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13 Cards in this Set
- Front
- Back
Dx & initial w/u
obese patient with dirty, velvety patch on back of neck |
dx: DM (pathology = acanthosis nigricans)
w/u: glucose & H&P (r/o malignancy) |
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what is the appropriate tx fo HTN in cases of pheochromacytoma
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FIRST: a-Blocker (e.g. pheoxybenzamine, phentolamine)
THEN: B-Blocker |
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What is the classic presentation of a pt with hyperprolactinemia
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galactorrhea/gynecomastia
amenorrhea/decr'd libido infertility (low sperm count)/decr'd libido/impotence |
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Tx of heat stroke
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ABC's
O2 (4L/min) COOLING: ice packs to neck, axilla, & groin continuous fanning & spraying with lukewarm water +/- cold gastric lavage, cooling blankets, cold IVF's IVF's Benzo's (if seizures) |
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why are acetomenophen and NSAIDs ineffective against heat stroke
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hypothalamus is not underlying problem
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after an animal bite when should rabies prophylaxis be used
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if animal cannot be observed for 10 days
or if highly suspected of having rabies |
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EKG finding in hypothermia
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j wave
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What is the tx for black widow spider bite
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antivenin within 30 minutes
benzo's to prevent lactodectism (i.e. muscle spasm) observe pt for 24 hrs consider oral antibiotics if secondary infection |
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underlying problem for hyperthermia that must be corrected
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dehydration
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after appropriate wash out should a dog bite wound be closed
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no
except facial bites (due to low rate of infection b/c well perfused), which should be sutured close |
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Mgmt of skin laceration from human bite
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copious irrigation
leave wound open prophylactic antibiotics |
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which antibiotics are given after human bites
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amoxicillin + clavulanic acid
or clindamycin + levofloxacin or clindamycin + TMP/SMX |
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what rx should be given to a pt with muscle spasms, abdominal stiffness, AMS, & tachycardia due to spider bite
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dx aka "lactodectism"
tx: antivenin (within 30 minutes) & benzo's |