Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
13 Cards in this Set
- Front
- Back
|
Dx & initial w/u
obese patient with dirty, velvety patch on back of neck |
dx: DM (pathology = acanthosis nigricans)
w/u: glucose & H&P (r/o malignancy) |
|
|
what is the appropriate tx fo HTN in cases of pheochromacytoma
|
FIRST: a-Blocker (e.g. pheoxybenzamine, phentolamine)
THEN: B-Blocker |
|
|
What is the classic presentation of a pt with hyperprolactinemia
|
galactorrhea/gynecomastia
amenorrhea/decr'd libido infertility (low sperm count)/decr'd libido/impotence |
|
|
Tx of heat stroke
|
ABC's
O2 (4L/min) COOLING: ice packs to neck, axilla, & groin continuous fanning & spraying with lukewarm water +/- cold gastric lavage, cooling blankets, cold IVF's IVF's Benzo's (if seizures) |
|
|
why are acetomenophen and NSAIDs ineffective against heat stroke
|
hypothalamus is not underlying problem
|
|
|
after an animal bite when should rabies prophylaxis be used
|
if animal cannot be observed for 10 days
or if highly suspected of having rabies |
|
|
EKG finding in hypothermia
|
j wave
|
|
|
What is the tx for black widow spider bite
|
antivenin within 30 minutes
benzo's to prevent lactodectism (i.e. muscle spasm) observe pt for 24 hrs consider oral antibiotics if secondary infection |
|
|
underlying problem for hyperthermia that must be corrected
|
dehydration
|
|
|
after appropriate wash out should a dog bite wound be closed
|
no
except facial bites (due to low rate of infection b/c well perfused), which should be sutured close |
|
|
Mgmt of skin laceration from human bite
|
copious irrigation
leave wound open prophylactic antibiotics |
|
|
which antibiotics are given after human bites
|
amoxicillin + clavulanic acid
or clindamycin + levofloxacin or clindamycin + TMP/SMX |
|
|
what rx should be given to a pt with muscle spasms, abdominal stiffness, AMS, & tachycardia due to spider bite
|
dx aka "lactodectism"
tx: antivenin (within 30 minutes) & benzo's |
