Misc 2 Flashcards
preferred airway and CIs
orotracheal intubation
CI if severe facial trauma
CI to nasotracheal intubation
apneic / hypopneic
basilar skull fracture
contender enlargement of submandibular glands
- dx
- predisposing factor
sialadenosis liver disease (etoh), malnutrition (DM, bulimia)
sxs of acute angle closure glaucoma
severe eye pain
nausea, vomiting
dilated pupil, nonreactive to light
sxs amarosis fugax
transient vision loss
papilledema
sxs central artery vein occlusion
cotton wool spots swelling of optic disc retinal hemorrhages dilated and tortuous veins painless vision loss
indications to look for secondary causes of hypertension
malignant HTN
resistant HTN
sudden increase
less than age 30 w/o fam hx
if patient has HTN, basic tests
EKG
lipids
BMP
UA
features of neurofibromatosis 1
cafe au lait macrocephaly feeding problems short learning disab
disorder that greatly resembles marfan’s, and some differences, and tx
homocystinuria is autosomal recessive (not dom) intellectual disability thrombosis downward lens dislocation (not up) fair complexion megaloblastic anemia B6, B12, folate
systolic-diastolic bruits in abdomen
renal artery stenosis
MCCs of digital clubbing
lung ca
cystic fibrosis
right to left cardiac shunts
cyanide poisoning risk factors and tx
setting fires
mining
pesticides
sodium thiosulfate
patient greater than 40 and has diabetes.. start on what med
statin
when is transrectal ultrasound of prostate and prostate biopsy warranted
PSA persistently greater than 4
prostate nodules
serum sickness like reaction
- causes
- sxs
PCNs, ceph, TMP-SMX
fever, urticaria, arthralgias
tx reactive arthritis
NSAIDs
tx diabetic retinopathy
argon laser photocoagulation
tx of cancer related anorexia / cachexia
progesterone (megestrol acetate)
corticosteroids
anesthetic agents that cause malignant hyperthermi
halothane
succinylcholine
use of FFP
reverse warfarin anticoagulation
features of myotonic dystrophy
facial weakness hand grip myotonia dysphagia arrhythmias balding cataracts testicular atrophy
features of secondary amyloidosis
and tx
proteinuria or nephrotic syndrome heart failure neuropathy organomegaly bleeding waxy skin
colchicine
hepatorenal syndrome
liver dz
rising Cr
low proteinuria
hypertensive nephrosclerosis associated with
retinopathy
LVH
renal failure
causes of lactic acidosis
sepsis
shock
liver failure
tx of vaginismus
kegel exercises and gradual dilation
patient hypernatremic. ONLY time you give NS
if volume depleted and hemodynamically unstable
characteristics of angiofibroma
nasal obstruction
visible nasal mass
frequent nosebleeds
can erode surrounding structures
when do you do acute med therapy for hyperkalemia
when greater than 7
first step when hyperkalemic
get EKG, then review current meds
most common causes of hyperkalemia
renal dz
meds
