U world 2 Flashcards
complication of placing central venous catheter
tension pneumothroax
which one causes pain with flexion and which with extesnion? psoas abscess and hip septic arthritis
psoas abscess: pain with extension
hip septic arthritis: pain with flexion
psoas abscess presentation
fever
abdominal/flank pain, radiates to groin
abdominal pain with hip extension
risk factors for psoas abscess
HIV
Crohn’s
diabetes
IV drug use
acute adrenal insufficiency presentation
hypotension
fever
vomiting
abdominal pain
CXR finding of aortic injury
widened mediastinum
torus palatinus
benign bony growth in midline hard palate
congenital
associated: younger, female, asian
what do you think when “pain out of proportion” in an extremity?
compartment syndrome
pulmonary contusion presentation
within 24 hours of blunt chest trauma
tachynea, tachycardia, hypoxia
pulmonary contusion CXR/CT
patchy alveolar infiltrate not restricted by anatomic borders
how long does ARDS show up after trauma?
24-48 hours
is ARDS bilateral?
yes
is pulmonary contusion from rib fractures?
doesn’t have to be
acute bacterial parotitis presenation
painful swelling of parotid gland
aggravated by chewing
high fever
population that most commonly gets acute bacterial parotitis
dehydrated post op patients and elderly
make sure you stay hydrated and oral hygeine!
most common bacteria for acute bacterial parotitis
staph aureus
what should you think with hx of NSAIDs and free air under diaphragm? and what should you do for it?
perforated peptic ulcer- ex lap
retropharyngeal abscess can spread to and cause what?
–> superior mediastinum –> posterior mediastinum
–> acute necrotizing mediastinitis
what is concern for scaphoid fracture?
avascular necrosis
what to do for suspect scaphoid fracture if initial x-rays negative?
either:
- CT/ MRI
- splint up and repeat x-ray in 7-10 days
extraperitoneal bladder injury pathology
contusion or rupture of: -neck -anterior wall -anterolateral wall of the bladder
extraperiotneal bladder injury presentation
extravasation of urine –> abdominal pain
gross hematuria
urinary retention
pelvic fracture
when should antibiotics be used prophylactically to prevent post-op pneumonia?
preexisting resp infection
most commonly involved metatarsal in stress fracture
2nd
what is x ray show of stress fracture
hairline fracture
or
local periosteal thickening
treatment of stress fracture of 2-4 metatarsals vs 5th
2-4th: rest, analgesics
5th: casting, internal fixation (because prone to nonunion)
3 categories of glasgow coma scale
eye opening
verbal response
motor response
which heparin when patient has renal failure?
unfractionated
what is cause of abdominal surgery after trauma that shows gas filled loops on xray?
paralytic ileus
bowel sounds with paralytic ileus
absent
which muscle injured in positive valgus stress test?
medial collateral ligament
triad of fat embolism syndrome
resp distress
neuro signs (confused, vision defects)
petechiae
preferred method of intubation
orotracheal intubation
contraindication to nasotracheal intubation
apneic/hypoapneic patients
basilar skull fracture
treatment for meningioma
resection
treatment for pancreatic pseudocyst: asx vs sx
asx: expectant
sx: endoscopic drainage
whistling during respiration after rhinoplasty, think…
nasal septum perforation
complications of rhinoplasty
patient dissatisfaction
nasal obstruction
epistaxis
septum perf
pancreas cancer of head presentation
jaundice systemic symptoms (weight loss, fatigue) steatorrhea gnawing abdominal pain, worse at night migratory thromboplhebitis
to diagnose perforated peptic ulcer
x ray chest and abdomen- free intraperitoneal air
anterior spinal cord can be a complication from
thoracic aneurysm surgery repair
popping sound to knee, pain, delayed effusion. Locking when joint is rotated or extended while under load
meniscal tear
exam tests for meniscal tears
Mcmurray
Thessaly
(with internal and external rotation)
