Appendicitis
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Inflammatory disease of the wall of the appendix that may result in
perforation with subsequent peritonitis. Primarily to be the cause of
blockage of the appendiceal lumen p648
Viral conjunctivitis presentation
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• Red eye (from corners inward)
• Excessive watering
• Itching
• Watery discharge
• Photophobia
• Foreign body or "gritty" sensation
, • Begins in one eye and spreads to the other
• Abrupt onset
Bacterial conjunctivitis
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pinkeye; very contagious
• Staphylococcus aureus is the most common
• Red eye (corners inward) and more abrupt than viral
• Generally begins in one eye and spreads to the other within 48 hours
• Blurred vision, crust or matted discharge forming on eyelid overnight
• Early morning glued eyes
• Thick mucoid discharge
• Absence of itching
Cardiac Physical Assessment
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• The heart as a pump (reduced pulse pressure, displaced PMI from fifth
intercostal space midclavicular line, gallop sounds, murmurs)
• Atrial and ventricular filling volumes and pressures (elevated jugular
venous distension, peripheral edema, ascites, crackles, postural changes in
BP)
• Cardiac output (reduced pulse pressure, hypotension, tachycardia,
reduced urine output, lethargy, or disorientation)
• Compensatory mechanisms (peripheral vasoconstriction, tachycardia).
Cholescytitis (gallbladder disease) treatment
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Initial treatment begins with isotonic intravenous rehydration and
correction of electrolyte abnormalities. Oral hydration is contraindicated at
this time.
Antispasmodic and antiemetic drugs are used for uncomplicated
cholelithiasis.
nasogastric tube- for protracted vomiting to decompress the stomach.
IM non-steroidal anti-inflammatory prostaglandin inhibitor (Ketorolac,
tromethamine) is effective for pain
Surgery- biliary lithotripsy or surgical intervention p665
bacterial conjunctivitis tx
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• Antibiotic drops or ointment- Tobramycin, fluoroquinolone trimethoprim-
polymixin B
• Warm compresses frequently
• Teaching should include-changing pillowcases daily, dispose of eye
cosmetics. Do not share towels or handkerchiefs. Good hand hygiene.
Contact lens cleaning and/or disposal.
Appendicitis Clinical Presentation
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periumbilical pain migrating to the right lower quadrant, guarding, rebound
tenderness, abdominal rigidity. Anorexia, nausea and vomiting are common.
change in bowels may be present initially p.648
, Microvascular angina
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Affects mostly women-chest pain occurs in the absence of significant
coronary atherosclerosis or coronary spasm, especially in women
-chest pain is related to myocardial ischemia associated with abnormalities
of the coronary microcirculation
p561
gastric ulcer (PUD)
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is a pathologic, destructive, chronic disorder characterized by ulceration of
the gastric and duodenal mucosa. 2 common causes H.Pylori infection, and
the use of NSAIDS.
PUD is defined as full-thickness defect in the mucosa of the stomach or
duodenum caused by an imbalance both in the amount of acid and pepsin
production and in the ability of the gastric and duodenal lining to protect
itself. p.762
otitis externa Oral antimicrobial therapy
Give this one a try later!
Give this one a try later!
Inflammatory disease of the wall of the appendix that may result in
perforation with subsequent peritonitis. Primarily to be the cause of
blockage of the appendiceal lumen p648
Viral conjunctivitis presentation
Give this one a try later!
• Red eye (from corners inward)
• Excessive watering
• Itching
• Watery discharge
• Photophobia
• Foreign body or "gritty" sensation
, • Begins in one eye and spreads to the other
• Abrupt onset
Bacterial conjunctivitis
Give this one a try later!
pinkeye; very contagious
• Staphylococcus aureus is the most common
• Red eye (corners inward) and more abrupt than viral
• Generally begins in one eye and spreads to the other within 48 hours
• Blurred vision, crust or matted discharge forming on eyelid overnight
• Early morning glued eyes
• Thick mucoid discharge
• Absence of itching
Cardiac Physical Assessment
Give this one a try later!
• The heart as a pump (reduced pulse pressure, displaced PMI from fifth
intercostal space midclavicular line, gallop sounds, murmurs)
• Atrial and ventricular filling volumes and pressures (elevated jugular
venous distension, peripheral edema, ascites, crackles, postural changes in
BP)
• Cardiac output (reduced pulse pressure, hypotension, tachycardia,
reduced urine output, lethargy, or disorientation)
• Compensatory mechanisms (peripheral vasoconstriction, tachycardia).
Cholescytitis (gallbladder disease) treatment
,Give this one a try later!
Initial treatment begins with isotonic intravenous rehydration and
correction of electrolyte abnormalities. Oral hydration is contraindicated at
this time.
Antispasmodic and antiemetic drugs are used for uncomplicated
cholelithiasis.
nasogastric tube- for protracted vomiting to decompress the stomach.
IM non-steroidal anti-inflammatory prostaglandin inhibitor (Ketorolac,
tromethamine) is effective for pain
Surgery- biliary lithotripsy or surgical intervention p665
bacterial conjunctivitis tx
Give this one a try later!
• Antibiotic drops or ointment- Tobramycin, fluoroquinolone trimethoprim-
polymixin B
• Warm compresses frequently
• Teaching should include-changing pillowcases daily, dispose of eye
cosmetics. Do not share towels or handkerchiefs. Good hand hygiene.
Contact lens cleaning and/or disposal.
Appendicitis Clinical Presentation
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periumbilical pain migrating to the right lower quadrant, guarding, rebound
tenderness, abdominal rigidity. Anorexia, nausea and vomiting are common.
change in bowels may be present initially p.648
, Microvascular angina
Give this one a try later!
Affects mostly women-chest pain occurs in the absence of significant
coronary atherosclerosis or coronary spasm, especially in women
-chest pain is related to myocardial ischemia associated with abnormalities
of the coronary microcirculation
p561
gastric ulcer (PUD)
Give this one a try later!
is a pathologic, destructive, chronic disorder characterized by ulceration of
the gastric and duodenal mucosa. 2 common causes H.Pylori infection, and
the use of NSAIDS.
PUD is defined as full-thickness defect in the mucosa of the stomach or
duodenum caused by an imbalance both in the amount of acid and pepsin
production and in the ability of the gastric and duodenal lining to protect
itself. p.762
otitis externa Oral antimicrobial therapy
Give this one a try later!
