pestana: questions Flashcards
what should you suspect if people present with septic shock, get treated and initially respond then suffer a relapse
adrenal insufficiency
management of linear skull fracture
leave alone
treatment of subdural hematoma: if midline deviated or not
if deviated: craniotomy
if not: prevent ICP damage (head elevation, hyperventilate, diuresis)
presentation of urethral injury
pelvic fracture –> blood at meatus, scrotal hematoma, cant void
urethral injury diagnosis
retrograde urethrogram
what prophalyxis does gun shot wounds need
tetanus
what degree burn can excision and grafting be used for?
3rd degree
do kids with angular fracture will have remodeling?
yes, wont create permanent deformity
intertrochanteric fractures of hip treatment
open reduction and internal fixation (less likely to lead to avascular necrosis)
and anticoagulation for immobilization
what is this: squamous cell carc of skin developing in a chronic leg ulcer that has undergone cycles of healing and breaking down. that needs to be bipsied and excised
marjolin ulcer
what to do if fistula from GI tract but no fever and no peritoneal signs?
fluid and electrolyte replacement, nutritional support, and protect abdominal wall till fistula heals
which murmur of addicts who develop CHF suddenly?
acute aortic insuff.
treatment for acute aortic insuff
emergency valve replacement and long term abx
what do you think: painful, pale, pulseless, parasthetic, poikothermic suddenly
arterial embolization from a distant source
how to treat early incomplete occlusions vs complete occlusions of arterial emboli?
incomplete: clot blusters
complete: embolectomy with fogarty catheter, + fasciotomy
best diagnostic for dissecting aneurysm
emergency MRI angiogram
white pupils, even if from congential cataracts, should be dealt with how and when?
surgery ASAP to avoid ambylopia
what do you suspect when 1 year old has mass in RUQ that moves up and down with respiration?
malignant tumor of liver
how to treat ARDS
PEEP
breast tumors right under nipple/areola and take up most of the room in a small breast need what surgical resection?
mastectomy and sentinel node axillary samping
persistent HA or back pain in women who recently had breast cancer suggests what and what test to do?
metastasis- MRI
brain abscess diagnosis
CT
____ ml.h ringer lactate is a good predetermined rate of fluid in an adult who has burns of 20% body surface
1000
what is this: late 20s woman presents with breast mass over many years and becomes large but doesnt invade. and what test to do?
cystosarcoma phyllodes
core or incisional biopsy
expensive treatment for ARDS-refractory to PEEP
ECMO
management for someone who has ureteral stone and sudden fever spike
IV abx
emergent decompression- nephrostomy or stent
ogilvie syndrome management
place c-scope and suck out all the air
place long rectal tube
