Misc .. 😵💫 Flashcards
1
Q
Case of Cushing syndrome with proven Rt adrenal adenoma on MRI for resection.
What is the preoperative management?
A
Hydrocortisone
(Perioperative)
2
Q
Cirrhotic patient present with portal HTN & UGIB due to varices diagnosed by upper endoscopy. What to give after resuscitation?
A. Somatostatin
B. Terlipressin
C. Octreotide
D. None
A
Terlipressin
Octreotide: BEFORE the endoscopy
Telipressin: AFTER resuscitation
3
Q
Case of multiple Gastroduodenal ulcers with UGIB. What lab test to be done?
A
Fasting Gastrin
Suspected ZES
4
Q
SIRS
A
T <36 or >38
RR >20
HR > 90
WBC <4k or >12k
5
Q
Sepsis
A
SIRS + infection
6
Q
Septic shock
A
SIRS + infection “persistent”
No response to management
End Organ Damage
Hypotension
Lactate >4
