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110 Cards in this Set
- Front
- Back
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what's more important in MI,
time to cath? defib? |
defib
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anion gap
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Na - Cl - Bicarb
nl = 6-12 |
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anion gap metabolic acidosis
acute abd pain nausea decreased bowel sounds |
bowel obstruction
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PPV
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TP/(TP + FP) = A/(A+B)
"you read across like you predict across" |
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when to start warfarin
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at same time as heparin
stop heparin 5 or 6 days later |
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increased testosterone
normal DHEA |
ovarian tumor
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normal testosterone
increased DHEA |
adrenal tumor
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vitamin K is involved in which factors
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II, VII-IX, X, C, S
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nest step in young person presenting only with premature beats
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observation
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most common carcinoma with asbestosis
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bronchogenic carcinoma
mesothelioma |
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bias type involved with "new screening test"
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lead time bias
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urethritis
oligoarthritis conjunctivitis achilles tndon pain mucocutaneous lesions mouth ulcers rx? |
Reiters
NSAIDS |
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Rx for UTI in pregnancy
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amox
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palpable step off in lumbosacral area in a preadolescent child
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spondylolisthesis
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rx for impetigo
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topical mupirocin
iMPetigo |
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bug in impetigo
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GABS or s aureus
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which part of the DTaP vaccine is prblematic
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pertussis
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WBC
temp ESR weight bearing ability for Synovitis vs. septic arthritis |
WBC > 12K
T>102 ESR >40 No wieght |
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renal
focal parenchymal scarring and blunting of calices |
chronic pyelo
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pruritic
erythematous papules all over arms serpiginous brownish raised |
cutaneous larva migrans
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self-limiting lymphadenopathy
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cat scratch disease
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papule at inoculation site
leads to ulceration and lymphadenopathy often a gardener |
sporotrichosis
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bite leads to papule with erythema at the site and severe ulceration evolves
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recluse spider bite
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meaning of positive VDRL
tx? |
syphillis or APS (antiphospholipid)
LMWH in case of APS to prevent miscarriage |
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disease that can lead to nasal polyps
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aspirin exacerbated respiratory disease (AERD)
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what kind of Ddimer result is most useful
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low in a low likelihood patient
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diet modification for Meniere's
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decreased alcohol
caffeine nicotine salt |
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key feature of hpatorenal
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decreased urine production (NOT proteinuria)
"there's no U in hepato renal" which is lacking Urine |
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palpable kidneys
pain hematuria hypertension |
polycystic kidney disease
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vertigo
ear fulness tinnitus decreased hearing |
meniere's disease
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chronic
diarrhea psoriasis pulmonary infections piting edema of LE hepatomegaly palpable idney S4 4+ proteinuria normal urinary sediment |
secondary amyloidosis
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sodium 115
K 3.7 bicarb 22 BUN 10 in a patient with likely lung pathology |
SIADH
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SVT Rx?
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adenosine
RF Cath ablation= most effective |
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multifocal atrial tachycardia in?
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COPD
avoid beta blockers which are bad for COPD |
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wide complex tachycardia
next step unstalbe? |
amiodarone (lidocaine, procainamide)
+ mag shock |
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RBBB
where are there tall R waves |
V1 V2
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mid clavicular fracture
1st step? |
angiogram to assess subclavian artery and brachial plexus
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unrestrained driver
IVF were given hypoxia and respiratory distress a few hours later respiratory alkalosis |
pulmonary contusion
respiratory alkalosis is driven by hypoxia IVF made it worse |
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lag time for fat embolism
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12-72 hours
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obliteration of aortic knob shadow
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aortic rupture
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tetanus in someon with >=4 doses and one within last 10 years
for major wound for minor wound |
minor none
major - give toxoid if < 5 years ago |
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where is lesion:
CN involvement sensory loss 1/2 of face contralateral body |
brainstem
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where is lesion?
sensory loss 1/2 of face same side of body |
thalamus
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where is lesion?
aphasia neglect graphesthesia sterognosis |
cortex
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where is lesion
tongue deviation to injured side contralateral paralysis of arm and leg contralateral loss of tactile, vibration, position |
vertegral artery injury leading to medial medullary syndrome
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where is the lesion?
ipsi limb ataxi contra eye deviation contra paralysis of face, arm, leg impairment of touch, position |
lateral pons lesion leading to lateral midpontine syndrome
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ipsi Horner
contra decreased P&T decreased pain and temp on face weakness of palate, pharynx, vocal cords cerebellar ataxia |
Wallenberg syndrome
lateral medulla |
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where is the lesion?
oculomotor paresis CNIII abnormalities cerebellar ataxia contralateral hemiplegia |
central midbraind
benedikt's claude's nothnagel's parinaud's syndromes |
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what persists in brain death
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DTR
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key recommendation after a fetal demise
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autopsy
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urinary retention after epidural tx?
