Online Med Ed Lecture 2 Flashcards
What is the difference between complex and simple seizure?
What is the difference between generalized and partial?
Complex is loss of consciousness and simple they do not
Generalized is the whole body is involved, partial is focal
Grand mall is what kind of seizure?
Complex generalized
4 anti seizure meds to know?
Absence seizure med?
Trigemial neuralgia?
levetiracetam, phenytoin, valproic acid and lamotrigine
Ethosuxamde
Carbamazepine
3 criteria for simple febrile seizure?
Med of choice for simple febrile seizure?
Only 1 in 24 hour, no recurrence
Short
Generalized
Tylenol
Intrathoracic obstruction with an object causes what type of wheeze?
Expiratory
Extra thoracic obstruction by an object causes a what?
Inspriatory stridor
Coin sign for object in trachea is positive on what image?
Coin sign for object in esophagus is positive on what image?
Lateral
AP
What does the FEV1/FVC ratio do in asthma?
Reduce
What is the progression of medication for asthma as symptoms worsen?
SABA
ICS (maybe a leukotriene blocker)
LABA with ICS
Oral steroids
5 situations where we can diagnose cystic fibrosis?
Prenatal screen Meconium ileus Recurrent pulmonary infections Failure to thrive Salty taste
What is diagnostic on sweat chloride test for CF for an infant?
What two organs are we worried about with CF?
Over 40
Lung and pancreas
Two pathogens infecting CF?
Staph and pseudomonas
What pathogen causes bacterial tracheitis?
Staph
In what setting do we see bacterial tracheitis?
Croup that does not get better
Big identifier for retropharyngeal abscess?
Unilateral LAD do neck and neck stiffness
What age group for peritonsilar abscess?
Big identifier?
Teenager
Uvula deviation
What should happen with pulling of the ear with otitis media?
What to use to treat otitis media, what med?
Recurrent infection?
How many infections to get tubes?
Relieves pain or doesn’t hurt
Amoxicillin
Amoxicillin and clavulanate
3 in 6 months or 4 in 12 months
What pathogen causes swimmers ear?
What pathogen causes digital OE?
MILD OE treatment?
Sever OE treatment?
Pseudo
Staph
Cipro drops
What can be a complication of acute otitis media and how to treat it?
Mastoiditis, surgical decompression
Bacterial sinusitis identifier?
Bilateral nasty pus discharge
How do we treat sinusitis?
Supportive, except if fever, over 10 days, gets worse…give amoxicillin
What will bilateral clear rhinorea be?
Common cold
What is he CENTOR critters for strep? How to treat?
No Cough Exudates Nodes, LAD neck Temp over 38 OR less than 14 +1, over 44 -1
Less than or equal to 1: viral, do nothing
2-3: rapid strep
Greater than or equal to 4: treat abx
Amoxicillin clavulanate
3 trigger words for anaphylaxis?
Rash, hypotension, wheezing
3 drugs to give for meningitis For kids?
Vancomycin, ampicillin, cefotaxime
If there is no increased intracranial pressure for meningitis, what to do before giving abx?
LP
Two most common pathogens causing septic joint?
Gonorrhea and staph
How to test kids for TB?
Less than 5, skin test
Over 5 IF gamma release
How to treat active TB?
How to treat latent TB?
RIPE
Isinzid and b6