Exam #2 Flashcards
1
Q
Tx for Tension Headaches
A
ASA Acetaminophen Ibuprofen Naproxen Excedrin
2
Q
Tx for migraines
A
NSAIDs Acetaminophen Triptans Excedrin Fioricet Opiates Antiemetics
3
Q
Tx for cluster headaches
A
O2
Ergotamines at first signs of sx
4
Q
SIRS Criteria
A
- Temp > 38, < 36
- HR > 90 bpm
- Tachypnea > 20 bpm
- WBC > 12,000, < 4,000 or presence of 10% immature neutrophils
5
Q
Signs of end organ damage
A
SBP < 90 mmHg Platelets < 100 K Lactate > 2 Bilirubin > 2 AMS
6
Q
Within 6 hours of presentation in septic shock bundle
A
Repeat volume status and tissue perfusion assessment
Give vasopressors if hypotension persists after fluid
7
Q
DDX for stroke
A
Seizure Hypoglycemia Drug toxicity Wernicke's encephalopathy CNS abscess or tumor Migraine with aura
8
Q
Inclusion criteria for tPA
A
- Dx of ischemic stroke
- Onset of sx < 3 hours before tx
- Aged >/= 18 y/o
9
Q
Exclusion Criteria for tPA:
A
- Significant head trauma/prior stroke < 3 mo
- Elevated BP (S > 185 or D > 110)
- Sx suggesting subarachnoid hemorrhage
- Current anticoagulant use
- Active internal bleeding
- Glucose < 50 mg/dL
10
Q
Relative Exclusion Criteria for tPA:
A
- Pregnancy
- Seizure at onset
- Major surgery or serious trauma within 14 days
- Recent acute MI
- Recent GI or urinary tract hemorrhage
11
Q
Physical Exam findings with OA
A
Tenderness Crepitus Swelling Restricted joint movement Bony enlargement
12
Q
XR findings with OA
A
Narrowing of joint space
Increased density of subchondral bone
Osteophytes
13
Q
Tx for OA
A
Acetaminophen or NSAIDs
Weight reduction
Daily stretching
Orthotics
14
Q
Dx for RA
A
Anti-citrullinated peptide antibodies
XR
RF
CBC
15
Q
Heel Walk
A
L4, L5
