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67 Cards in this Set
- Front
- Back
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tetanus - protection
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if administered within last 10 years
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tetanus - inquire
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after every puncture wound
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closure - primary
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wound closed immediately
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closure - primary types
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sutures
staples glue |
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closure - secondary
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wound left open for 3-5 days then may be closed
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rabies - prophylaxis
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human rabies immunoglobulin 1x
1/2 infiltrated into wound site 1/2 in deltoid |
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rabies - wound
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not to be sutured d/t infxn risk
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wound prep - 6 steps
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anesthesia
hemostasis foreign body removal irrigation debridement abx |
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wound prep - abx
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keflex
augmentin clinda |
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wound prep - debridement
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elliptical excision
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wound prep - hemostasis
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direct pressure
epi - except nose, ear, toes, and penis gel foan |
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anesthetics - esters
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lidocaine
bupivicaine |
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anesthetics - lidocaine
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2-5 min onset
lasts 1-2 hours |
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anesthetics - bupivacaine
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6-7 min onset
lasts 90 min - 6 hours |
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anesthetics - amides
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tetracaine
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digiblock - process
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27 gauge to right and left of digit
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digiblock - drugs
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lidocaine
bupivicaine |
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I&D - process
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clean
sanitize long incision packing |
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zoster - def
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reactivation of latent herpes zoster
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zoster - inc
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20% lifetime
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zoster - and varicella
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similar, but dermatomal
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zoster - prodrome
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pain in affected area for 1-3 days
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zoster - rash
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maculopapular progressing to vesicular
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zoster - ophthalmaticus sx
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slight rash on forehead
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zoster - ophthalmaticus sign
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hutchinson's - lesion on end of nose
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zoster - tx
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valcyclovir
gabapentin or carbamazepine as second line |
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erythema multiforme - def
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acute inflammatory skin dz
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erythema multiforme - clin man
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myalgias
arthralgias |
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erythema multiforme - prodrome
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pruritis and general burning sensation before rash appears
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erythema multiforme - rash
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papules
target lesions ulcerations |
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erythema multiforme - tx
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analgesics
topical steroids burrows solution |
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SJS - def
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extreme form of erythema multiforme
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SJS - tx
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same as erythema multiforme
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TEN - def
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explosive inflammatory skin disease
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TEN - etiologies
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meds
autoimmune chemicals infxns |
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TEN - prodrome
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malaise and URI 1-2 weeks before skin manifestation
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TEN - skin
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warm and tender erythema
bulla |
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TEN - sign
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nikolsky - top layers of skin move away from bottom layers with light pressure
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TEN - causes of death
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hypovolemia and electrolyte imbalances
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TEN - tx
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send to ICU burn unit
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cellulitis - def
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local soft tissue inflammatory response
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cellulitis - lower extremity complicated by
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DVT
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cellulitis - clin man
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localized tenderness
erythema induration |
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cellulitis - tx
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augmentin or clarithromycin
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cellulitis - admits for IV abx
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DM
ETOH bacteremia head or neck |
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cellulitis - IV abx
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ceftriaxone, cephalex
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bee stings - anaphylaxis
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epi pen (1:1000)
H2 steroids albuterol |
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bee sting - tx
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remove stinger
clean wound ice pack |
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brown recluse - tx
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supportive
surgery if necessary |
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hobo spider - tx
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supportive
surgical reconstruction if necessary |
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black widow - tx
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antivenin
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tarantulas - penetration
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not skin, but eyes
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tarantulas - tx
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slit lamp
removal topical steroids |
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bites - human org
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eikenella corrodens
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bites - human consider in
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clenched fist injuries
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bites - human tx general
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irrigation, not soaking
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bites - human closure
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bites to hand leave open
others primary closure |
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bites - human abx
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augmentin
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bites - human if infected
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IV ampicillin sulbactam
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bites - dog inc
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80% of all ites
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bites - dog closure
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open in hands and feet
otherwise primary closure |
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bites - dog rx
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augmentin
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bites - dog if already infected
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IV ampicillin/sulbactam
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bites - cat org
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pasturella multocida
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bites - cat infxn rate
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over 80%
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bites - cat rx
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augmentin or doxy
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bites - cat if already infected
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penicillin DOC
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