Ppal99 Ccs Group 3

Front 1

GASTROENTERITIS:
Rx:
Location:

Back 1

Rx: 02, ASA, Heparin/Ph/Guaiac, warfarin/INR/β-HCG
Location: ICU

Front 2

SINUSITIS:
Rx:
Location:

Back 2

Rx: Humidified air, Acetaminophen, Pseudoephedrine, Amoxicillin
Location: Office

Front 3

TENSION PNEUMOTHORAX:
Sx:
Rx:

Back 3

Sx: decreased breath sounds, hypotension
Rx: Needle thoracostomy (stat) ~>chest tube~>CXR
Labs: ABG
Tests: EKG, repeat CXR qam
Location: Ward

Front 4

TENSION PNEUMOTHORAX:
Labs:
Tests:
Location:

Back 4

Labs: ABG
Tests: EKG, repeat CXR qam
Location: Ward

Front 5

APPENDICITIS:
Labs:
Tests:

Back 5

Labs: ABG, β-HCG, Amylase/Lipase, PT/PIT
Tests: Guaiac, X-ray (abd), CT (abd) for adults, or US (abd) for kids

Front 6

APPENDICITIS:
Rx:
Pre-op:
Location:

Back 6

Rx: morphine, Cefazolin + Metronidazole, Appendectomy (Surgery consult)
Pre-op: Analgesia,Consent, NPO, Type x cross, CXR/UA
Location: Ward

Front 7

CHOLECYSTITIS:
Labs:
Tests:
Rx:

Back 7

Labs: β-HCG, Amylase/Lipase. PT /PIT
Tests: X-ray (abdomen), US (abdomen)
Rx: NG tube, Demerol, Cefuroxime (Surgery consult)

Front 8

CHOLECYSTITIS:
Rx:
Pre-op:
Location:

Back 8

Rx: NG tube, Demerol, Cefuroxime (Surgery consult)
Pre-op: Analgesia, Consent, NPO, IVF, Type x cross, CXR/UA
Location: Ward

Front 9

COLON CANCER:
Labs:
Tests:

Back 9

Labs: TSH, CEA
Tests: Guaiac, X-ray (abdomen), CT (abdomen)

Front 10

COLON CANCER:
Rx:
Location:
Follow-up (2wk):

Back 10

Rx: Fe sulfate, Docusate, Surgery consult/Oncology consult
Location: Office
Follow-up (2wk): Colonoscopy (GI consult

Front 11

CONSTIPATION:
Labs:
Tests:

Back 11

Labs: TSH, Mg/Phos
Tests: EKG, Guaiac, X-ray (abd)

Front 12

CONSTIPATION:
Rx:
Location:

Back 12

Rx: High fiber diet, Docusate, Metamucil
Location: Office

Front 13

CONSTIPATION:
Follow-up:

Back 13

Follow-up: NPO, Polyethylene Glycol Colonoscopy w/ consent (if symptomatic)

Front 14

CROUP:
Sx:
Labs:
Tests:

Back 14

Sx: barking cough
Labs: CBC
Tests: Neck x-ray

Front 15

CROUP:
Rx:
Location:

Back 15

Rx: Cool mist ~> Dexamethasone (IM) ~> Epinephrine (inhaled)
Location: ER (observe for 4hr)

Front 16

CYSTIC FIBROSIS:
Labs:
Tests:

Back 16

Labs: Sweat Cl> 60, Fecal fat, Blood C&S, Sputum: Gram/C&S
Tests: CXR, Sinus x-ray

Front 17

CYSTIC FIBROSIS:
Rx:
Location:

Back 17

Rx: D5N5, Albuterol, N-acetylcysteine, Tobramycin + Piperacillin, Chest PT
Discharge: Pancreatic enzymes, Influenza/Pneumococcal vaccinations
Location: Ward

Front 18

LUNG CANCER:
Labs:
Tests:
Mets:

Back 18

Labs: ABG/PFT, Blood C&S, Sputum: Gram/C&S/Cytology
Tests: EKG, CXR (FA/Lateral), spiral CT (chest)
Mets: Ca/ AlkPhos, CT (A/P), Brain MRI, Bone Scan

Front 19

LUNG CANCER:
Rx: (2)

Back 19

Rx: Bronchoscopy/Biopsy lung, Branch: Cytology/Gram/C&S+Fungal/AFB
Rx: Albuterol/Iprattopium, Levofloxacin ·

