june 3 Flashcards
identifying the most common themes behind multiple error events =
common cause analysis
identifying all underlying reasons why a particular error occurred =
root cause analysis
where is vibrio vulnificus found?
marine environments
what are the manifestations of vibrio vulnificus?
- food borne illness
- skin infections
onset of vibrio vulnificus skin infection?
rapid (<12 hours)
presentation of vibrio vulnificus skin infection?
rapidbly progressive cellulitis with bullae, necrotizing fascitis
-sepsis
who is at increased risk of vibrio vulnificus skin infection?
people with underlying liver disease
treatment of vibrio vulnificus skin infection?
IV ceftriaxone + doxycycline
can pulmonary contusion cause significant hypoxia?
yes
a sinus tract formation following a fracture is strongly suggestive of…
chronic osteomyelitis
clinical features of chronic osteomyelitis?
- persistant pain, swelling, chronic wound
- sinus tract formation
- non-union
management in a non-unioned fracture with chronic osteomyelitis?
- surgical debridement and bone biopsy
- surgical fixation AFTER clearance of infection
a large hepatic cyst with daughter cysts (septations) is caused by..
echinochocus
how do you treat a small echinocochus cyst? (<5 cm)
albendozole
how do you treat a large echinochoccus cyst (>5cm)
percutaneous therapy or surgery
pain with ejaculation is characteristic of..
prostatitis
thyroid hormone levels in EARLY euthyroid sick syndrome?
low T3, normal T4, normal TSH
thyroid hormone levels in PROLONGED euthryoid sick syndorme?
low T3, low T4, low TSH
should you replace thyroid hormone in a patient with euthyroid sick syndome?
no - makes no difference in outcomes
pymomyositis =
muscle abscess
presentation of zinc deficiency?
- alopecia
- pustular rash
- hypogonadism
- impaired wound healing
- impaired taste
- immune dysfunction
impaired taste is characteristic of which vitamin deficiency?
zinc
chromium deficiency leads to…
impaired glucose control in diabetes
which type of antibiotics should be avoided in patients with aortic aneurysms?
fluroquinolones
why are flouroquinolones avoided in patients with aortic aneurysms?
they promote collagen degradation increasing risk of rupture
XRAY findings of diffuse alveolar hemorhage?
diffuse pulmonary opacities
how can crack cocaine induce diffuse alveolar hemorhage?
- scorching hot smoke goes into lungs
- induces vasosparm
- direct cellular toxicity
management of diffuse alveolar hemorhage secondary to crack cocaine use?
supportive
toxic megacolon with peritonitis management?
laparatomy
a magenetic gait (as if feet are stuck to the ground) is characteristic of…
normal presure hydrocephalus
cause of normal pressure hydrocephalus?
reduced reabsorption of CSF by arachnoid granulatoins (may be from previous scarring)
why may a patient with gastric cancer have hepatomegaly?
from metastasis to the liver
