SECRETS Flashcards
Common cause of wheezing in children
RSV, which classically occurs in winter and causes a fever. Asthma may be cause but usually associated with chronic hx.
When should you intubate
CO2>50 or O2
Best way to reduce pulmonary complications post op
STOP SMOKING (especially when at least 8 weeks before surgery)
Classic cause of PNA in TB pt
Pulmonary cavitation – > Aspergillus sp
Classic cause of PNA in child
RSV
Classic cause of PNA in child 2-5
Parainfluenza (croup)
Why should you get a follow up CXR in all pts >40 who develop PNA
Make sure it clears after appropriate abx treatment. If it doesn’t clear by 4-6 weeks, suspect malignancy, specifically BRONCHOALVEOLAR CA.
Complications of infant RDS
Intraventricular hemorrhage and pneumothorax or bronchopulmonary dysplasia (complications of acute or chronic mechanical ventilation)
What is the fluorescence polarization test?
Reflects ratio of surfactant to albumin in amniotic fluid and is direct measurement of surfactant concentration.
Cyanosis with attempted feedings in a neonate
TE fistula
Triglycerides in a pleural effusion
Chylous effusion
Screening for aortic aneurysm
Abdominal US
Confirmatory for aortic aneurysm
CT with contrast
Screening for aortic aneurysm should occur in?
Male smokers 65-75
Screening for aortic trauma/tear
CT with contrast
Confirmatory for aortic trauma/tear
MRA or TEE
Screening for appendicitis
US (partic in prig and children)
Confirmatory for appendicitis
CT with contrast
Screening for bowel obstruction
Abdom Xray
Confirmatory for bowel obstruction
CT with contrast
Screening for cholecystitis
US
Confirmatory for cholecystitis
HIDA
Screen for choledocholithiasis
US
Confirmatory for choledocholithiasis
ERCP or MRCP