Ppal99 Ccs Group2

Front 1

NARCOTIC OVERDOSE: Labs, Tests:

Back 1

Labs: ABG, Cardiac enzymes, EtOH/Urine tox/ Acetaminophen, Blood C&S/UA, Mg/Phos/Glucometer, PT/PTT, Tests: EKG, CXR, Head CT

Front 2

NARCOTIC OVERDOSE: Rx, Location

Back 2

Rx: NG tube suction, Naloxone, Thiamine -> Dextrose 50%, Charcoal (Gastric lavage if needed), Location: ICU

Front 3

PANIC ATTACK:
Sx
Labs:
Tests:

Back 3

palpitations, chest pain, dyspnea
Labs: TSH, β-HCG, UA/ Urine tox, Glucometer
Tests: EKG, CXR

Front 4

PANIC ATTACK:
Rx:
Location:

Back 4

Rx: Alprazolam + Fluoxetine
Location: Office

Front 5

AORTIC DISSECTION:
Sx:
#1
Tests:

Back 5

Sx: sudden severe abdominal/pain radiating to back
#1IVF
Tests: US (abdomen) if stable

Front 6

AORTIC DISSECTION:
Rx:
Labs:

Back 6

Rx: Vascular Surgery Consult (stat, for AAA repair)
Labs: Type x cross, PT /PIT

Front 7

AORTIC DISSECTION:
Pre-op:
Location:

Back 7

Pre-op: Analgesia, Consent, NPO?Foley, UA/ CXR (portable), CBC/CMP, EKG
Location: ER -> OR

Front 8

ATRIAL FIBRILLATION:
Labs:
Tests:

Back 8

Labs: Cardiac enzymes, TSH/Free T4, UA, PT /PTT
Tests: EKG, CXR (FA/Lateral), Echo

Front 9

ATRIAL FIBRILLATION:
Rx:
Location:

Back 9

Rx: Cardizem, Metoprolol (if HR >120), Heparin/Plt/Guaiac
Location: ward

Front 10

CHF EXACERBATION:
Labs
Tests

Back 10

Labs: cardiac enzymes
Tests: EKG,-CXR, Echo, Daily weights

Front 11

CHF EXACERBATION:
Rx:
Location:

Back 11

Rx: ASA,β-blocker, Cholesterol drug, Digoxin, Enalapril, Furosemide/K.Cl ''ABCDEF"
Location: ward

Front 12

COMPLETE HEART BLOCK:
Sx:
Labs:
Tests:

Back 12

Sx: can occur secondary to trauma
Labs: cardiac enzymes, PT /PTT
Tests: EKG, portable CXR, Echo

Front 13

COMPLETE HEART BLOCK:
Rx:
Consult:
Location:

Back 13

Rx: Atropine. (stat),Pacemaker (temp transcutaneous)
Consult: Cardiology
Location: ER -> Cardiac Cath lab

Front 14

HYPERTENSION:
Labs:
test:

Back 14

Labs: TSH, UA, Lipid profile
Tests: EKG

Front 15

HYPERTENSION:
Rx:
Location:

Back 15

Rx: ⇧Fiber/ ⇩Na Diet, Exercise, Meds as appropriate.
Location: Office

Front 16

HYPERTENSIVE EMERGENCY:
Sx:
#1:
Labs: T

Back 16

Sx: diastole > 120
#1: Head CT (⇧ICP or Stroke)
Labs: UA, PT /PTT

Front 17

HYPERTENSIVE EMERGENCY:
Tests:
Rx:

Back 17

Tests: EKG, CXR
Rx: Arterial line, Nitroprusside -> Metoprolol

Front 18

HYPERTENSIVE EMERGENCY:
Follow-up (1 wk):
Location:

Back 18

Follow-up (1 wk): Lipid profile
Location: ICU

Front 19

INFECTIVE ENDOCARDITIS:
Sx:
Labs:
Tests:

Back 19

Sx: splinter hemorrhages, painfulfinger nodes
Labs: Blood C&S, UA/C&S/Urine tox, PT /PTT
Tests: EKG, CXR, Echo

Front 20

INFECTIVE ENDOCARDITIS:
Rx:
Location:
Follow-up (1 wk):

