Shit Mr. Lau Says Flashcards
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
Trousseau’s syndrome
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?
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.
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.
Zollinger–Ellison syndrome (ZES)
severe peptic ulcer disease, non beta cell tumor and gastrinoma are the triad for what?
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.
DOC to treat hiccups
chlorpromazine aka thorazine
the most comon symptom that most schizophrenics experience?
auditory hallucinations (75%)
True or False: Approximately 50% of pts with schizophrenia commit suicide
True
the cardinal features of _____ are: muscular rigidity, hyperthermia, autonomic dysfunction, and altered consciousness
neuroleptic malignant sydrome
what is the DOC for NMS? (both names)
dantrolene (dantrium)
what is the triad of neuroleptic malignant syndrome?
fever, rigidity, and confusion
what is the physiologic cause of NMS?
dopamine depletion by neuroleptic drug blockade of pathways in the basal ganglia dn hypothalamus
two anti parkinsonian drugs that are known to help treat NMS
amantidine and bromocriptine
what is the mainstay treatment option for NMS?
supportive measures such as cooling of temperatures and discontinuation of neuroleptic medication
akathisia and dystonia are two examples of what (caused by the use of antipsychotics)
extrapyramidal side effects
what is the DOC to treat akathisia?
anticholinergics
what is the DOC to treat dystonia? (2)
cogentin (benztopine mesylate) OR diphenhydramine hydrochloride (benadryl)
what is the DOC to treat parkinsonism?
artane and cogentin
what is known as “abnormal involuntary movements frequently involving the facial, buccal, and masticatory muscles and often extending to the upper and lower extremities”
tardive dyskinesia
what is the DOC to treat tardive dyskinesia?
reserpine - lithium, diazepam are also listed
what is the definition of opisthotonus?
form of spasm in which the head and the heel are bent backward and the body bowed fwd
what is the nature of salt blood levels for pts with psychogenic polydipsia?
hyponatremia - remember this disorder is a form of self-induced water intoxication
what is the pathophysiology behind psychogenic polydipsia?
altered ADH release secondary to stress, psychotropics nicotine (remember, it’s a decrease in the release)
what is the DOC for the treatment of psychogenic polydipisa?
demeclocycline 600 mg bid
what are the FIVE factors associated with anticholinergic syndrome?
- Hot 2. Dry 3. Blind 4. Mat 5 Red
hare, bone, bat, hatter, beet
what is the affect of anticholinergic drugs on bowel sounds?
decreases them!
what is the acronym associated with cholinergic syndrome?
SLUDGE - salivation, lacrimation, urination, defecation/diaphoresis, GI upset, and emesis.
what is one condition that must be met in order to use dopamine on pts?
pt must be isovolemic
pt presents with low BP and CHF what are the 2 lines of response treatment?
1st replace fluids 2. dobutamine
what is the osler maneuver?
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.