Front 20

LUNG CANCER:
Consults: Pulmonary, Oncology
Location: Ward

Back 20

Consults: Pulmonary, Oncology
Location: Ward

Front 21

PLEURAL EFFUSION:
Sx:
Labs:

Back 21

Sx: x-ray blunting of costophrenic angles
Labs: Cr/LDH/Protein, PT /PTT

Front 22

PLEURAL EFFUSION:
Pleural Fluid:
Tests:

Back 22

Pleural Fluid: pH/LDH/Protein/Glucose/Grarn/Cells/Cytology/C&S/ AFB
Tests: EKG, CXR (FA/Lateral/Decubitus)

Front 23

PLEURAL EFFUSION:
Rx:
Location:

Back 23

Rx: Thoracentesis (Pulmonary consult)
Location: Ward

Front 24

PNEUMONIA:
Sx:
Labs:
Sputum:

Back 24

Sx: may present with RUQ pain
Labs: ABG, Blood ex, Urine ex, Sputum: Gram/C&S

Front 25

PNEUMONIA:
Rx:

Back 25

Rx:
• Community Acquired: Azithromycin ( + Ceftriaxone if dyspnea)
• Nosocomial: Piperacillin + Tazobactim
• Aspiration: Clindamycin
• Group B Strep: Ampicillin + Cefotaxime
• Atypicals (Chlamydia/Mycoplasma/Legionella): Erythromycin

Front 26

PNEUMONIA:
Tests:
Location:

Back 26

Tests: EKG, CXR (FA/Lateral)
Location: Ward

Front 27

PULMONARY EMBOLUS:
Labs:
Tests:

Back 27

Labs: ABG, D-dimer, Cardiac enzymes, PT /PTT
Tests: EKG, CXR (PA), V /Q scan

Front 28

PERICARDIAL TAMPONADE:
Sx:
Rx:

Back 28

Sx: hypotention, muffled heart, ⇧ JVD
Rx: Pericarcliocentesis (stat), CT Surgery consult, Swan-Ganz catheter

Front 29

PERICARDIAL TAMPONADE
Labs:
Tests:
Location:

Back 29

Labs: ABG, Pericardial fluid: cell count
Tests: EKG, CXR, Echo
Location: ICU

Front 30

PERICARDITIS:
Sx:
Labs:
Tests:

Back 30

Sx: worse w/ inspiration and leaning forward
Labs: Cardiac enzymes, Blood C&S, ESR
Tests: EKG, CXR, Echo, Pulse ox, ABC

Front 31

PERICARDITIS:
Rx:
Location:

Back 31

Rx: 02, ASA, Pericardiocentesis (if febrile)
Location: Ward

Front 32

UNSTABLE ANGINA:
Sx:
Labs:

Back 32

Sx: chest pain at rest, ST depression
Labs: Cardiac enzymes, Lipid profile, PT /PTT

Front 33

UNSTABLE ANGINA:
Rx:
Tests:

Back 33

Rx: ASA, NGN, Metoprolol,02, Heparin/Pit/Guaiac, Morphine
Tests: EKG, CXR, Echo

Front 34

UNSTABLE ANGINA:
Location:
Follow-up

Back 34

Location: ICU
Follow-up (4wk): Stress test, Angiography (coronary)

Front 35

ASTHMA EXACERBATION:
Labs:
Tests:

Back 35

Labs: ABG, FEV/PEFR (peak expiratory flow rate)
Tests: EKG, CXR

Front 36

ASTHMA EXACERBATION:
Rx:
Location:
Discharge:

Back 36

Rx: Albuterol, methyprednisolone ~> Ipratropium
Location: Ward
Discharge: Beclomethasone (inhaled)

Front 37

BRONCHIOLITIS:
Labs:
Tests:
Rx:

Back 37

Labs: ABG, RSV Antigen
Tests: CXR
Rx: Albuterol, Humidified air, Suction airway, Chest PT, Ribavirin (if resp failure)

Front 38

BRONCHIOLITIS:
Location:
Follow-up:

Back 38

Location: Ward (isolation)
Follow-up: 24hr

Front 39

COPD EXACERBATION:
Labs:
Tests:
Rx:

Back 39

Labs: ABG, PEFR/FEV1
Tests: EKG, CXR
Rx: 02, Albuterol, Ipratropium, Prednisone, Levofloxacin

Front 40

COPD EXACERBATION:
Location:
Follow-up:

Back 40

Location: Ward
Follow-up: Influenza/Pneumococcal vaccinations, Home 02
(if p02<55)