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52 Cards in this Set
- Front
- Back
Esophageal Varices |
Painless GI bleeding |
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Gastritis |
Epigastric pain, belching, indigestion. |
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Peptic Ulcer disease |
Epigastric/LU quadrant pain |
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Diverticulitis |
Inflamed pouches of large intestine, left-sided quadrant pain, fever, vomiting, anorexia, tenderness. |
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Bleeding Diverticulitis |
Left-sided abdominal pain+painless rectal bleeding |
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Appendicitis |
RL quadrant pain, nausea, vomiting, fever, anorexia. Guarding, rebound tenderness, rigidity. Treat for shock, transport. |
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Perforated abdominal viscus |
Widespread peritonitis, sudden onset pain, generalized tenderness with rebound and maybe rigidity. |
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Bowel obstruction |
Progressive anorexia, abdominal bloating, diffuse ab pain, nausea, fever, vomiting, chills. |
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Upper GI hemorrhage |
Hematemesis, dark stools, frequent diarrhea, hypotension. Give O2, transport. |
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Lower GI hemorrhage |
Rectal bleeding, increased stool frequency, crampy diffuse pain, hypotension. |
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Pancreatitis |
Sudden onset miabdominal pain, radiates to back/shoulders. Nausea, vomiting. |
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Cholecystitis |
Gallbladder inflammation, UR quadrant, worsened by meals. |
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Hepatitis |
Dull RU quadrant tenderness, decreased appetite, jaundice. |
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Aortic aneurysm |
Diffuse abdominal pain, severe back pain, tearing sensation if Dissecting aortic aneurysm. BP different between arms. |
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Kidney stones |
Excruciating flank pain, difficulty urinating, hematuria, nausea, vomiting. |
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Urinary tract infection (UTI) |
Fever, flank pain, chills, dysuria, lower abdominal pain during urination. |
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Pyelonephritis |
(Kidneys)Febrile, lower back/flank pain, chills. |
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Acute renal failure |
(Kidneys) Severe dyspnea, JVD, ascites, rales at lung bases. |
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Pelvic inflammatory disease (PID) |
Lower abdominal pain, pain during movement, vaginal discharge, fever, chills. |
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Ovarian cyst |
Lower abdominal pain...vague :I |
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Ectopic pregnancy |
Lower abdominal pain on either side, vaginal bleeding, weak pulse, pallor. Oxygen, treat for shock, rapid transport. |
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Eclampsia |
Hypertension, headaches, abdominal pain, seizures. During pregnancy. Transport left lateral recumbent. |
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Preeclampsia |
Hypertension, headaches, abdominal pain. During pregnancy. Transport left lateral recumbent. |
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Stages of Hypothermia |
Early: Rapid RR, tachycardia, red shivering skin. Late: Slow RR, bradycardia, skin goes pale, cyanotic, then stiff. Shivering stops, as does other muscle functions. Treatment: Do not let them drink. |
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Heat emergency |
Early: Pale, moist skin, normal to cool skin temperature. Late: Hot, dry skin. Treatment for both: Remove to cool environment, remove clothing, provide oxygen, cool with fanning, transport. |
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Stages of stress |
Alarm, resistance, exhaustion (Exhaustion most likely to see violent response) |
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Abruptio placenta |
Mild-moderate vaginal bleeding, sharp abdominal pain, rigid tender uterus, hypovolemia. Third trimester pain=abruptio placenta, unless proven otherwise! Treat for hypovolemia, transport left lateral recumbent. |
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Placenta previa |
Painless vaginal bleeding, soft, nontender uterus, hypovolemia. Oxygen, left lateral recumbent, treat hypovolemia, tranposrt. |
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Uterine rupture |
Tearing abdominal pain, hypovolemic shock, rigid abdomen. Oxygen, treat shock. |
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Factors of APGAR |
HR: Absent, <100, >100 Respiratory effort: Absent, slow/irr, good/crying Muscle tone: Limp, flexion, active motion Reflex irritability: None, grimace, cough/cry Color: Blue, pink body, all pink. |
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Compensated Shock |
Decreased blood flow to skin, GI, etc. Increased HR, RR, altered mental status. |
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Decompensated Shock |
BP begins to fall, increased capillary refill time, pallor, big increase in HR, thready pulse, agitation. |
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Hypovolemic shock |
Can be caused by diabetic ketoacidosis (not enough insulin). Cool, diaphoretic, tachycardic, low BP, cyanosis. Control bleeding if possible. Place in trendelenberg, transport. |
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Melena |
Black, tarry stool |
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Hemoptysis |
Coughing up blood |
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Cardiogenic shock |
From severe left ventricular failure, (Acute myocardial infarction or congestive heart failure). Suspect if no MOI. Do NOT place in Trendelenburg. Nitro, Fowler. |
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Acute Myocardial Infarction |
Gradual onset chest pain, radiating to lower jaw, arms, abdomen, back. Irregular pulse, syncope. Dyspnea, pink/frothy sputum (possibly pulmonary edema). |
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Congestive Heart Failure |
Respiratory distress, anxious, cool diaphoretic skin, hypertension, JVD. Use CPAP, nitro. |
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Angina Pectoris |
Can be gradual onset of chest pain, with radiation. Alleviated by oxygen, nitro. |
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Neurogenic shock |
Widespread vasodialation, c-spine or high thoracic injury. Bradycardia below injury point, low BP. Jaw-thrust, stabilize, oxygen, Trendelenburg. |
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Septic shock |
Warm skin, tachycardia, low BP. Oxygen, Trendelenburg. |
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Anaphylactic shock |
Vasodialation, edema, coma, burning skin. Epinephrine, oxygen, transport. |
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Psychogenic shock |
Tachycardia, normal/lowBP. |
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Obstructive Shock |
From Tension pneumothorax or cardiac tamponade. Dsypnea, tachycardia, unilateral decreased/absent breath sounds, hypotension, JVD, subcutaneous emphysema, tracheal deviation. |
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Partial/Superficial burn |
Superficial: Epidermis only Partial: Epidermis & Dermis |
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Critical Burn |
Full thickness burns more than 30% of BSA. Moderate burns in young or elderly. Burns encompassing all of body part. |
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Moderate burn |
Full-thickness burns 2-10% of BSA, partial 15-30%, superficial >50% |
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Minor burn |
Full thickness <2%, partial <15% |
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TBI |
Unequal pupil size, neurologic disability, CSF leakage |
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Cerebral herniation |
Unconcsious, unresponsive, dilated pupils, no reaction to light, irregular pulse. |
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Meninges |
Protective covering of brain: Dura, Arachnoid, Pia (outside to inside) |
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Cushing reflex |
As ICP increases, pulse drops |