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| MC clinical scenario emergent pericardiocentesis... |
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Definition
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| LAE associated with pulmonary edema... |
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| Westermark and Hampden hump assn... |
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| Vasodilators and preload reduction do want in aortic stenosis? |
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Definition
Reduce volume over a fixed obsx->hypoTN
Nl valve (3-4cm2)
Assn w diastolic HF |
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Term
| 5 ped's cyanotic heart disease causes |
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Definition
1 finger up: Truncus Arteriosus (1 vessel)
2 fingers up: Dextroposition of the Great Arteries (2 vessels transposed)
3 fingers up: Tricuspid Atresia (3=Tri)
4 fingers up: Tetralogy of Fallot (4=Tetra)
5 fingers up: Total Anomalous Pulmonary Venous Return (5=5 words) |
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Definition
PS
O(overriding aorta), V (VSD), R (RVH) |
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Definition
Weights of children with age Newborn 3 kg
6 mos 6 kg (2x birth wt at 6 mos)
1 yr 10 kg (3x birth wt at 1 yr)
3 yrs 15 kg (odd yrs, add 5 kg until 11 yrs)
5 yrs 20 kg
7 yrs 25 kg
9 yrs 30 kg
11 yrs 35 kg (add 10 kg thereafter)
13 yrs 45 kg
15 yrs 55 kg
17 yrs 65 kg |
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Term
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Definition
Brugada...AD cause of syncope. Na mutation.
Think incomplete RBBB, Jpt/STE V1-V3. |
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Term
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Definition
| Inotrope that increase CTX and CO. Risk arrythmia.Little direct effect on BP. Uses: refractory CHF or hypotensive patients in whom vasodilators cannot be used because of effects on BP |
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Term
| List 4 causes mesenteric ischemia. |
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Definition
Arterial embolism - Afib
Arterial thrombosis - atherosclerosis
Nonocclusive - low volume
Venous thrombosis - protein C def, antithrombin III |
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Definition
leg swelling
alternative diagnosis, PE as likely
hr
bed rest/surgery
previous blood clot
hemoptysis
cancer |
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Definition
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Term
| what are the perc criteria? |
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Definition
patient has to meet all...
age <50
hr <100
sat >94%
no hx clot
no sx, trauma
no hemoptysis
no exogenous estrogen
no clinical signs suggest dvt |
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Term
| name two inotropes for hypoTN CHF |
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Definition
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Term
| how do you increase svr in a baby w tof who is blue after feeding or crying? |
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Definition
| raise their feet to chest |
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Term
| goal map reduction 1st hour of HTN emergency? |
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Definition
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Term
| HOCM abnormalities on EKG? |
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Definition
high voltage
early R waves (thickened ventricular wall)
TWI anterior leads
Q waves lateral leads (septal hypertrophy) |
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Term
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Definition
midsystolic, decrease w squat(inc venous)
TX: decrease HR, increase diastolic filling |
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Term
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Definition
HOCM
high voltage
early R waves
TWI anterior
lateral q's |
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Term
| what is appropriate discordance? |
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Definition
| The Sgarbossa Criteria say that if there is more than 5mm elevation in the opposite direction of the major QRS deflection in any one lead you can call this an acute MI (middle tracing above.) They also state that if there is more than 1mm deflection in the same direction as the major QRS in any one lead you can call it an acute MI. |
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Term
| what is general the first sign of acute arterial occlusion? |
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Definition
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Term
| what is the best study for arterial occlusion? |
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Definition
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Definition
basal
then SQ and melanoma |
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Definition
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Definition
staph A/strep pyog, bactroban
risk postinfective GN |
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Term
| vitamin causing HTN, hepatoxic, and hyperCa |
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Definition
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Definition
| B6 aka pyroxidine. peripheral neuropathy |
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Definition
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Definition
| niacin - flushing, pruritus |
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Definition
| 3 D's - dermatitis, dementia, diarrhea (pellagra) |
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Definition
| aka ascorbic acid. scurvy - bleeding, gingivitis, poor wound healing |
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Term
| mc metabolic abn assn w sb ileus |
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Definition
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Term
| what lab abn is expected in primary adrenal insuff and not secondary? |
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Definition
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Term
| what type of diuretic should be avoided in hyper CA? |
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Definition
| Thiazide...so use furosemide. Start w NS first |
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Term
| electrolyte causes of a prolonged QT? |
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Definition
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Term
| how much does Na fall in hyperglycemia? |
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Definition
| Na falls by 1.6 for every 100 over 100gm/dL glucose |
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Term
| what to use for BP control w a pheo? |
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Definition
No B blocker, may have unopposed alpha..
