Medical Miscellaney

Question 1

Components of modified Wells score

Answer 1

Clinical signs/symptoms of DVT
PE likely
Tachycardia
Immobilization or recent surgery
Previously diagnosed PE or DVT
Hemoptysis
Cancer

Question 2

What are the signs of a gas embolism?

Answer 2

Tachycardia, cardiac arrhythmias, hypotension, increased CVP, mill-wheel murmur, right heart strain, decreased end-tidal CO2

Question 3

What is the treatment of a gas embolism?

Answer 3

Release insufflation
Steeper trendelenburg on left side
100% FiO2 with hyperventilation

Question 4

What is the treatment of a large bowel obstruction?

Answer 4

Emergent surgery with colostomy

If palliative, endoscopic colonic stenting

Question 5

What is the recommended treatment for DVT/PE?

Answer 5

LMWH

Question 6

What is severe C diff diarrhea?

Answer 6

Involves:
ICU admission
Pseudomembranous colitis
Any 2 of the following: ager > 60, temp > 101, albumin < 2.5, WBC > 15

Question 7

What is the treatment for C diff diarrhea?

Answer 7

Severe or recurrent - vancomycin
Mild/moderate - flagyl
Fulminant - IV flagyl

Question 8

What are the clinical features of a dermatofibroma?

Answer 8

Well-demarcated, round, raised nodule or papule with central dimpling

Question 9

What are the criteria for metabolic syndrome?

Answer 9

Waist circumference 35 in or more
Impaired fasting glucose
BP > 130/85
HDL < 50
Triglycerides > 150

Question 10

Which nonhormonal treatment works best for menopausal symptoms?

Answer 10

Paroxetine