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87 Cards in this Set

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Electrolytes
Na
135-145
Cl
95-05
K
3.5-5
HCO3
22-28
Severe Dehydration
sunken (not flat) fontanelles, 20mL/kg normal saline
Hyponatremia Equasions
[(px Tg -400) / 100] x 1.6 + pt sNa (hyperTG) Hyperglycemic (px glucose - 100_
Hyernatremia with mild dehydration in children
(sNa - 140)/3 = #L D5W1L. D5W for every 3mEq above 140. over 48hrs
Mg
1.5-2
Ca
8.4-10.2
Phosphorus
3.0-4.5
Albumin
3.5-5.5
Total Ptn
6.0-7.8
Corrected Ca
(Nl albumin - Px albumin) x 0.8 + sCa
PTH
230-630
Gases
pH
7.35-7.45
pCO2
33-45
Bicarb
22-28
pO2
75-105
Expected PCO2
HCO3 + 15 (PCO2 < Predicted = loosing PCO2 therefore Respiratory Alkalosis)
Hematological
Erythrocytes
3.5-6.0
Hematocrit
Male 40-50 Female 35-45
Hemoglobin
Male 13.5-17.5 Female 12-16
MCV
80-100
Leukocytes
4500-11000
Neutros
54-62
Lymph
25-33
Monos
3-7
Bands
3-5
Eos
1-3
Reticulocytes
0.5-1.5%
Platelets
150,-400,
PTT
25-40
PT
11-15
BT
2-7min
ESR
0-20
Haptoglobin
40-140 Low think Hemolysis/Drugs, High Inflammation/Steroids
Autoimmune Thrombocytopenia
<40k Steroids, <20k plasmapheresis/IVIg, <10k splenectomy
Hemoglobin A1c
<5% normal px <7%in Diabetic px
Renal
BUN
7-18
Creatine
0.6-1.2
CSF
WBC
<5, <100 Viral-Lymphos, >100 TB-Lymphocyts Bac/Fungal-Neutros (up to 30 is normal in newborns
Pressure
50-180
Glucose
NL and Viral >40, Bacterial consuption <40
Protien
<45, >45 Viral, > 100 Bacterial/Fungal/ TB
Ascites (Transudates/Exudates)
pH
>7.2 <7.2 malignancy/bacteria
Protien
< 2.5g > malignancy/bacteria
SAAG
SerumA - AscitesA >1.1 more Salbumin, think liver cirrhosis like. <1.1 more Aalbumin think malignancy, TB, pancreatic, lymphatic leak, tissue dz.
WBC
<250 (Bacterial PMNs, TB/Lymphoma Lymphocytic)
Glucose
~Serum levels(>50). In Bacterial consumption: <50
Amylase
half serum level, 5x serum perferated vicus or pancreatitis
LDH
LDH equal to 60% of SLDH with high protien look for Malignancy
Synovial Fluid Analysis
WBC count
>1000,000 Septic Arthritis. >2,000 Inflammatory Arthritis <2,000 Osteoarthritis
Crystals
Positive-Pseudogout, Neg-Gout
Glucose
Low in RA and Septic A.
Culture
Borrelia Burgdorfi-Lyme not easily detected.
Heart Pressures / Swan Ganz
normal systemic vascular resistance
~1000-1600 dyne*sec/cm
CVP
3-5cc
RA
0-8
Pulmonary
32-48/16-24
LA PCWP
8-10
LV
140/8-10
Aorta
120/80
systolic RA RV Pul LA LV
RA3-Pul25/10-LA10-LV140/10-A120/80
Atypical Glandular Cells
Endometrial Cancer,<35 with no risk factors- colposcopy, endocervical curretage and HPV DNA testing. Anything else add endometrial biopsy.
Atypical Squamous Cells of Undetermined Significance or Low Grade Intraepithelial Lesion
<21 repeat in a yr. >21 colposcopy-HPV DNA and repeat PAP in 6 mths.
High Grade Anything
immediate colposcopy
CIN1
>21 close observation, pap at 6 and 12mths, HPV 12 mths
CIN 2-3
cryo, lazer, LEEP
CURB 65
Hospitalization for CAPneumonia,
Confusion, PaO2 <60mmHg or <90%. RR >30, BUN >7, >65yo
Lymphnodes Head n Neck
Submental, Submandibular, Tonsillar, Ant Cervical, Posterior Cervical,
Lymph nodes of arm
Supratrochlear: above the medial epicondyle of humerus
Deltoideopectoral gland, pec major and deltoid muscle.
Axillary gland: Para sternum, Lateral or brachical, anterior or pectoral axillary, posterior or subscapular axillary, central or intermediate, medial or subclavian.
Lymph nodes of lower limbs
Superficial inguinal
Deep Inguinal
Popliteal lymph nodes
sneeze, laugh, loss of urine
Stress Incontinence, fallen out bladder neck, loss of bladder angle, tx urethroplexy
gotta go, gotta go, gotta go
Urge Incontinence, overactive detrussor, cystometric examination, unihibitited contractions. Tx anticholinergic to relax detrussor
Overdistended bladder
Overflow, loss with valsalva, dribbling, DM, spinal cord injery, Postvoid residual volume, Tx intermittent self catheterization
Fistula
die into the bladder shows up in vagina
GFR
healthy adult 120ml/min
Filtration Fraction
0.2 or 20%