use phentolamine or nitroprusside |
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Term
| B blocker to use for thyroid storm? |
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Definition
| Propranolol - decreases T4->T3 conversion |
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Term
| which is better, PTU or methimazole? |
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Definition
| PTU. Inhibits synthesis TH and T4/T3 conversion. Corticosteroids acts similarly. |
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Term
| what is cold water immersion syndrome? |
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Definition
| syncope caused by cardiac dysrhythmia w cold water |
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Term
| fish causing facial flush, uriticara, emesis, HA, and tastes like pepper? |
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Definition
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Term
| fish causing neuro sxs (hot cold reversal), GI, and bradycardia? |
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Definition
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Term
| fish causing parethesias, RF? |
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Definition
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Term
| most impt definitive tx HAPE, HACE? |
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Definition
| descent (hyperbarics and drugs are adjuncts) |
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Term
| how to differentiate heat stroke from exhaustion? |
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Definition
| stroke temp >40 and neuro sx's. both will be weak, fatigued, and vomitting |
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Term
| diver +loc 10 minutes resurfacing? |
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Definition
| AGE. definitive TX is recompression |
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Term
| what are the types of DCS? |
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Definition
DCS I: skin, MSK
DCS II: more serious, lungs, brain**may have incontinence or priapism |
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Term
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Definition
| altered, HA, vision changes |
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Term
| local difference sty vs chalazion |
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Definition
| chalazion beneath eye lid and stye on lid |
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Term
| which neonatal infectious conjunctivitis comes first? |
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Definition
| GC. First gnocc, then chlaymidae |
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Term
| having all 4 centor criteria = what % positive throat cx? |
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Definition
| 56%. This is not validated in peds |
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Term
| blood and thunder on eye? |
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Definition
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Term
| hemophilia factor equation? |
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Definition
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Definition
low plts, fibrinogen
inc ptt/pt, d-dimer |
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Definition
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Definition
Temp >38°C (100.4°F) or < 36°C (96.8°F)
Heart Rate > 90
Respiratory Rate > 20 or PaCO2 < 32 mm Hg
WBC > 12,000/mm>3, < 4,000/mm>3, or > 10% bands |
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Definition
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Definition
Organ Dysfunction, Hypotension, or Hypoperfusion
Lactic Acidosis, SBP <90 or SBP Drop >40 mm Hg of normal, etc |
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Definition
| Severe Sepsis with Hypotension, despite adequate fluid resuscitation |
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Definition
vaccination series in last 10 yrs
low risk wound (<6h old, no ischemia, signs ifcn) and booster last 10y
Give Tdap |
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Term
| what to give the pt wo or undervaccinated (tetanus)? |
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Definition
| IG and TD vaccine opposite limb |
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Definition
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Term
| SE of protease inhibitors? |
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Definition
metabolic syndrome
~avir ending |
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Term
| Two types of hepatitis w fecal-oral spread? |
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Definition
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Term
| Rash around wrist after camping in NC. DX and TX |
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Definition
| RMSF. Doxy (even in kids) |
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Term
| TX options for Gon and Chl? |
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Definition
azithromycin 1000mg once or doxy 100mg bid X 10days
ceftriaxone 125mg IM once or cefixime 400mg po once |
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Term
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Definition
caused by Erhlica (gram - bacteria)
leukopenia, thrombocytosis, elevated liver enzymes
similar to flu w no GI sx's |
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Term
| mc monoarticular joint infcn bug |
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Definition
staph
ng is nl polyarticular |
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