HY Associations Flashcards
Reversal agent in severe respiratory depression on opioids for pain control
Naloxone
DOC in the treatment of an oncology patient with copious vomiting
ondansetron
Plt count is 50k 6 days after surgery, it was 140k initially. Dx & tx?
HIT
Tx: d/c heparin/LMWH
switch to argatroban (Thrombin IIa inhibitor)
Treatment of postop CVA tenderness, fever, and pyuria?
Ciprofloxacin –Fq
(pyelonephritis)
Ceftriaxone if resistant to E.Coli
Treatment combination for most GI infections?
Ciprofloxacin + Metronidazole
Baby with abdominal distension, extensive drooling, & maternal polyhydramnios. Dx?
Esophageal Atresia with TEF
Infertility, bag of worms sensation on palpation of the testicles
Varicocele
Double bubble sign on XR, newborn with Down’s syndrome. Dx?
Duodenal atresia (poor recanalization)
same sign seen in midgut volvulus btw
GI organs extruding through the umbilicus, sealed with peritoneum ____
Extruded GI organs to the right of midline, not sealed with peritoneum _____
omphalocele
gastroschisis
Bilious emesis in a newborn, abdomen not distended, double bubble on X-ray
Malrotation
3 yo with bright red blood per rectum & lower abdominal tenderness? dx?
Meckel’s diverticulum
(vitelline duct persists, gastric mucosa)
Tm-99-Pertechtinate scan
Infant with scaphoid abdomen & severe respiratory issues at birth
Congenital diaphragmatic hernia
Prenatally CDH: antenatal glucocorticoids
Postnatally: IVFs/’lytes→ fix hypoxia (intubation) + surfactant <34w→ NGT→ surgical repair (thoracotomy or laparotomy)
10d old infant w/ exposure to erythromycin, has non-bilious vomiting & olive mass. dx & tx?
Pyloric stenosis
Pyloromyotomy (or ballon dilation)
DOC in the treatment of red eye and fever in a contact lens wearer?
topical FQ (anti-pseudomonal)
NBSIM of severe eye pain, slit lamp exam shows dendritic ulcers-
Acyclovir (HSV Keratitis)
Cherry red spot on fundoscopic exam, decreased retinal blood vessel size, painless monocular vision
loss. Dx & Tx?
Central retinal artery occlusion
ocular massage, hyperbaric oxygen, thrombolytics
Funduscopic exam reveals hemorrhage, increased retinal blood vessel size, painless monocular vision loss, “blood and thunder appearance”, edema, cotton wool spots. Dx & Tx?
Central retinal vein occlusion (photocoagulation)
35 yo F, with multiple neuro deficits separated in space and time presenting with severe eye pain/sudden loss of vision. Dx & Tx?
optic neuritis (MS)
High-dose glucocorticoids
35 yo M punched in the eye, restricted upward gaze, loss of sensation in the “inferior eyelid” Dx & next step in management?
Orbital floor fracture
(get a coronal CT)
35 yo F has a “foreign body” sensation in the eye, recent makeup use. Dx & Tx?
Corneal abrasion
NSAIDs, abx
MVA, patient’s leg is shortened, internally rotated, and adducted. Dx?
Posterior hip dislocation
Pt w/ fever, drooling, submandibular tenderness, “raised floor of the mouth” dysphagia, trismus, stiff neck, Airway obstruction may occur! Dx & Tx?
Ludwig’s angina
penicillin- peptidoglycan cross-linking of cell wall inhibitor
Pt w/ respiratory distress, uvula deviation, muffled voice, dysphagia, unilateral cervical lymphadenopathy. Dx, imaging & Tx?
Peritonsillar abscess (secure airway if compromised)
Contrast CT
ABxs +/- FNA or I &D
Pt w/ fever, pneumatic otoscopy reveals a bulging, erythematous tympanic membrane. Dx?
otitis media
Conductive hearing loss, pneumatic otoscopy reveals middle ear fluid, NO fever.
otitis media w/effusion
Seen in congenital rubella, continuous machine like murmur, treated with indomethacin (NSAID)
Patent ductus arteriosus