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intermittent cath
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pregnant woman diagnosed with Hep C. Recommendation
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A&B vaccines
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can mothers with Hep C breastfeed? deliver vaginally
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yes and yes
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rx for AV node heart block
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adenosine
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low CD 19+ lymphocytes
tx? |
Bruton's agammaglobulinemia
B lymphocytes involved tx = IVIG |
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liver failure pt
failed thoracentesis pleural effusion noted failure of diuretics low salt tx? |
TIPS
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Tx for Goodpastures
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immediate plasmapharesis
"pastures plasmapharesis" |
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tx for Wegners
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cyclophosphamide and steroids
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2 weeks of hemoptysis
breathing difficulty ankle edema dark urine UA dysmorphic RBCs mod proteinuria red cell casts CXR b/l alveolar infiltrates |
Goodpastures
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early in life
polyuria polydipsia growth MR hypokalemia metabolic alkalosis normotenisve diagnosis? mechanism? |
Bartters
defective na/Cl reabsorb in TAL leads to hypovolemia RAAS activation Increased excretion of K, H decreased K, H alkalosis |
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hypertension
metabolic alkalosis hypokalemia if PRA suppressed and PA elevated if PRA and PA elevated differential |
primary hyperaldo
renin secreting tumor primary hyperaldo renin secreting tumor |
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how does COPD lead to lower extremity edema
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long chain leading to hepatojugular reflex
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mechanism fo action of hyperventilation in head injury patient
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vasoconstriction leading to decreased cerebral blood flow
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mild or severe pre eclampsia?
150/90 mild edema 2+ proteinuria |
mild
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lower back and leg painposture dependent symptoms
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spinal stenosis
2/2 vertebral degenerative disease =neurogenic claudication |
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back pain worse when sitting
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herniated disk
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tx for hypercalcemia
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nl saline fluid resuscitation
then loo then calcitonin then dialysis |
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bad side effect of isotretonin
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pseudotumor
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kid with ingestion
with opacities seen in stomach and duodenum |
iron
corrosive effect |
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lethargy
fever hyperpnea vomiting tinnitus metabolic acidosis |
aspirin overdose
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tx for loss of csness after crying/breath holding
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reassurance
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child acidoditc
hypokalemic elevated urinary pH nephrolithiasis |
type I distal RTA
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child with hyperkalemia
increased Cl acidosis cause? |
Type IV RTA
causes: obstructive uropathy renal disease multicystic dysplastic kidney |
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pneumonia after the flu treated with oseltamivir
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post-flu staph aureus pna
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foul smelling breath and neck pain
diagnosis? |
encker's diverticulum
contrast esophagram |
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low grade fever with increased WBC
after delivery with bleeding |
reassurance
bleeding = lochia |
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foul smelling lochia after delivery
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suspect endometritis
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sensitivity
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negative really negative
snout |
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specificity
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pos really pos
spin |
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spells of vomiting in a child with f hx of migraine
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cyclic vomiting
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risk of getting the disease
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A/(A+C)
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gynecomastia in a pubertal boy
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ok
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bug for guilaain Barre
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campylobacter
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tx for aortic dissectin
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labetolol
surgery |
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tx for leg cellulitis with systemic signs
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IV nafcillin or cefazolin
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intermittent bloody discharge from 1 nipple
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intraductal paapilloma
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rx that limits remodeling after MI
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ACE
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congenital infection
jaundice hepatosplenomegaly LAD hydrocephalus chorioretinitis microcephaly hsmegaly cerebral calcifications |
toxo
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congenital infection:
intermittent fever osteititis mucocutaneous lesions LAD hsmegaly persistent rhinits |
syphilis
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congential infection
microcephaly microphthalmia meningoencephalitis sensorineural deafness cardiac defects cataracts |
rubella
"not hearing and seeing can make you rube, i mean rude" |
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congenital infection
encephalitis disseminated disease |
herpes
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leukemias:
increased blasts |
ALL
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leukemias:
mature, small lumphocytes |
CLL
cute little lymphocytes in old people |
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leukemias:
leukocytosis basophilia splenomegaly |
CML
in adults |
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leukemias:
normal smears reed steinberg cells on lymph node biopsy |
hodgkins
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leukemias:
leukocytosis with variant leukocytes vacuolated convoluted nuclei |
EBV
"EVBacuolated" |
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mild jaundice with increased conjugated
worse in pregnancy in a sephardic jew |
Dubin Johnsons
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black liver
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Dubin Johnoson
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narrow QRS
progressive increase in PR until beat dropped |
motbitz I, 2nd degree (because some beats dropped)
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normal PR
dropped QRS |
Mobitz II
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no p waves; irregularly irregular
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a fib
the whole things a fib |
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prolonged PR
no dropped beats |
1st degree heart block
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effect of digoxin on EKG
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mobitz I, Digox "un"
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most likely bug in a septic arthritis of an artifical joint
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staph aureus
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acute onset of respiratory distress in the setting of a predisposing condition (sepsis, pna, etc)
PaOs/FiOs <200 bilateral infiltrates on XR normal PCWP |
ARDS
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PaO2/FIO2 in ARDS
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<200
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saw tooth EKG pattern
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a flutter
I saw her and my heart went a flutter! |
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how is rate determined in A flutter
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AV node conduction
2:1, 3:1 or 4:1 block can occur |
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Winter's formula
what does it tell us |
PaCO2 - 1.5 (bicarb) +8
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GI d/o that usually involves rectum?
mouth ulcers? |
UC
Crohns |
