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52 Cards in this Set
- Front
- Back
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Neonatal PNA
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GBS
GN enterics |
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2wks - 2mo PNA
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viruses
Chlamydia trachomatis S. pneumo S. aureus H. flu |
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2mo - 3 yrs PNA
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viruses
S. pneumo S. aureus H. flu |
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3 - 19yrs PNA
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viruses
S. pneumo Mycoplasma |
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Headache in Pregnancy
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venous sinus thrombosis
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Migraine Rx
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Reglan
Compazine 5HT Agonists (Sumatriptan) Narcs |
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Temporal Arteritis Work Up
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ESR
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Temporal Arteritis Rx
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High dose steroids
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Aortic Dissection Rx
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BP Control: nitroprusside + esmolol OR lebetalol
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#1 PE Risk Factor
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Previous DVT/PE
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Most common EKG Finding w/ PE
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Sinus Tach
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Big 5 of Chest Pain
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1. ACS
2. Aortic Dissection 3. PE 4. Tension PNX 5. Esophageal Rupture |
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Heat Edema Cause
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increased aldosterone --> Na and H2O retention
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Heat Tetany Cause
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Hyperventilation
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Heat Syncope Cause
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early in heat exposure
vasodilation decreased vasomotor tone mild dehydration |
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Heat Cramps Cause
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Hyponatremia/Hypochloremia from consumption of water w/out lytes
(predisposes to malignant hyperthermia) |
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Heat Stroke
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Altered Mental Status + core temp >105F
Tachycardia, normo or hypotension, wide pulse pressure, tachypnea elevated LFTs QT elongation - most common ST elongation,sinus tach, afib, SVT, MI, RBBB |
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Electrolyte Abnormalities in Hypothermia
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Increased BUN and Cr (cold diuresis)
Dehydration Hyperkalemia from muscle damage |
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PT/PTT in hypothermia
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may be increased from cold induced coagulopathy
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Warm and Dead
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need core temp of 32-35 before can say dead unless chest too frozen to do compressions or airway blocked with ice
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Frostnip
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Mild injury
numbness pallor reversiable with warming |
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Chillbains/Pernio
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Chronic vasculities from repeated exposure to dry, nonfreezing cold
red/purple papules, macules, plaques, nodules |
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Trench/Immersion Foot
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Redness, swelling, throbbing pain, ulcers of feet from prolonged exposore to wet cold
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Frostbite
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Waxy, hard, insensate blistered ext
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Wadell Triad (kid vs. car)
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closed head injury
intraabdominal injury mid shaft femur fx |
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Toxic Injestions in ED (5)
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EtOH
Acetaminophen ASA Psych meds (TCA) Toxic alcohols |
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Cardiotoxicity w/ TCA, quinidine, benedryl, cocaine
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QRS prolongation
Right axis deviation R-wave in AVR |
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EKG in hypocalcemia
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QT prolongation
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Anticholinergic Toxidrome Causers (3)
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1. Diphenhydramine
2. Parkinsons/Anticholinergic meds (benztropine) 3. plant/herbals (jimsonweed) |
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Sympathomimetic Toxidrome Causers (4)
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1. Cocaine
2. Amphetamines 3. Anorectics 4. Herbal and other stimulants |
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How to differentiate between anticholinergic and sympathomimetic
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bowel sounds
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Cholinergic Toxidrome
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Diarrhea
Diaphoresis Urination Miosis Bradycardia Emesis Lacrimation,salivation,bronchorrea seizures fasciculations weakness |
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Cholinergic Toxidrome Causers (5)
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1. Organophosphates/carbamate pestisides
2. Donepezil 3. Physostigmine 4. Pyridostigmine 5. nerve gas |
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SIRS Criteria (4)
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1. HR>90
2. Temp>38 or <36 3. RR>20 or high pCO2 4. WBC>12 or <4 or bands >10% |
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Normotensive Shock Criteria
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Lactate >4
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Mortality Rate of septic shock
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46%
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Cyanide's effect on mitochondria
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Blocks ETC so can't take up O2
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How can you see hypervolemia on u/s?
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Decreased respiratory variation in the heart
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Right ventricle bigger than left + SOB
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PE!
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Meningitis
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Ceftriazone 2g IV q12h
+/- vanco - if listeria give ampicillin |
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Brain Abscess
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Ceftriazone 2g IV q12h
+/- Metronidazole |
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Sinusitis >3wks
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Bactrim, Augmentin, azithro, or quinolone
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Otitis Media
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ceftriazone
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Severe OE
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Levofloxin 500mg
Ofloxacin or cipro drops |
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Pharyngitis
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most GAS or C. diptheriae, Gonorrhea, EVC, HIV, staph
PCN Amox Azithromycin |
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COPD/Chronis Bronchitis
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Doxy or Bactirm or azithromycin
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PNA
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S. pnemo: Azithro + PCN
Mycoplasma/C. pneumo: azithro + doxy Legionella (multilobes): levo |
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Aspiration PNA:
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OtPt: PCN + Flagyl
Hospital: Cefipime |
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UTI SImple
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Bactrim
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Complicated UTI
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Levo or cipro
or Pyelo treat for 14dys |
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Intestinal Infection
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Unsyn + Flagyl
or levo + Flagyl |
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Prophalaxis for Menegitis
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Rifampin or Cipro
not needed if pneumococcal |
