Killer foils Flashcards
What is the treatment for bleeding in von Willebrand’s disease?
Factor VIII for moderate-severe bleeding
Desmopressin for mild bleeding
How do you treat infant botulism?
Botulism immunoglobulin IV
Rash with flaccid bullae, positive Nikolsky sign, oral lesions
Pemphigus vulgaris
Rash with tense bullae and negative Nikolsky sign
Bullous pemphigoid
What is the treatment for acute glaucoma?
Timolol, pilocarpine, apraclonidine
If IOP >50 then IV acetazolamide and mannitol
What is the treatment for acute dystonic reaction?
Benadryl or benztropine
What is the treatment for neuroleptic malignant syndrome?
Dantrolene and benzos
What causes malignant hyperthermia and what is the treatment?
Succinylcholine and inhaled anesthetics
Tx: dantrolene
What Stryker pressure is diagnostic of compartment syndrome?
DBP - compartment pressure < 30
Or compartment pressure > 30-40
What are the EKG findings in LV aneurysm?
Anterior Q waves and STE in V1-5
What are the diagnostic criteria for Kawasaki disease?
> 5 days of fever plus 4/5 of the following:
- conjunctivitis
- strawberry tongue/cracked lips
- palmar erythema
- polymorphous rash
- cervical LAD
When does Dressler syndrome present?
~8 weeks post-MI
How does TTP present?
FAT RN Fever Anemia (hemolysis) Thrombocytopenia Renal disease Neuro symptoms (AMS)
How does Wernicke’s present?
AMS
Ataxia
Ophthalmoplegia
What are the complications of Marfan’s?
Lens dislocation, MVP, aortic aneurysm/dissection, spontaneous pneumothorax
Does muscle weakness with Lambert-Eaton improve or worsen with repeated movement?
It improves
What is the Parkland formula?
BSA x weight x 4
(Peds: BSA x weight x 3)
Give 1/2 over first 8 hours
Second 1/2 over remaining 16 hours
What is the Salter-Harris classification?
Slipped Above (proximal) Lower (distal) Through ERasure
What nerve palsy is associated with fibular head fracture?
Peroneal nerve injury causing foot drop
What nerve palsy is associated with humeral fracture?
Radial nerve injury causing wrist drop
What are the unstable cervical spine fractures?
Jefferson fracture (C1 burst) Bilateral facet dislocation (hyperflexion) Odontoid fracture Hangman fracture (b/l pars interarticularis fx of C2) Teardrop fracture (anterior inferior vertebral body fx)
Jefferson Bit Off a Hangman’s Thumb
What electrolyte disturbances are seen in tumor lysis syndrome?
Hyperphos
HyperK
HypoCa
Hyperuricemia
How does anterior cord syndrome present?
Complete loss of motor, pain, temperature sensation below the level of injury. Vibration and proprioception remain intact.
What is Brown-Séquard syndrome?
Hemi-injury of the spinal cord resulting in ipsilateral loss of motor, vibration, and proprioception, contralateral loss of pain and temperature sensation
How does coccidioidomycosis present?
Pneumonia, night sweats, recent travel to SW
What exposure places you at risk for histoplasmosis?
Bird/bat droppings or construction sites in Ohio and Mississippi River Valleys
CXR: calcification and hilar adenopathy
Tx: itraconazole
What region carries blastomycosis?
Midwestern states around the Great Lakes
How does Hantavirus present?
Exposure to rodents in SW states
Flu-like symptoms, pulmonary edema, hypoxia and hypotension
What are the symptoms of leptospirosis?
Exposure to contaminated freshwater
Fever/chills, HA, myalgias, conjunctival injection, jaundice
Tx: amox or doxy