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31 Cards in this Set
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- 3rd side (hint)
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afib in RVR in post op patient with no cardiac history, next step? |
Synch cardioversion. |
Afib can happen in post op patient regardless of fluid overload or dehydration |
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Phenylephrine effect on HR? |
No effect, because no beta rc action. |
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Out of milirone, phenylephrine, dobutamine, and dopamine, which one does not raise CO? |
Phenylephrine |
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Neurogenic shock means SVR and CO is low or high? |
Low |
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Post op of patient with perforated bowel and peritonitis, returns after Hartman procedure. Patient just hypotensive and tachycardic. Do fluid resustation with albumin and what medication? |
Norepinephrine because patient had persistent septic shock |
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Patient has recent steroid use hx, and refractory hypotension, so diagnosis? |
Adrenal insufficiency |
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Liver metastases are best visualized by what? |
Transabdominal ultrasound |
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When do you resection the colon cancer mets in liver without transplant? |
Single lesion less than 5cm, or 3 lesions less than 3cm |
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Hepatic adenoma, due to OC, has Kupffer cells, so how does this effect it's imagining? |
Kupffer cells don't take up the radioisotope so it looks hypodense |
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Sole indication to delay insulin therapy in DKA patient? |
Hypokalemia K+ <3.3. Only give insulin once K+ is >3.5 |
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Projectile vomiting, is it seen with malrotation of midgut? |
No, only pyloric stenosis and upwards have projectile. Below that, there is non-projectile bilious vomiting. |
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Abdominal compartment symptom develops in a patient with liver injury, what do you do next? |
Greater than 25 abdominal pressure is immediate indication to go into the OR |
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Hypoglycemic 34 yr old M presents with 50 blood glucose. The diagnosis is confirmed by? |
Insulinoma - insulin/glucose ratio is elevated |
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Most common presentation of branchial anomaly in adolescents? |
Cystic mass |
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Chronic enteric blood loss from an area within a hiatal hernia is called? |
Cameron's lesion |
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Prolonged nasogastric suction has what acid profile? |
Metabolic alkalosis |
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Successful biliary anastomosis depends mostly on hepatic arterial supply after liver transplant, True or False? |
True. It depends on the blood not on things like length of the ducts available in receipt. |
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Most common complication following pulmonary contusion? |
Pneumonia |
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5 yr M comes in with acute torticollis, he recently had a surgery, what was it for? |
Tonsillectomy |
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Hyposplenic functioning newborn should be given what? |
Prophylactic antibiotics against encapsulated bacteria. They cannot be given vaccines as they won't be able to mount a response. |
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Hypercalcemia >14 in a patient with palpable thyroid nodule is? |
Parathyroid carcinoma until proven otherwise |
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What is parathyromatosis? |
Hyperfunctioning parathyroid tissues scattered throughout the neck, is a rare cause of recurrent hyperparathyroidism. May not always have uptake on iodine scan. |
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What is hungry bone syndrome? |
After parathyroidectomy of patient with severe primary hyperparathyroidism with high bone turnover, patient has severe hypocalcemia, hypomagnesemia and hypophosphatemia |
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TRALI treatment? |
Supportive, entails mech vent with small tidal volumes. Self resolves in 2-8 days. Compared to ARDS, this has normal PCWP |
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Anterior compartment syndrome of lower extremity lower half, fasciotomy is done how? |
Open all 4 compartments regardless of which compartment is affected, with 2 incisions on medial and lateral, each opening 2 compartments. |
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In abdominal compartment syndrome what happens to CVP? |
Central venous pressure is decreased. Leads to reduced CO and increased PCWP. |
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Uterus is protected by bony pelvis until what trimester? |
Until 3rd trimester. 1st and 2nd are protected. |
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Blood loss volume and corresponding haemorrhagic shock class? |
Love - 1 15 - 2 30 - 3 40 - 4 |
Tennis scores |
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Splenic injury grading: |
1- less than 1cm and <10% hematoma 2- less than 2cm and 10-50% 3- more than 3cm and >50% or ruptured 4- segmental hilar or >25% devascularized 5- complete hilar or shattered spleen |
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What is a positive DPL RBC count? |
>10,000 RBC >500 WBC Or >10 cc gross blood |
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Areas to look for a FAST: |
Splenic, pericardial window, pouch of Morrison (hepatic), and pouch of Douglas (bladder). |
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