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ClinMed3 > ER1 > Flashcards

ER1 Flashcards

Intro, Chest, Abdomen, GU/Renal, ACS, Pulm

1
Q

primary survey?

A

ABCDE: airway, breathing, circulation, disability, exposure/environmental control

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2
Q

secondary survery?

A

AMPLE: allergies, meds, past illness, last meal, event/environment

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3
Q

Disability- neuro status?

A

AVPU: alert, verbal, pain, unresponsive

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4
Q

Circulation - and control hemorrhage- use ?

A

DEPT: direct pressure, elevation, pressure point (proximal control), tourniquet

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5
Q

3 initial X-rays in trauma pt?

A

c-spine, CXR (AP), and pelvis

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6
Q

tertiary survey will ?

A

reassess & re-evaluate (airway status, ventilation, VS, hemodynamic status, fluid, NG output, foley output)

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7
Q

definitive care- ? can be Dx and Tx

A

exploratory laparoscopy

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8
Q

thoracic injuries contribute to morbidity and mortality in ?

A

> 60% pts w/ multiple trauma

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9
Q

damage to organs in chest usually from?

others include?

A

crushing, compression

shearing, torsion, acceleration/deceleration

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10
Q

MCC airway obstruction?

A

tongue causing choking

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11
Q

IV access ?

A

2 large bores above and below injury

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12
Q

chest needle decompression- locations?

A

2nd IC space at midclavicular line or 5th IC space at ANTERIOR axillary line (avoid long thoracic n); place above rib to avoid VAN

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13
Q

closure of pneumothorax?

A

chest tube

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14
Q

sucking chest wound?

  • allows free air in/out of pleural space; could cause tension & acts as a ?
  • may have sQ emphysema aka?
  • Tx?
A

open pneumonthorax
one-way valve
rice-crispy sound
chest tube then apply dressing

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15
Q

massive hemothorax > ? ml of blood loss or persistent ? cc output per hr

A

1500, 200-300

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16
Q

flail chest

  • fx?
  • pain?
  • breathing?
A

2+ ribs in 2+ places
chest wall
paradoxical (in w/ inspiration and out w/ expiration)

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17
Q

becks triad? pulse? seen in? tx?

A

hypotension, JVD, muffled heart sounds; paradoxical (SBP decreases); pericardial tamponade, pericardiocentesis w/ 18 gage at subxyphoid angle

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18
Q 
aortic dissection:
-MC site?
-pain? hoarseness? pulse?
-Dx:?
Tx: ?
A
  • ligamentum arteriosum
  • retrosternal, interscapular, left recurrent laryngeal nerve, radio-femoral lag
  • CXR w/ mediastinum >8cm
  • immediate surgery
19
Q

fractured ribs/sternum tx?

A

analgesics, nerve block

20
Q

MC abdominal organ w/ blunt trauma?

21
Q

MC abd organ w/ penetrating trauma?

22
Q

in abd trauma ? can be Dx and Tx

23
Q

MC Dx in ER

A

nonspecific abd pain

24
Q

mc surgical Dx? followed by

A

appendicitis, cholecystitis

25
Q

common meds that cause nausea? (3)

A

erythro, tetracycline, codeine

26
Q

acute abdomen.. no need for specific Dx?

A

Dx w/ acute abdomen!

27
Q

low grade temp generally <100.2?

A

appendicitis, cholecystitis

28
Q

consider PID, pyelonephritis, or rupture viscous w/ temps >?

29
Q

bowel sounds:
decreased in?
increased in?
high-pitched rushes & gurgles in?

A

peritonitis, ileus
gastroenteritis
SBO

30
Q

mc urologic injury?

A

renal trauma

31
Q

80-85% have ? trauma

32
Q

dx renal trauma w/ ?

A

helical CT scan w/ IV contrast

33
Q

most definitive way of achieving airway?

34
Q

? cc blood enough to cause pericardial tamponade

35
Q

contusions

  • interstitial and intra alveolar w/ capillary damage?
  • arrhythmia or valvular rupture?
A

pulmonary

cardiac

36
Q

tracheobronchial injuries: conservative tx if ?

A

injury less than 1/3 diameter; otherwise surgery

37
Q

esophageal injuries

MC?… unDx leads to ?

A

tears, mediastinitis

38
Q

used for Dx of intra-abd beed?

A

peritoneal lavage

39
Q

3 surgical indications? triple B

A

bleed, block, burst

40
Q

acute and in F.. consider?

A

ectopic pregnancy, ruptured cyst

41
Q

referred pain:
testicle or inguinal area?
lower back?

A

colic

cystitis

42
Q

pancreatitis palliative in the ? position

43
Q

determines if kidney trauma is intraperitoneal or extra peritoneal?

A

retrograde urethrogram

44
Q

rhabdomyolysis dipstick?

A

positive heme, negative microhematuria

ClinMed3 (8 decks)

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