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Emergency ⛑ > Very Common Cases & Their TTT > Flashcards

Very Common Cases & Their TTT Flashcards

You may prefer our related Brainscape-certified flashcards:
Royal College: Emergency Medicine flashcards
1
Q

What is the most commonly used antibiotic to treat UTI in ER? Dosage

A

Cefaks ( Cephalosporin ) 500mg injection

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2
Q

What’s the most commonly used antibiotic for tonsillitis in ER? Dosage?

A

Rocephin ( ceftriaxone= cephalosporines 3rd generation)

1mg IV for moderate
2mg IV for sever

Advice follow up with ENT

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3
Q

Gastritis ?

A
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4
Q

URTI

A
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5
Q

LRTI

A
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6
Q

Dehydration

A
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7
Q

Ovarian cyst

A
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8
Q

Af

A
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9
Q

MI

A
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10
Q

Thumb injury/inflammation

A

Clean, dressing, anti-inflammatory tablet for 5 days

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11
Q

Mangment of Pharyngitis ?

A

Labs ; CBC, CRP, ???

DRUGS; IV or IM
Antihistamines
Vitamin C
Panadol

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12
Q

Bronchitis

A
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13
Q

Pneumonia

A
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14
Q

What’s the management of neck pain in ER?

A

Request xray ( MRI is better but first Xray is done otherwise insurance will not accept MRI order)

Give Mydocalm ( tab 50-150 mg×2

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15
Q

Nausea

A

Give Zofran ( Ondansetron ) IV 2mg over 15 minutes
( tab is 4,8,24 mg )

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16
Q

Abdominal pain

A

Buscopan ( antispasmodic ) IV 20mg
Oral 10mg

17
Q

Management of panic attack ?

A

Give Dormicum ( midazolam ) = benzodiazepine ( given to help ptn relax ) IV 1mg 0ver 2 minutes

18
Q

Urticaria/ allergy

A

Give :
NS

Hydrocortisone100- 200 max

Chlorohistol IV 20mg is the max

Home prescription :

antihistamine = Telfast ( fexofenadine hydrochloride) 180mg × 1 daily
{ if the ptn wants another drug, we can give Desloratidine 5mg once daily }

Gupisone ( prednisone ) can also be given 20mg × once daily ×3

Diphenhydraamine 50mg ( Antihistamines )

19
Q

Sore throat managment?

A

Augmentine ( amoxiciline/ clavulanate ) tablet 500-825mg or extended release tablet 1000mg ×2×10
Antihistamine

20
Q

Constipation management?

A

Order Xray
Enema ( incase of ptn took dulcolax already)

21
Q

Papatation + dizziness ( pulse is normal ) what’s the management?

A

Chest x ray ( SOB )

ECG

CBC

Random blood sugar

Electrolytes

TSH

Medication:
NS
Nebulizer

22
Q

History of low back pain, ptn was told there was pressure on the nerves causes his pain , MRI was done by neurologist before, mana9?

A

Perfalgan
Voltaren
Vitamin B12 injection

23
Q

Ptn had seizure for first time, management? Possible cause?

A

The cause was postcoital seizure because of the rupture of aneurysm chich caused subarachnoid haemorrhage

Check blood gases ( usually there’s metabolic acidosis )

CT scan was done

Was given dormicum because ptn was agitated

Was given zofran for his nausea

Ptn shifted to ICU for coiling surgery

24
Q

Chest pain ( muscular ) managment?

A

Order chest xray

Order POC test ( troponin, d-dimer )

Muscle relaxant was given

Voltaren

Perfalgan

25
Q

Palpitations

A
26
Q

Transverse mylitis

A
27
Q

Throat pain

A
28
Q

Pulmonary embolism

A
29
Q

Headache

A
30
Q

Agitation maybe alcohol

A
31
Q

Panic attacks

A
32
Q

Head trauma

A
33
Q

Case with fracture of the ankle , management?

A

Split
Give painkillers
Nexium
Aspirin because ptn is >45 years to prevent DVT

34
Q

Sepsis ( because of diabetic foot ) managment?

A

Give fluid full speed if there’s hypotension to prevent septic shock

Give Imipenem and Cilastatin IV ( if not available give flagyl with ceftriaxone )

Insert Catheter

Sift to ICU

35
Q

Pulled elbow

A

Xreay was done

Ibuprofen was given ( child 4 years )

36
Q

Lower abdominal pain ( female ) managment

A

Point in History:

LMP, UTI symptoms, ovarian

Order :
US : Abdomen , pelvis

Order: CBC, CRP, Creatinine, Urine

Give : buscopan IV stat
Gotex stat
Perfalgan stat

37
Q

Management of Afib

A

ABC
Attached monitor
IV access
ECG
Echo
Give B-blockers
Anticoagulants direct or Warfarin
For hypotension, give Atropine
If there’s known foci, ablasion is done

Emergency ⛑ (11 decks)

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