UW 1 Flashcards
After DX of GBS, what is most important next step in management
Assess Pulmonary Fnc with Serial Spirometry
Gold std = FVC to assess ventilation
GBS pt with declining FVC
Impending Respiratory Arrest - may require endotracheal intubation
WHen do we do Spinal MRI w GAD
Acute Transverse myelitis suspected
- Spinal cord inflammation involving thorax
- LE Diplegia
Enlargement of central canal of SC due to CSF Retention
Syringomyelia
Presentation of Syringomyelia
Impaired strength
Pain/Temp sensation in UE
When is Brachial Artery injured
Si/Sx’s
Supra condylar Fx of humerus - children
Ischemia Si/Sx’s
Radial Nerve injury - MC location
Midshaft humerus FX
Pathophys and causes of anserine bursitis
Anserine bursa - location is anteromedially over tibial plateau just below joint line of knee
Causes of Inflammation = Abnormal gait
Overuse
Trauma
Presentation of anserine bursitis
Localized pain over anteromedial tibia
Present overnight
PE: Tenderness over medial tibial plateau
TX for Anserine Bursitis
Rest
Ice
Maneuvers to reduce pressure
Steroid injections
Presentation of prepatellar bursitis
Pain and swelling directly over patella caused by trauma
MCL Strain presentation
Pain along medial joint line
Aggravated by walking
Caused by valgus stress applied to lateral knee partially flexed
Management of decreased fetal movements - testing
- NST
- CST
- BPP if NST nonreactive
Management of pt with normal CST in pt of 36 wks
Repeat antepartum Fetal testing in 1 wk
Uterine Rupture Presentation
Vaginal bleeding Intrabdominal bleeding Fetal heart decelerations Loss of fetal station Palpation of fetal parts
Painless antepartum hemorrhage ass’d with rapid deterioration of fetal heart tracings
Vasa Previa
Fetal hydantoin syndrome
Hypoplastic fingers/nails
Cleft lip/palate
Phenytoin
ST elevation in leads II, III, aVF is what and what part of heart involved
Inferior MI
1/3 = RV
ST depression in leads I and AVL indicates ?
STEMI right side heart
JVD + Kussmaul’s + clear lung fields =
RV Failure
Kussmaul’s sign is
Increase in JVD w Inspiration
RV Failure does what to preload, CO, BP?
Decreases Preload
Decreases CO
HypoTN
Which drugs avoided in RV Failure
Preload Reducing
- Nitroglycerine
- Diuretics
Labs in Paget Disease
Normal serum calcium, phosphate
Increased
- Alk Phosph
- urinary hydroxyproline, deoxypyridnoline, N-telopeptide, C-telopeptide
Factor that determines need for chest tube in parapneumonic effusion
Pleural fluid pH < 7.2 indicates empyema and must remove fluid w thoracostomy
OR
Glucose < 60mg/dL
Why are nephrotic syndrome pts at risk for stroke/MI
Nephrotic syndrome - alters lipid metabolism = Dyslipidemia causes increased risk for accelerated atherosclerosis
Wiskott-Aldrich syndrome pathophys
Thrombocytopenia - decreased platelet production
PE of pleural effusion
Decreased tactile fremitus
Dullness to percussion
Decreased breath sounds over effusion
Presentation of Central cord syndrome
Hyperextension injuries in elderly patients
Central portions of CS tracts and decussating fibers of Lateral ST tract
Weakness greater in UE»LE
Pathophys of osteomyelitis in diabetic patient w foot ulcer
Contiguous spread of infxn
Pathophys of flushing and pruritis w Niacin
Peripheral vasodilation = Prostaglandin-related RXN
Recurrent bacterial infxn in adult indicative of what type of defect
Humoral Immunity
VW Dz labs
Increased BT, PTT Platelet count = Normal
ITP Presentation
Severe thrombocytopenia < 30,000 Megakaryocytes on PS Bleeding episodes Other labs - Normal Platelet destruction - AI
TX of COPD acute exacerbation
Supplemental Oxygen
Inhaled bronchodilators = Beta 2 agonist, anticholinergics
Abx
Systemic glucocorticoids
Management of Wide complex tachycardia w AV dissociation or fusion/capture beats
Stable V-tach = IV Amiodarone
Unstable V-tach = Synchronized cardioversion
