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Rosh > Study ITE > Flashcards

Study ITE Flashcards

1
Q

LAD MI leads to what EKG complications

A

LAD -> RBBB and LAFB

Inferior= AV block- reposive to atporine early. may TQ pace but it resolves!

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2
Q

sick sinus syndroime tx

A

Pacemaker

antidysrhtimics for tachy stuff

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3
Q

magnet does what ot AICD

A

turn off defib and pacemaker to synchronous mode

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4
Q

why do we treat strep throat?

A

prevent rheuamtic fever

psgn

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5
Q

asymettric arthrits after pus outcha dick?

A

HLAB27 reiters

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6
Q 
Scleroderma crsisi tx
Renal
raynauds
GI
Derm
Lung
A 
ace-i
CCB
PPi
MTX
mycophenolate

steroids + NSAIDs to

muscles ache and pericardial effusion as well

SLE- diffuse alvolae hemmrohage!

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7
Q

rheum pulm + AKI?

A

wegeners

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8
Q

Plateltes

A

petechia- not enough or dysfunctional platets
Rx- Asa (life of plate 10 days) Nsaids, PLavix

  1. Not enough - aplastic enamia, infections, maligniacy
  2. destruction- ITP, TTP, DIC, HUS
  3. Lost- Bleeding, HD
  4. Bound up- spleen

50K w/ severe bleeding
20 K without bleeding
+ steorids or IVIG

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9
Q

prolongation of PTT?

A

Heparin (potentiates antithormbiin and 10a so antithrombin!)
Vwf disease
Hemophila A and B

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10
Q

When to give FFP when to give cryo

A

Cryo- it has 8, Willi and Fibrinogen =give in DIC with low fibrinogen, Vwf or Hemophilia [ ] and low volume,

FFP- give in trauma for coagulapthy- Elevated INR, TTP for ADAMSt13, many other clotting factors

PCC= 2 7 9 10 for warfarin or give vit K

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11
Q

HIT

A
  1. Stop heparin
  2. give argatoban (firect throbmin inhibtor)
  3. reverse warfain- ont givr it (if protein C is inihbited and HIT Igg around = clots)
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12
Q

with the DOACs it is renally excreted, consider HD for bleeding not these agents – flip over

A

remmebr Desmopressin for vwf diseaseor hemphilia A

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13
Q

acute chest transfusion or no?

A

yes if they are reuqiring oxygen, symptomatc and can give reds to higher their hgb

exhcage trnasfusion if worse

otherwise, bronchodilators, steroids, fluids, abx (aplesnicusually), pain control, oxygen

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14
Q

croup tx

bronchiloti

A

Sterois, rac epi
barky cough, stridor, steeple sign, larugntracheities

supportive, watch out for apnea, admit if retracting

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15
Q

bacterial trach

A

nafcillin CFTX
intubate
after URI with high fever

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16
Q

FOreign body

A

back blows < 1 yr old
hemilich >1 yr old
no blind sweeps!

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17
Q

RPA dx and tx

A

6 at c2, 22 at c6

iv abx and drain in OR

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18
Q

pertusis

A

high WBC
apnea
Catarrhal – URI symptoms for 3 weeks; Paroxysmal = “whooping” phase; Convalescent = recovery
WBC >15k is classic for pertussis

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19
Q

PNA in kids

A

newBorn- group B strep
3 weeks- 3 months= strep pneumo
4 months to 4 years- Viral
5 years to 15= mycosplasm

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20
Q

buzzzzz

A

Cricoid Cartilage = most narrow
Cystic Fibrosis = Pseudomonas, Staph aureus
Cystic Fibrosis = rectal prolapse, meconium ileus
Staccato cough = Chlamydia
Bullous myringitis = Mycoplasma

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21
Q

pyloric stneosis met derganements

A

hypoCL hypoK met alkalsosi

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22
Q

HUS tx

A

supportive no abx

coags good, platelts down, watch out for kidneys

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23
Q

Derm PEDS

A

EM- HSV, mycoplasma, drugs
Varicella- mucous membrans, various, itchy
menigcoccemia- VERY sick, mottling, CFTX
TSSS- clinda, young fmeial hypotneisve, multi organ failrue

HSP- renal involvement, UA, HTN, Iga Vasc, and pain

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24
Q

peds

A

neonate- amp gent acylcivr if hypthermic

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25
Q

ductal depenent lesions

A

Hypoplastic L heart, Severe Coarctation, Critical Aortic Stenosis + TOF = PGE apnea!
poor feeding, failure to thrive, tachypnea, sweating with feeds, cyanosis with crying then cardiogenic shock on day 3-7 of life

