final count down Flashcards
gout treatmetn in a CKD patient
steroids
is steroids a red flag to back pain
yes - immune wise and bone wisse
atrial myxoam assoaciated with
raynauds
lead migration vs perfortio
migration is still in the heart out of place
the perforation is outsde the heart
aVR elevation think….
left main
1/L + 5/6 elevation =
circumflex
preventing tx for kawasakis for anyrusm?
IVIG
TB ppd
15 for everyone
10 for me and high riskers
5 for HIV / transplants
is klebsiella penis painful
no
duceyi is painful at the enis and groin
MC pNa IN HIV PATIENTS/
Strep pnruo
unexplained hypotension next step
RUSH
not fast or ekg
if you have an anion hap acidosis and a bicarb that is usper low…
metabolic acidosis and non gap acidosis contributing to delta gap
tx torsades
no pulse= defib
pulse= mag
definitive mangement = overdrive pace
CT scans for stones
patients without a history of nephrolithiasis, signs of infection, solitary or transplanted kidney, or for whom an alternate diagnosis is suspected
or else dc them for trial of passage
trip, sudden fevere, retororbital headache, myalgies
dengue fever
phismosi frist step
topicals and manual reduction
then dorsal slit
absolute contraidcnation to a cric - kid < 10 or abscess over it
Kid less than 10!
peds parkland formula
same but add a maintence rate on top of it !
ttp
needs thrombcytopenia and MAHA - AKI is +/-
MC vessel and nerve hurt in elbow dislocation
brachial
ulnar
aspiration pneumonitis next step
observation
postive hip dysplasia in a kid next steps
US and harness
b12 def
loss of reflexes lower, + babiski, loss of sensation
tripod fx
all bones you would expect to being punched in the face
what do i have sometimes
work dysphora = burnout
does micro heamturia indicate CT scan in stabel trauma patients
no gross or unstable
liver disease and needs reversal - PCC or FFP
PCC
FFp is too much volume for ESLD
acute stroke in a sickler tx
PLEX! not tpa
do you need a yolk sac on US to confurm IUP
yes for viabiity
aa gradient needed for steroids for pjp
> 35
or less than 70 pao2
thora spot
between 8/9 no lower
what is luous pernio
purple or indruandted erythmea on face in sarcoid pts
NV intact open fx - doppler pluses or abx
abx first - no need for dopplers
when do you do charcoal for ibuprogen OD
Over 400 mg/kg OD
100 is symptoms
if less they can go home
concner for strangulated hernia- ct or surgeon
surgeon (not upright X ray)
deepest abscess butt space
supralevator
herpes on eye tx
ORAL ACYLORVIR AND TOPICAL PREDNSIONE
topcial sless good
best syph test rpr ftaa or biopsy
ftaa!
TYPE 2 hypersnesitvity
Graves, auto hemo anemia, Goodpastures
TYPE 3- serum sickness PSGN (compelemnt inovlvment)
4= type 1 diabestes, PPD test, hasimotos
TIA tx
ASA
dont start on AC in ED
strain and sprains
sprain is ligemants
strain in tendons
all 1-3 grades
healthy CAP outpatient coverage
Amox !!! better than azithro
azithro or doxy
perforated TM- ppx abx or no
no
atropine overdose but a plant
jimson weed
foxglove is digitalis OD
looks like WPW but no Delta wave…
LGL syndrome
post ROSC care
cool to 32-36
EEG/TTE
normo normo
when can hand foot mouth go back to schoool
fever resolution
inpatient CAP tx up to 5 years
‘’’’ less than 6 motnhs
ampicillin
CFTX
chlamydia or N gonorrhea FHC syndrome`
Chlamydia!
nuchal cord on baby next step
reduce then deliver!
bruygagda tx
admit cards
infectious causes of SJS?
Mycopalsma and Herpes
hypopyon next step–
optho ocnsult
alkali ingestion dispo
admit ICU for supportiv care and endsopcy urgently
hypermag tx
calcium gluconate
side effect of ltos of pRBC infusions
hypothermia
acidosis
DIC/coagualopthy
when to use Kleuke test in preggos
after 20 weeks to see if there was massive ehmorrhag eand how much rhogam to give
when to give 50 mcg rhogam?
less than 12 weeks
300 mch rhogam given at
12-20 weeks
whar is fibringoen in TTP
normal
pilocarpine?
not anymore
next step tracheal transecton
fiberoptic tube
sciatic nerve or tab fx MC
tabs
b/l heel pain in a kid worse when squeezed
sever
disease
apophysis of growth plate
3 letter code is for
paced
sensed (just flip it in your head)
response
chronic pain patient fobromyclagia next step1
ketamine or an attempt at pain control
dont d/c or admit yet - no narcotics
otitis media with vertigo - MC complication
meninigits
buklllous pempphoigoid tx
DOXY
afib and want to know if you anticoagulate - what do you use?
CHADS VASC
peau d oragne is
inflammaotry carcinoma
75% of nail and lingula involvment =
nail bed disprtopn- gotta take off the nail
MC pitutiary tumor and complciaiton
prolacintoma- impotence and loss of libido
incontinence studd
urethrla hyoermobility is form stress incontinuene
overactive bladder from overflow incontinece
insulinoma tx
diazoxide
preggo hives tx
preggo hives + angioedema
H1 and H2
Add steroids
pain beyond 90 degrees with abduction is + for
rotator cuff
hakins and neer are impingement syndrome
ankle arhtrocentiss spot
medial to tib ant
phsyiloguc ansiosicra is a thing
adia pupil is basclaly the same but form trauma or illness mydriatic single pupil
steroids and colchicine or NSAid and ICe for gout
Snaids and ice
unless cant tolerate NSAIDs
PE + hypotension next step
TPA
If cant do tpa or refectory Hypotension then thrombecotmy
dotn need + torp or bnp for tpa
need cxr in copd bt not laway asthma
chalymdia eye tx
oral
ortic dissection ekg
non specific t wve changes
hemnophilia A repacement
B replcament
for head cocnenr bleeding
50 (81 unit givs you 2%)
100 (91 unit gives you 1%)
acute mitral regurg stemi spot?
infeorir 2 3 F!
truncal ataxia stroke and falling over while sittign is in the
vermis
capral tunnel
MC in females (Not computer work!?)
steorids, splints
c diff risk factors
abx in three months
hsoptial stay 2 days
65 yrs old
which drug is HD capable
carbamaz
dig
or dilt
carbamaz
intuss fist tx
contrast enema
cigutera fish are
barracuda
snapper
grouper
superficial thomboplhebitis needs AC when it is
bigger thn 5 cm
do you need x rays for achilles tendon rupture?
no
IP diaylsis infeciton tx
IP abx
loss of ant horn cells is
als
lewy bodies is parkinsons
blast crisis tx
-ibs
stem cell tx
leukopheresis
blood transfusion in sicklers for which disease
aplastic crisis
400 mg
66 mmol
severe isioprpyl needs
HD
severe or higher than 50 for …. needs HD
methanol
INR > 10 no bleeding =
vit K and hold next dose
INR «10 and no bleeding =
hodl next dose no K
add pcc if lfie threatening
volume of lquiuid for drowing
impingement with POsitive hawkins is due to
subacromial bursitis
steorid injections!
adhesive capsulitis will be loss of rom
ESRD cellutlits needs
MRSA coverage
green stick needs
splint follow up
