Name that Dx Flashcards
Patient presents with:
* Dyspnea & cough
* Decreased SaO2
* Accessory muscle use
* decreased breath sounds, prolonged expiration, & wheezing
* Hyper/Normotensive, Tachycardia, Tachypenia
Asthma Exacerbation
Patient presents with:
* encephalopathy (somnolence, disorientation)
* decreased serum HCO3
* elevated anion gap
* acute kidney injury (AKI)
* bilateral flank pain
* urinary calcium oxalate crystals
Ethylene glycol toxicity.
Patient presents with:
altered mental status, respiratory depression, and miosis
Opioid Intoxication
Give Naloxone
In the absence of coingestion, ____ intoxication presents with normal vital signs and pupillary size (2-4 mm in bright light).
benzodiazepine
Respiratory depression may develop when coingested with opioids, alcohol
Respiratory depression may develop if benzodiazepines are administered intravenously.
Benzodiazepine overdose can be distinguished from opioid overdose by the lack of these two sxs:
lack of severe respiratory depression
lack of pupillary constriction
Slurred speech, unsteady gait, and drowsiness can be seen in the overdose of multiple drugs not just benzos/opioids.
Toxicity presents with tremor, hyperreflexia, ataxia, seizures, vomiting, and diarrhea.
Lithium
Intoxication presents with respiratory depression, miosis/pinpoint pupils, and sedation.
(Choice D) Phenytoin toxicity presents with horizontal nystagmus, cerebellar ataxia, and confusion.
(Choice E) Serotonin syndrome presents with hypertension, tachycardia, hyperreflexia, clonus, and agitation in the setting of serotonergic drug use (eg, coprescription of antidepressant and triptan).
Opioid
Intoxication presents with respiratory depression, miosis/pinpoint pupils, and sedation.
Opioid
Toxicity presents with horizontal
* nystagmus
* cerebellar ataxia, &
* confusion
Phenytoin
Presents with hypertension, tachycardia, hyperreflexia, clonus, and agitation
Serotonin syndrome
in the setting of serotonergic drug use (coprescription of antidepressant; triptan; antiemetics; MAO-I).
Diagnosis:
Systolic pressure ≥140 mm Hg or diastolic pressure ≥90 mm Hg
prior to conception or at <20 weeks gestation
Chronic hypertension
Diagnosis
New-onset elevated blood pressure at ≥20 weeks gestation
No proteinuria or signs of end-organ damage
Gestational hypertension
Diagnosis:
New-onset elevated blood pressure at ≥20 weeks gestation
** AND**
Proteinuria OR signs of end-organ damage
Pre-Eclampsia
DIagnosis
Preeclampsia (HTN + organ dmg)
AND
New-onset tonic-clonic seizures
Eclampsia
DIagnosis:
Chronic hypertension AND
1 of the following:
* New-onset proteinuria or worsening of existing proteinuria at ≥20 weeks gestation
* Sudden worsening of hypertension
* Signs of end-organ damage
Chronic hypertension with superimposed preeclampsia
