Risk factors Flashcards
1
Q
Near fatal asthma
A
- Previous ICU admission +/- mechanical ventilation
- Oral steroid or theophylline use
- Increasing use of B2 agonist
- Poor compliance with inhaled corticosteroids (including risk factors such as psychiatric history, Drug and alcohol abuse, non-attendance at clinic appointments)
- Altered perception of dyspnea
- Age >40 years
- Brittle asthma
- Type I - >40% diurnal variation un PEFR for >50% of the time despite intensive therapy
- Type II – sudden severe attack on a background of well controlled asthma
2
Q
Aortic dissection
A
- HTN
- Genetic Disorders: Marfans Syndrome, Loey-Diets Syndrome, Ehlers Danlos Syndrome, Familial Aortic
Aneurysm/Dissection Syndrome - Congenital Conditions:
- Bicuspid Aortic Valve
- Turners Syndrome
- Aortic Coarctation
- Supravalvular Aortic Stenosis
- Cocaine/Amphetamine Abuse
- Atherosclerosis/Penetrating Aortic Ulcer
- Trauma (Blunt/Iatrogenic)
- Catheter – induced
- Aortic Valve Surgery
- CABG
- Deceleration Injury (MVA)
- Inflammatory Conditions:
- Giant Cell Arteritis
- Takayasu’s Arteritis
- Behcet’s Disease
- Syphilitic Aortitis
3
Q
SAH
A
- Hypertension
- Cocaine use
- Alcohol abuse
- Smoking
- Inherited conditions
- Autosomal dominant polycystic kidney disease
- Collagen vascular disease, e.g. Ehler’s Danlos syndrome
4
Q
Factors associated with poor prognosis in TBI
A
- Extremes of age
- Reduced GCS motor score
- Bilateral unreactive pupils
- Absent oculocephalic reflex
- Low GCS eye and verbal score
- Untreatable raised ICP with DAI (vs surgically amenable discrete intracranial lesion)
- Presence of extracranial complications.
