adrenal haemorrhage e.g. Waterhouse-Friderichsen syndrome
Steroid withdrawal

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6
Q

What is the management of an Addisonian crisis\?

A

Hydrocortisone 100mg IM or IV (continued 6 hourly until stable)
1L normal saline over 30-60 mins or + dextrose if hypoglycaemic
Oral replacement after 24hrs

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PA (12 decks)

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