Shit Mr. Lau Says

Question 1

migratory thrombophlebitis, is a malignancy associated hypercoagulable state that is characterized by a recurrent thrombosis in a migratory pattern and involvement of superficial veins in unusual sites

Answer 1

Trousseau’s syndrome

Question 2

formula used to calculate the amount of resuscitation fluid required for the first 24 hours in a victim of burns and what is the actual calculation?

Answer 2

Parkland formula - The fluid required for the first 24 hours is four times the product of the body weight and body surface area affected by burns. 4 × Patient’s weight (kg) × Percent body surface area (BSA) involved in burns.

Question 3

caused by a non–beta islet cell, gastrin-secreting tumor of the pancreas that stimulates the acid-secreting cells of the stomach to maximal activity, with consequent gastrointestinal mucosal ulceration.

Answer 3

Zollinger–Ellison syndrome (ZES)

Question 4

severe peptic ulcer disease, non beta cell tumor and gastrinoma are the triad for what?

Answer 4

gastronima triangle - This is bound by the junction between the cystic duct and the common bile duct, the junction between the second and third parts of the duodenum and the junction between the head and neck of pancreas. Approximately 60% of tumours are in the pancreatic region of this area.

Question 5

DOC to treat hiccups

Answer 5

chlorpromazine aka thorazine

Question 6

the most comon symptom that most schizophrenics experience?

Answer 6

auditory hallucinations (75%)

Question 7

True or False: Approximately 50% of pts with schizophrenia commit suicide

Answer 7

True

Question 8

the cardinal features of _____ are: muscular rigidity, hyperthermia, autonomic dysfunction, and altered consciousness

Answer 8

neuroleptic malignant sydrome

Question 9

what is the DOC for NMS? (both names)

Answer 9

dantrolene (dantrium)

Question 10

what is the triad of neuroleptic malignant syndrome?

Answer 10

fever, rigidity, and confusion

Question 11

what is the physiologic cause of NMS?

Answer 11

dopamine depletion by neuroleptic drug blockade of pathways in the basal ganglia dn hypothalamus

Question 12

two anti parkinsonian drugs that are known to help treat NMS

Answer 12

amantidine and bromocriptine

Question 13

what is the mainstay treatment option for NMS?

Answer 13

supportive measures such as cooling of temperatures and discontinuation of neuroleptic medication

Question 14

akathisia and dystonia are two examples of what (caused by the use of antipsychotics)

Answer 14

extrapyramidal side effects

Question 15

what is the DOC to treat akathisia?

Answer 15

anticholinergics

Question 16

what is the DOC to treat dystonia? (2)

Answer 16

cogentin (benztopine mesylate) OR diphenhydramine hydrochloride (benadryl)

Question 17

what is the DOC to treat parkinsonism?

Answer 17

artane and cogentin

Question 18

what is known as “abnormal involuntary movements frequently involving the facial, buccal, and masticatory muscles and often extending to the upper and lower extremities”

Answer 18

tardive dyskinesia

Question 19

what is the DOC to treat tardive dyskinesia?

Answer 19

reserpine - lithium, diazepam are also listed

Question 20

what is the definition of opisthotonus?

Answer 20

form of spasm in which the head and the heel are bent backward and the body bowed fwd

Question 21

what is the nature of salt blood levels for pts with psychogenic polydipsia?

Answer 21

hyponatremia - remember this disorder is a form of self-induced water intoxication

Question 22

what is the pathophysiology behind psychogenic polydipsia?

Answer 22

altered ADH release secondary to stress, psychotropics nicotine (remember, it’s a decrease in the release)

Question 23

what is the DOC for the treatment of psychogenic polydipisa?

Answer 23

demeclocycline 600 mg bid

Question 24

what are the FIVE factors associated with anticholinergic syndrome?

Answer 24

1. Hot 2. Dry 3. Blind 4. Mat 5 Red

hare, bone, bat, hatter, beet

Question 25

what is the affect of anticholinergic drugs on bowel sounds?

Answer 25

decreases them!

Question 26

what is the acronym associated with cholinergic syndrome?

Answer 26

SLUDGE - salivation, lacrimation, urination, defecation/diaphoresis, GI upset, and emesis.

Question 27

what is one condition that must be met in order to use dopamine on pts?

Answer 27

pt must be isovolemic

Question 28

pt presents with low BP and CHF what are the 2 lines of response treatment?

Answer 28

1st replace fluids 2. dobutamine

Question 29

what is the osler maneuver?

Answer 29

To perform the test, one first inflates the blood pressure cuff above systolic pressure to obliterate the radial pulse. One then attempts to palpate the radial artery, a positive test is if it remains palpable as a firm “tube.” It tests whether the patient has pseudo-hypertension.