Signs, Symptoms, & Presentations Flashcards
Beck’s Triad (tamponade)
JVD
Hypotension
Muffled (distant) heart sounds
AEIOU TIPS
Alcohol, acidosis Endocrine, epilepsy, electrolytes, encephalopathy Infection Opiates, OD Uremia Trauma Insulin Poisoning, Psychosis, Pharm Stroke, Seizure, Syncope
What is SMA syndrome
Third part of duodenum becomes compressed preventing progression of food through GI tract
Clinical presentation of SMA syndrome
Acute or insidious onset with sx such as postprandial epigastric pain, early satiety, bilious vomiting
Risk factors for SMA syndrome
- Significant weight loss
- Severe, debilitating disease (malignancy, malabsorption, AIDS, trauma, burns)
- Corrective spinal surgery for scoliosis (lengthens spine and decreases angle between SMA and aorta)
- Anatomic abnormalities
Dx for SMA Syndrome
- Upper GI series
- CTA
- MRA
- US
Tx for SMA syndrome
- GI Decompression
- Electrolyte repletion
- Nutritional support
- Surgical management
What additional structure may be compressed in patients with SMA syndrome?
Left renal vein (nutcracker syndrome)
Clinical presentation of paradoxical vocal fold motion
- Inspiratory stridor with respiratory distress
- Throat tightness, choking sensation
- Dysphonia
- Cough
Management of paradoxical vocal fold motion
- Reassurance/supportive care
- CPAP
- Heliox
- Light sedation
Glasgow Coma Scale
EYE 4 - spontaneous 3 - open to verbal 2 - open to pain 1 - none
VERBAL
5 - oriented
4 - confused, but able to answer questions
3 - inappropriate responses, words discernible
2 - Incomprehensible speech
1 - none
MOTOR 6 - obeys commands 5 - purposeful movement to painful stimulus (crosses midline) 4 - withdraws from pain 3 - abnormal flexion (decorticate) 2 - abnormal extension (decerebrate) 1 - none
Way to remember RUSH exam
Q126451
What is the first line vasopressor for cardiogenic shock
Norepi is first-line for cardiogenic shock
