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22 Cards in this Set
- Front
- Back
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What is the hungry bone syndrome?
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Relative hypocalcemia after removal of parathyroid adenoma; seen 2-4 days after the sx
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What should be considered in a patient w/ sudden onset of hyperglycemia while on TPN?
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Sepsis
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what is the most important risk factor in developing osteoparosis?
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Age
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How should the pt w/ reflex sympathetic dystrophy (Complex regional Pain syndrome Type I) be tx in the first 3 months?
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by pharmacologic sympathetic blockade with oral phenoxybenzamine or sympathectomy
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What is more important to do an ECHO on emboli or histology?
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Histo :o)
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What test should be ordered on the pt w/ scaphoid fx if X-ray is negative?
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CT
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What is the most common complication of scaphoid fx?
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Nonunion
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When should you repair the inguinal hernia in young pts?
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ASAP, because intestinal strangulation is very common in the first few months.
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What knee ligament is most commonly injured in the pt who was in the car accident and had a "dashboard" injury?
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Posterior cruciate ligament
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What should be done to a pt w/ recent intubation and suspected pneumothorax?
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First check the tube placement
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Which patient are at risk for morphine narcosis (2)?
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naive and pt w/ renal insuficiency (chronic renal failure)
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What should be the follow-up procedure in pt. w/ PAC-in situ found on TURP?
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Radical prostatectomy + LNDx
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How should the animal bite wound be closed if it involves extremities? face?
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If extremities, just leave the wound open, if face - by primary wound closure
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What should be done in a pt with significant physical findings in case of suspected scrotal hematoma?
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Don't wait/do ultrasound, because it can be still negative. What is important to do is surgical exploration.
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What findings are seen in flail chest (5) - explain color/breathing patterns/cardiac rhythm?
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secondary to rib fractures in which you would have a pt w/ peripheral cyanosis, chest bruising, tachypnea, shallow breathing, and tachycardia
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What is the most common complication of perfed appendix in pregnant woman?
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Pylephlebitis (inf of renal portal vein)
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What shoulder fractures require ORIF instead of figure eight brace?
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Compound fracture, distal comminuted or severy displaced
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What should be done in pts w/ electical injury (i.e. lightning) if they do not respond to CPR?
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Epinephrine and NOT defib because pt might be in asystole; if epinephrine is inaffective, then use atropine
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How should you tx pulmonary contusion?
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By observation in the hospital for 24-48 hours.
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What will be found in the pt w/ complete Achilles tear when doing calf muscle compression?
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No foot movement.
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Should you give a tetanus profy to pt w/ animal bite?
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Yes give both toxoid and immune globulin if no recent vaccination
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What should you consider in the elderly pt w/ elevated amylase, but normal lipase and abdominal pain w/ vomiting?
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Acute mesenteric ischemia, which also can have inc amylase, LDH, alk phos
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