endo handouts

Question 1

in DKA pts with complications of cerebral edema what lymphatic technique

Answer 1

cranial like CV4 or condylar decompression

Question 2

goal of treatment for DKA

Answer 2

fix acid base disturbance not bring sugar to normal level

Question 3

toxic cause diffuse abdominal pain

Answer 3

black widow spider bite, snake bite

Question 4

treat rib and diaphragm dysfucntion in DKA from kussmaul breathing

Answer 4

respiratory diaphragm: MFR/ST

check rib motion and fix dysfunctions

Question 5

parasympatethics of pancreas and kidney

Answer 5

OA,AA

Question 6

frequent vital and lab monitoring in replacement for DKA

Answer 6

K+,Mg,Ph-

Question 7

most important treatment for DKA

Answer 7

IV fluids

Question 8

when is omm indicated in DKA

Answer 8

after pt stabilized

Question 9

large amount of beeer intake can cause ___ pain is more localized to epigastric region

Answer 9

gastritis

Question 10

fluid in DKA and why and what to switch to

Answer 10

initially normal saline then switch to D51/ 2NS when pt on insulin when the glucose gets to 250 to prevent hypoglycemia

Question 11

kidney chapman pt

Answer 11

1 inch superior and lateral to umbilicus

Question 12

GOLDMARK (new anion gap mnemonic)

Answer 12

Glycols
Oxoproline
Lactate
D-Lactate (GI disorders)
Methanol
Aspirin
Renal Failure
ketoacidosis (starvation/ETOH/DKA)

Question 13

unintentional wt loss over last 2 months, polyuria, polydipsia, polyphagia, hyperglycemia, postiive ketones in urine and blood, low pH with anion gap

Answer 13

DKA

Question 14

ddx of diffuse abdominal pain GI

Answer 14

GERD
Gastritis
PPUD
obstruction
inflammation of GI organs
infectious
vascular, mesenteric thrombosis

Question 15

diffuse abdominal pain GU symptoms

Answer 15

renal lithiasis

blocked or torsed ureter, testicular torsion

Question 16

correct sodium when sugar is high

Answer 16

Na + ((glucose -100) X .016))

Question 17

sympathietics of kidney

Answer 17

T9-11 on R

Question 18

history for obstuction

Answer 18

prior surgeries to cause adhesions

Question 19

high stress and pain in upper quadrants

Answer 19

PUD

Question 20

overall goal of OMM treatment in DKA is what

Answer 20

to achieve homeostasis of body fncts, normalized fluid balance, derease syptomatology, hasten recvoery

Question 21

MUD PILES

Answer 21

methanol
uremia
DKA

paraldehyde
infection/iron/isoniazid
lactic acidosis
ethylene glycol
salicylates

Question 22

metabolic cause diffuse abdominal pain

Answer 22

uremia, check GFR and bun/creat
hyperlipidemia- elevated tgs can cause pancreatitis
DKA

Question 23

sympathetic of pancreas

Answer 23

T5-9

Question 24

chapman pt of the pancreas

Answer 24

R 7th intercostal space

Question 25

calculate anion gap

Answer 25

sodium - (bicarb + cl)

Question 26

when can you end protocol on DKA pt

Answer 26

when the gap is closed
then switch to SQ insulin
stop gtt 2 hours after admin of SQ long acting

Question 27

if perforated ulcer would expect

Answer 27

rigitidy, rebound, guareding