Inservice Deck 5 - rapid board review 4 Flashcards
what should you think of with joint pain, neuro sx like stroke, and resp sx like PE? tx?
barotrauma
100% oxygen
what are signs of hypothermia? tx?
dysrhythmias and j waves
tx: atropine, epi, dopa, may need to defib
what is a bad sign of radiation exosure?
Abs lymph count < 500
dx of dark meat fish, facial flushing, headache, headache, peppery taste?
scomboid poisoning
dx of reef fish, paresthesias, brady, GI upset
ciguatera poisoning
dx of puffer fish, paresthesias, resp paralysis
tetrodoxin
most common cause of osteomyelitis?
staph aureus
sickle cell disease and osteomyelitis?
salmonella
foot puncture wounds and osteomyelitis?
pseudomonoas
dog/cat bites and osteomyelitis?
pasteurella
pediatrics and osteomyelitis?
kingella kingae
most common infective agent in septic arthritis?
staph aureus
Most common fx carpal bone?
scaphoid bone
migratory septic arthritis?
gonorrhea
oligoarticular arthritis?
lyme disease, gonorrhea, reiter’s syndrome
polyarteritis association?
lupus, viral infection, RA
difference between galeazzi and monteggia?
GRUM
galeazzi fx is fx of radius
monteggia is fx of ulnar
how do you treat radial head subluxation of child?
forearm hyperpronation or forearm supination with elbow flexion
avascular necrosis of femoral head in child?
legge-calve-perthes
chronic alcohol use, order of tx?
thiamine before glucose
difference between delirium and dementia?
delirium is sudden onset, fluctuating course, altered level of consciousness, hallucinations
suicide risk factors?
SAD PERSONS
male sex older age depresison previous attempt ethanol abuse rational thinking loss social supports lacking organized plan no spouse sickness
most common cause of intrinsic renal failure?
acute tubular necrosis
child with HTN, edema, proteinuria, and hematuria?
think post-strep glomerulonephritis
most common organism causing UTI
e coli
indications for dialysis?
metabolic acidosis hyperkalemia pericarditis uremic encephalopathy volume overload acute tox from dialyzable agents
gold standard for urolithiasis dx?
non con spiral CT
organism with acute epididymitis with men younger than 35
c trach, n gonorrhea
organism with acute epididymitis with men older than 35
e coli
cause of fournier’s gangrene?
polymicrobial
tx of priapism?
external compression
subcutaneous terbutaline
intracavernous injection of dilute phenylephrine
blue dot sign on testes?
torsion of testuclar appendage
what type of hypersensitivity reaction is contact dermatitis? how do you treat?
type IV, cell-mediated or delayed
2-3 week prednisone taper
sexually active patient with tenosynovitis, arthralgias, dermatitis, dx? tx?
disseminated gonorrhea
3rd gen cephalosporin
non-blanching, raised, brown-black nodules, dx? associated with?
kaposi’s sarcoma
associated with AIDS
boggy indurated plaque on scalp, dx? Cause?, tx?
kerion
severe tinea capitis
tx oral griseofulvin
small irreglar spots that are bright red with bluish white centers in the oral mucosa, dx? name?
koplik spots
measles
POS nikolsky’s sign?
sloughing off of normal skin with lateral pressure
diagnostic of pemphigus vulgaris or TEN
large initial herald patch and christmas tree pattern, dx? tx?
pityriasis rosea
no tx
