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14 Cards in this Set
- Front
- Back
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True or false: Chest wall tenderness is more suggestive of NON MI etiologies?
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F: Not necessarily. The presence of chest wall tenderness has been demonstrated in patients with acute MI
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T/F: Presence of normal or unchanged ECG essentially rules out acute MI?
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False
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T/F: Normal cardiac enzymes rules out acute MI
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False. The documentation of normal serum markers in bloodstream does not exclude diagnosis of acute MI
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Typical pericarditis chest pain described as:
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constant, retrosternal, radiating to back, neck or jaw. Pain worse in supine, better by sitting forward
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Musculoskeletal causes of chest pain usually responsive to?
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NSAIDs
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Retrosternal chest pain + fever+ mediastinal crunch-->?
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T/C esophageal perforation. Possibly find subQ crepitus, mediastinal emphysema on CXR
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Centor criteria for predicting strep pharyngitis (6)?
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1. (+) tonsillar exudates-1pt
2. (+) tender ant cerv LAD-1pt 3. Hx of fever-1pt 4. Absence of cough-1 pt 5. <15y/o-1pt 6. >45y/o - (-) 1 pt |
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Centor criteria tx algorithm?
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4pts: PCN
2-3pts: (+)RAT= tx; (-)RAT= no tx 0-1pt: no further tests, no tx |
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What is Ludwig angina?
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Life-threatening HEENT infxn, often after dental infection
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Submaxillary, sublingual or submental mass with elevation of tongue + jaw swelling + fever, chills, trismus -->?
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Ludwig angina.
Tx: drain abscess and abx (pcn, metronidazole) |
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TIMI Risk score components (7...1pt assigned to each)
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1. >65y/o
2. prior documented coronary artery stenosis >50% 3. 3+ CHD risk factors 4. use of ASA within 7 days 5. 2+ anginal events in past 24hrs 6. ST seg deviation 7. increased cardiac markers |
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First line tx for cocaine intoxication
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benzos
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Formication most commonly seen with what substances intoxication?
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cocaine or amphetamine (stimulants)
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essential elements of red eye eval (3)
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1. slit lamp exam
2. fluorescein stain 3. IOP measurement |
