Random Flashcards
What are the three main bacterial colonizers for CF patients?
Pseudomonas, staph aureus, h flu
What are the potential gi complications with CF?
Meconium ileus, pancreatitis, intussusception
How do you calculate sensitivity?
TP/(TP+FN)
What does sensitivity tell you?
The ability of a test to identify those with a disease; able to rule out
What does sensitivity tell you?
The ability of a test to identify those with a disease
What does specificity tell you?
The proportion of people without disease that have a true negative test
What does specificity tell you?
The proportion of people without disease that have a true negative test; able to rule in
What does a positive predictive value tell you
The proportion of subjects, with a positive test result, who actually have the outcome of interest
What does a negative predictive value tell you?
The proportion of subjects with a negative test, who truly do not have the outcome of interest
How do you calculate the positive predictive value?
TP/(TP+FP)
How do you calculate the negative predictive value
TN/(TN+FN)
What does specificity tell you?
The proportion of people without disease that have a true negative test; able to rule in
What acid base disturbance do you see with salicylate poisoning?
Mixed acid base disturbance with early respiratory alkalosis
What acid base disturbance do you see with salicylate poisoning?
A mixed acid base disturbance with respiratory alkalosis and elevated anion gap metabolic acidosis
What overdose to you think of with wintergreen smell?
Salicylate
What blood level of salicylate requires hemodialysis?
> 100
Does salicylate poisoning cause an AG acidosis?
Yes
What electrolyte abnormality is seen with salicylate poisoning?
Hypoglycemia
Treatment for salicylate toxicity
Charcoal (<2hr), urine alkalinization, k
What blood level of salicylate requires hemodialysis?
> 100
What temperature do you stop actively cooling a patient with heat stroke?
<38.5
What animals should be assumed to be rapid until proven otherwise
Bats, foxes, skunks, raccoons
Who need the four dose rabies vaccine series
Those that are previously unvaccinated. Vaccinated people get a two dose series. immunocompromised get a 5th dose
What interval is the rabies vaccine series given?
0, 3, 7, 14 days
What coagulopathy is common in patients with cystic fibrosis?
Vitamin K deficient coagulopathy due to fat malabsorption.
What deficiency is common in kids with breath holding spells?
Iron deficiency
What is the most commonly sprained ankle ligament?
Anterior talofibular ligament.
Diarrhea, RTA, AI, CKD, hypoaldosteronism, and certain meds cause what type of acidosis?
Non AG acidosis
What are causes of AG acidosis?
Methanol, uremia, dka, propylene glycol, isoniazid/iron, lactic acid, ethylene glycol, salicylates
what is the most common intrathoracic injury after blunt force trauma in children?
pulmonary contusions
what age group are at the highest risk of spinal cord injuries without radiographic evidenc (SCIWORA)?
< 8yo
What is the most common level for cervical spine injuries in infants due to the “fulcrum effect” of having a large head?
C2-C3