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26
Q

HOCM tx

A

BB

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27
Q

rheuamtic fever

A

after URI group A strep infeciton

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28
Q

kawaksaki tx

A

asa, IVIG

admit for coroanry artery ansyusm

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29
Q

menintigits pearls kids

A

strep pneumo if older thna2 months or H flu

avoid cftx in <2 months for biliary sludings

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30
Q

limping, not fat, knee pain

A

legg- AVN of femoral head- looks like line thru instead of malalaingment

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31
Q

SALTER

A 
Stright across
above
lower
thru- surgery
Crush

trnsient synovitis is after URI, NSAids

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32
Q

carido version Jouls w/ pulse
w/out pulse
needle crix for kids < ____

A

1
2
8

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33
Q

NRP

A

First 30 seconds: warm, dry, stimulate, suction

After 30 seconds: If HR <100, give PPV for 30 seconds

After 60 seconds (total): if HR <60, start compressions/epi

No compressions until at least 1min and adequate PPV
3:1 compressions/breath “1 and 2 and 3 and breathe”

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34
Q

ant vesivle mouth kid
post vesicle mouthg kids
HR SVT in infants?
seborrheic demraitis tx

A

herpetic ginigovstomatitis
herpangina
220
selenesium sulfide

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35
Q

Floppy + constipation =
HTN= think—-
cough, tachypena at 2 weeks ols

A

botulism
Renal
chlamydia

send hoem with reassurance is usually worng- acution test!

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36
Q

hyphema + FB=

A

globe open

rust rings= optho in 24 hours

alkali liquefactive
acid= coag necrosis

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37
Q

hyphema tx

A 
head of bed
glaucoma stuff
dialte
steroids
ophtho
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38
Q

CRVO tx

A

consult - maybe asa sae with retinal detachment

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39
Q

24 hours baby conjucitivitis?

A

chemical conjuctivitis

remember- preseptal cellutlits is no involvment of eye at all

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40
Q

epislceritis
scleritis
uveitis
enopthlamitis

A

between slcera and cornea- NEXT WEEK
sclera- get rheum work up - NEXT DAY
iris + ciliary body + chroird - cell and flare steroids, flush

eyelid close is CN7, eyelid open is CN 3 (ptosis, down and out, dilated pupuil) - SAME DAY

cylcoplegics like atoprine help with painful eye stuff

epislecritis with hypopyn is bad news - endopahtlmtiis

41
Q

acute angle cglaucmoam tx

A 
timolol
brimopidine
pilocarpine
lataoprotst
pref orte
42
Q

hyperCa TX

A

fludis
cisphosphos
calicotnin
HD if renal failure

short QTC\

MISHAP
malignancy
ingestion
Sarcoid
hyperPTH
alkali milk
pagets
43
Q

SIADH

A 
low NA
low osms
high urine osms
give HTS if siezing 
midline tumors
44
Q

hyeprviscous blood sndrome

A

fludis

pehreis

45
Q

low glucose, low Na hyper K—- think

A

adrneal insfuficiy

usualy with precipitating event

46
Q

what is neutropenia

A

<500 neuts
7-10 days out from chemo
38 deg temp
psedumonas and mrsa

47
Q

give me TLS

A

uric acid, LDH, K, phos high

low Ca

48
Q

what si scarlet fever and hwo doyou treat

A

basically strep throat + strawberry tougnue and rash- treat like strep

then 2-3 weeks later is rheuamtic frever

49
Q

PATHOPHYS TO AKA AND TX

A

ETHANOL LEADS TO MORE NADH THAN NAD TO MAKE ACETONE
too much NADH means no more eglcuoneogeniss and keotsis

give glucose
give thiamine to replete NAD
fluids

50
Q

HD in hyeprcalecmia?

A

18
AMS
CHF
ARF

51
Q

HypoK ekg

A

low ts, U , peaked Ps, ST depression and long QT

52
Q

sharply defined circular ulcers with tender, enlarged inguinal lymph node-painy peny

A

ducreiy- azithro cftz

53
Q

out vs inpt tx pyelo

A

septic, preggo, cant tolerate po, vitals

7 days

54
Q

recent uri with puffy face, protein i nurine

A

PSGN - ASO titer - HTN - PCN!
supportive
HD if they are overload into lungs

55
Q

wegeners?

Goodpasture?

A

Nose congesiton rpoblems + AKI

AKI + pulm - type 4 collagen - PLEX

56
Q

HD indications

A 
BUN 100
hyperK
acidosis 
toxins
HTN
57
Q

NV lightheaded, Headache, htn post dialysis?

A

Dysibelqibirum- osmolality problem - cerebral edema

if bleedding- figure 8 it- vascular

staph is most common infeciton

58
Q

dispo with peritoenal dialsysi 100 wnc?