Back 20

Rx: IVF /Central line, Vancomycin+ Gentamycin, Acetaminophen
Location: Ward
Follow-up (1 wk): Hepatitis panel, HIV

Front 21

MYOCARDIAL INFARCTION:
ST
Labs:
Tests:

Back 21

ST elevation
Labs: Cardiac enzymes q8hr x 3, Lipid profile, LFT
Tests: EKG, CXR

Front 22

MYOCARDIAL INFARCTION:
Rx:
Discharge meds:

Back 22

Rx: 02, ASA, Metoprolol, Nitroglycerin, Heparin/Plt/Guaiac,"Morphine
Discharge meds: ASA + Metoprolol + Atorvastatin

Front 23

MYOCARDIAL INFARCTION:
Follow-up:
Location:

Back 23

Follow-up: cardiac Cath (if not improving), Cardiology Consult, Stress test
Location: ward

Front 24

CROHN'S:
Labs:
Tests:

Back 24

Labs: Stool: culture/O&P
Tests: Guaiac

Front 25

CROHN'S:
Rx:
Location:

Back 25

Rx: Colonoscopy, Biopsy (small intestine), GI consult, Mesalamine
Location: Office

Front 26

DIVERTICULITIS:
Sx:
Labs:

Back 26

Sx: RUQ pain
Labs: Amylase/Lipase, Blood culture, UA/C&S
Stool: WBC/Cultute/O&P

Front 27

DIVERTICULITIS:
Tests:
Rx:

Back 27

Tests: EKG, Guaiac, X-ray (abdomen), CT (abdomen)
Rx: Acetaminophen (rectal), Ciprofloxacin/Metronidazole, GI consult

Front 28

DIVERTICULITIS:
Location:
Follow-up (4wk):

Back 28

Location: Ward
Follow-up (4wk): Colonoscopy

Front 29

DIVERTICULOSIS:
Sx:
Labs:

Back 29

Sx: bloody stool
Labs: Type x cross, PT/ PTT, H/H q6h

Front 30

DIVERTICULOSIS:
Tests:
Rx:

Back 30

Tests: Postural vitals (stat), Guaiac, EKG, Anoscopy
Rx: NG, NPO, Polyethylene Glycol, Colonoscopy (GI consult)

Front 31

DIVERTICULOSIS:
Location:
Follow-up (1 wk):

Back 31

Location: Ward
Follow-up (1 wk): high fiber diet, check H/H

Front 32

DUODENAL ULCER (acute)
Sx:
Labs:

Back 32

Sx: vomit blood. black stool
Labs: PT /PTT, Type x match, H/H q6h

Front 33

DUODENAL ULCER (acute)
Tests:
Rx:

Back 33

Tests: EKG, EGD, Biopsy (gastric), GI consult
Rx: NG, Gastric Lavage, Pantoprazole

Front 34

DUODENAL ULCER (acute)
Location:
Follow-up (2wk):

Back 34

Location: ICU
Follow-up (2wk): check H/H

Front 35

DUODENAL ULCER (chronic)
Sx:
Labs:

Back 35

Sx: weakness, SOB
Labs: β-HCG, Fe/Ferritin/TIBC, UA, Type x cross, PT /PTT, H. pylori Ab, Amylase /Lipase

Front 36

DUODENAL ULCER (chronic)
Tests:
Rx:

Back 36

Tests: Guaiac, CXR, EGD, Biopsy (gastric), GI consult
Rx: Fe/Vit C, Omeprazole + Clarithromycin + Amoxicillin (if H. pylori+)

Front 37

DUODENAL ULCER (chronic)
Location: Ward
Follow-up (2wk):

Back 37

Location: Ward
Follow-up (2wk): Urea breath test

Front 38

DUODENAL ULCER
Sx: (perforated):
Labs:

Back 38

Sx: (perforated): free air under diaphragm
Labs: Amylase/Lipase, Type x cross, PT /PTT

Front 39

DUODENAL ULCER
Tests:
Rx:

Back 39

Tests: EKG, X-ray (abdomen)
Rx: NG, Ranitidine, Ampicillin+ Gentamycin + Metronidazole

Front 40

DUODENAL ULCER
Pre-op:
Location:

Back 40

Pre-op: Surgery consult (stat), Analgesia, Consent, NPO, CXR/UA
Location: ICU