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48 Cards in this Set
- Front
- Back
overall Strategy: write down the following so you find it quickly
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Differential Diagnosis:
Allergies: Counseling: |
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Then, follow this order for each case:
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1) ABC's: stable or not?
2) PE: focused unless pt has a general complaint 3) Labs/ Rad 4) Triage/Meds 5) Counsel/Follow-up appt |
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General Orders:everyone
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CBC/CMP/TSH
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General Orders: Females:
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β-HCG
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General Orders: Infection:
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CXR/UA/ Cultures/Tylenol
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General Orders: Cardiac:
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EKG / CXR/Echo /Cardiac enzymes
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General Orders: Pulmonary:
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ABG/EKG/CXR
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General Orders: GI:
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Guaiac
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General Orders:
Renal |
UA
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General Orders:Heme:
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Guaiac/PT / PTT /Type and match
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general orders Ob-Gyn:
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β-HCG / Pap/ Prolactin/ ABO, Rh
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Cellulitis
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Clindamycin + Ciprofloxacin
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Prostatitis
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Ciprofloxacin + Ampicillin + Gentamycin
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Urosepsis:
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Ciprofloxacin + Ceftriaxone
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Diverticulitis
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Metronidazol + Ciprofloxacin
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Appendicitis
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Metronidazole + Cefazolin
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Septic Arthritis:
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Azithromycin + Ceftriaxone
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perforated ulcer
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Metronidazole + Ampicillin + Gentamycin
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Cholecystitis:
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Cefuroxime
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Sickle Cell:
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Azithtomycin + Cefuroxime
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Community-Aquired Pneumonia
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Azithromycin + Ceftriaxone
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Bacterial Meningitis
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Vancomycin + Ceftriaxone
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Bacterial Endocarditis
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Vancomycin+ Gentamycin
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Pelvic Inflammatory Disease
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Doxycyclin + Cefoxitin
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Febrile Neutropenia
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Ceftazidime
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Emergency Room:
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1) Pulse ox/ Oxygen
2) IV access/NSS (0.9%NaCl) 3) Vitals/Continuous (BP /Cardiac) |
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Ward Admission:
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''NAD HIC"
1) NPO/Foley/Urine outputs 2) Activity 3) Discomfort Meds: Mepiridine/ Phenergan 4) Home meds 5) Interval PE/Hx 6) Consults |
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ICU Admission:
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1) Prophylaxis: Pantoprazole/ Pneumatic compression stockings
2) Interval PE/Hx 3) Send to ward -> then home |
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Discharge:
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1) D/C IV access, D/C all tubes
2) D/C IVF 3) Change all meds to PO 4) Diet: disease-specific 5) Follow-up appt: 2wk unless specified |
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Counseling (at the 5min warning):
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'X-RATED SEX"
X: safe seX Rx: medication compliance/side effects Alcohol: limit intake Tobacco: cessation Exercise: program Directives: advance Seat belt: when driving Eat: diet X: no illegal drugs |
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Preventative Medicine:
21 y / o: |
Cholesterol/Pap smear
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Preventative Medicine: 40 y/o:
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Glucose/Mammogram/Prostate exam
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Preventative Medicine: 50 y/ o:
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Colonoscopy
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Preventative Medicine: 65 y/o:
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TSH/Female Pelvic exam
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ALZHEIMER'S:
Labs: (4) Tests: |
Labs: TSH, Vit B12, Folate, UA
Tests: Head CT |
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ALZHEIMER'S:
(tx Alzheimer's) (tx delusions (tx anxiety) (tx depression) (tx insomnia) |
Donepezil (tx Alzheimer's)
• Olanzapine (tx delusions) • Buspirone (tx anxiety) • Fluoxetine (tx depression) • Triazolam (tx insomnia) |
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ALZHEIMER'S:
Location: Counsel: Follow-up: |
Location: Office
Counsel: No driving, Advance directives Follow-up: 2mo |
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BACTERIAL MENINGITIS:
Labs: CSF: Tests: |
BACTERIAL MENINGITIS:
Labs: Blood C&S, UA/C&S, PT / PTT CSF: Cells/Glucose/Protein/C&S + fungal/Gram/Meningococcal Ag Tests: EKG, LP |
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BACTERIAL MENINGITIS:
Rx Contact Prophylaxis Consult: Location: |
Rx Acetaminophen (rectal), Dexamethasone -> Vancomycin/Ceftriaxone
Contact Prophylaxis: Rifampin or Ciprofloxacin Consult: ID Location: Ward (isolation) |
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SUBARACHNOID HEMORRHAGE
Labs: Tests: |
"worst HA of my life"
Labs: ESR, PT / PTT Tests: EKG, Head CT (no contrast), Angiography (cerebral arteries) |
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SUBARACHNOID HEMORRHAGE Rx: tx pain, prevent vasospasm, prevent seizures, if HTN
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Ketorolac (tx pain), Nimodipine (prevent vasospasm), Phenytoin (prevent seizures), Labetalol (if HTN)
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SUBARACHNOID HEMORRHAGE: Consult, Location and management
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Consult: Neurosurgery, Location: ICU (Neurochecks q1hr)
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TRANSIENT ISCHEMIC ATTACK: Labs and Tests
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Labs: PT / PTT, Lipid profile, Tests: EKG /Echo, CXR, Head CT (no contrast), Carotid Doppler
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TRANSIENT ISCHEMIC ATTACK: Rx, Consult and when is an endarterectomy done?, Location
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Rx: ASA, Pneumatic compression stockings, Consult: Vascular Surgery (for carotid endarterectomy if 70-99% stenosis), Location: Ward
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ALCOHOL WITHDRAWAL: Labs and Tests:
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Labs: ABG, EtOH/Urine tox, Blood C&S/UA, Mg/Phos /Glucometer, PT / PTT, Tests: EKG, CXR, Head CT
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ALCOHOL WITHDRAWAL:
Rx: Location: |
Rx: NG tube suction, Thiamine -> Dextrose 50%, Folate, Lorazepam
Location: ICU |
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DEPRESSION: Labs, Tests, Rx
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Labs: TSH, Vit B12, Folate, Tests: EKG, Rx: Fluoxetine, Suicide contract
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DEPRESSION:
Consult Location: Follow-up: |
Consult Psychiatry
Location: Office Follow-up: 6wk |