Oral Boards Study Facts Flashcards
Tx Acute Angle Closure Glaucoma
“STAMP”
- Supine Position
- Timolol Drops
- Azetazolamide (IV or PO)*
- Mannitol
- Pilocarpine
*Don’t give with Sickle Cell
Boerrhaave Abx
Imipenem/Cilastin
Pyloric Stenosis Measurement
Thickness > 3mm
RAO vs RVO
RVO - Less serious, no tx (ophtho f/u).
RAO - Serious. Occular Massage, Ophtho, Decrease IOP
Cyanide Indicator
Lactate > 8
Awake Intubation Technique
Transcutaneous Pacing Technique
- Pads on patient (Ant Post ideal)
- Defibrillator in Pace Mode
- Settings
- Brady
- Set rate to 70
- Non-arrest - Current at minimum, increase slowly until capture
- Unstable - Set current at max, decrease until capture loss, then increase back to capture
- Tachy
- Set rate to 40 over current HR
- Increase amp until capture,
- Apply brief trains of 10 beats
- Brady
- Capture achieved when:
- See pacing spikes prior to each QRS
- QRS wide
- Rate matches set rate
Transvenous Pacing Technique
- Introduce sheath introducer (Rt IJ)
- Assistant plugs connecting cable into device
- Check balloon
- Place sleeve over cable
- Monitor with US if possible
- Also watch lead II
- Insert wire with curve towards heart
- Advance 20 cm
- Plug in wire
- Device turned on
- Set to 80 BPM, 5 mA
- Advance to 30 cm and inflate balloon
- Float balloon into RV
- Capture = STEMI pattern on monitor with pacer spike
- Check pulse to verify mechanical capture
Gullain Barre Syndrome Work Up and Tx
- Work Up
- LP - High protein (nml = 25)
- FVC will be below normal
- NIF will be below normal
- Tx = IVIG or plasma exchange
Normal LP Numbers
- Opening Pressure < 20
- Protein 25
- Glucose 2/3 Serum
- WBC 5
Bacterial LP
- Opening Pressure: High (Nml = 20)
- Protein: High (Nml = 25)
- Glucose Low (Nml = 2/3 serum)
- WBC 1000s (Nml = 5)
Remember to give decadron
Viral LP
- Opening Pressure: Nml (Nml = 20)
- Protein: Nml or mildly high (Nml = 25)
- Glucose Nml (Nml = 2/3 serum)
- WBC 10s-100s (Nml = 5)
Anti-hypertensive for Cocaine
Phentolamine
Labs for DKA
Glucose > 250
Bicarb < 15
pH < 7.3
Kawasaki Tx
ASA + IVIG
Peds Rheumatology Consult
Synovial Fluid results suggestive of septic joint
WBC > 50K
PMN > 80%
Gram Pos Cocci
Strep and Staph
Gram Neg Cocci
N. men and N. gon
Neg = N
RMSF Pres
Rash from palms/soles to trunk
Elevated LFTs
HypoNa
Fever/Flu-like Sx
Retic Count in SCD
Normal for these patients is 4-15%
Lower than 4 with anemia (drop of HgB > 2 from baseline) suggests aplastic crisis
HACE Treatment
Immediate Descent or Hyperbaric
O2
Decadron
Acetazolamide
HAPE Tx
Immediate Descent or Hyperbaric
O2
Nifedipine
Kayexelate Replacement
Lokelma
HISTORY
SAMPLE + OPQRST
+ SOCIAL
+SEXUAL
+/- TRAVEL