A

intra abx and dc

59
Q

5 stoen admits

A 
obsturction
infection
PO
Pain
solidatry kidney
60
Q 
lata=
accuminata=
painless with LA=
painful woth LA=
donovan bodies
A 
syph
HPV
chlamydau
ducreyi
granuloma inguinale- klebsiella
61
Q

next step torsion

A

urology
open boook in meantime
not US

62
Q

lenght of treatment for cysitits

A

3 days

think std if not getting ebtter

63
Q

buzz

A

New murmur with AKI = Renal embolism
Blue dot sign = testicular appendage (appears similar to torsion)
Seminoma** = MC malignancy in young men, 20s, ultrasound for diagnosis
Hematuria in elderly** = bladder cancer, need cystoscopy

64
Q

mass cass stuff

A

dont forget AMS cant folow commands is Red

65
Q

vulvovaginiits in prepubertal females give

A

amoxicillin- not FB

66
Q

MC site for foriegn bodies to get stuck in peds

A

c6 cric

67
Q

gastric empyting in caustic ingesiton?

A

no

68
Q

button battery in stomach needs?

A

repeat x ray in 48 hours?

69
Q

PUD + early satiety and vomtning?

A

gastric outlet syndrome

give HBIG fi unknown vaccination status for hep b exposure

Hbeg- highly infectious (unless ab= low infectivity)
core= igm new igg old

SBP 1000 WBC

70
Q

porcelin gallb;adder increased risk of

A

cancer

71
Q

obsturction vs volvlous

A

NG tube vs surgery

72
Q

hernias
indirect through:
direct trhu:
femoral under

A

process vaignalis
trasnveralis fasica
ligmaemtn
incercerated is irrediudible

73
Q

crohsn + back pain and limp?

A

PSoas abscess

74
Q

prolalpsed internal hemorrhoid=

A

surgical

external and acute= take out urself

75
Q

diarrhea 12 hours later… watery diarrhea undercooked beef

A

c perf]\

bloody + bradycardia= slamonella

76
Q

where to cut on pericardium?

A

anterior

pericariditis is PR depression!

77
Q

flank hematoma after abd injury think

A

RP injury

78
Q

extrapeitoneal bladder injury

A

MC and foley mamangememt?!

if you think urethrel ainjury gt retro gram prior to foley

79
Q

nevres or arteries frst in cmoaprtment syndrome

A

nerves

80
Q

tdap

A

if clean 10 years

if dirty 5 years and if not then Ig

81
Q

epiglottis tx

A

direct layngsocpy in OR

82
Q

airwayFB

A

< 1 yo back blows

>1 yo Heimlich

83
Q

Bullous myringitis = Mycoplasma

A

yup

84
Q

HUS dont give

A

abx

85
Q

disseminited minigcocommenia

A

cftx

86
Q

kawaskai labs

A

steriel pyria
inflam markers up
IVIG
ASA

87
Q

simple seizures

A

6mo-5 years
GTC, <15min
One event per 24h
No deficits or focality

88
Q

peds meningitis

A 
<2 mo of age
E.Coli, GBBS, Listeria
Ampicillin for Listeria Coverage
Avoid Ceftriaxone – biliary sludging
Amp + Gent/Cefotax
89
Q

nrp

A

First 30 seconds: warm, dry, stimulate, suction

After 30 seconds: If HR <100, give PPV for 30 seconds

After 60 seconds (total): if HR <60, start compressions/epi

No compressions until at least 1min and adequate PPV
3:1 compressions/breath “1 and 2 and 3 and breathe”

90
Q

kerion tx

A

STERIODS + ORAL ANTIFUNGALS

SEB DERM= SELENIUM SULFIDE SHAMPOO

91
Q

SCAPHOLUNATE DISSOCATION TX

A

outpatient splint
calc if isolated
salter 2

lis franc surgery or immediate follow up

92
Q

hypoNA, HyperK, HypoG , hypotension

A

addisons primary adrenal failure
100 hydrocort
d5NS

93
Q

diabetes insipidius is

A

NO ADH or renal resistance, very dilute urine- hypernatremic

94
Q

cardiac arrest in DKA from…

A

hypoK

95
Q

nroml glucose, WGMA, ketones=

A

AKA- D5NS, thimaine, folate

96
Q

myxedema coma tx

A

Hydrocortisone, IV thyroxine

IVF, glucose, abx tx underlying cuase

97
Q

cushings

A

too much steroids form brain or drugs. remove them. that si t.

LApha block first then beta block for pheos

98
Q

osmolality equation

A

2NA + BUN/2.8 + glucose/18

Rosh (14 decks)

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