Narrow AG
''HARDUPS''
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, Hyperventilation
Acetazolamide, acids, Addison disease
Renal tubular acidosis
Diarrhea
Ureterosigmoidostomy
Pancreatic fistula
Saline
Active external rewarming technigues
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• Bath immersion at 40◦C
• Hot water bottles
• Heating pads
• Forced-air warming systems (Bair Hugger)
RX AFTERWOUND CLOSURE
Consider immunization against:
1. Td
2. Rabies (see Bites, Animal/Insects)
3. Prophylactic Abx for:
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• Deep puncture wounds of the hands or feet
• Delay in irrigation and debridement
• Heavily contaminated wounds and those contaminated with pus, saliva, or
vaginal secretions
• Immunocompromised host or presence of prosthetic joints
• High-risk animal bites and all cat bites
,L4
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Medial calf
Dorsiflexion of foot
Diffuse Axonal Injury
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Shearing of axons due to deceleration or rotational forces about the brain
In the deep white matter and midbrain
CT may initially be normal. Evolves to show loss of gray-white interface
and/or multiple small hemorrhages
Diagnostic Tests in Determining Brain Death
• Apnea test
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preoxygenate the patient; discontinue mechanical ventilation but deliver
100% O2 through
ETT. Observe for ventilatory effort. Test is complete when: ABGs show pH ≤
7.28, PaCO2 ≥60 mm Hg,
and a PaCO2 ≥20 mm Hg from baseline
TCAs
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Amitriptyline, doxepin
S1
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Lateral aspect of foot
Planter flexion of foot
Ankle jerk (D), Babinski (S)
Presentation of Acute Aortic Rupture
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• Chest or midscapular pain
• Dyspnea
• Hoarseness
• Dysphagia
May be asymptomatic
FAST
Assesses for free fluid in four
areas
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''HARDUPS''
Give this one a try later!
, Hyperventilation
Acetazolamide, acids, Addison disease
Renal tubular acidosis
Diarrhea
Ureterosigmoidostomy
Pancreatic fistula
Saline
Active external rewarming technigues
Give this one a try later!
• Bath immersion at 40◦C
• Hot water bottles
• Heating pads
• Forced-air warming systems (Bair Hugger)
RX AFTERWOUND CLOSURE
Consider immunization against:
1. Td
2. Rabies (see Bites, Animal/Insects)
3. Prophylactic Abx for:
Give this one a try later!
• Deep puncture wounds of the hands or feet
• Delay in irrigation and debridement
• Heavily contaminated wounds and those contaminated with pus, saliva, or
vaginal secretions
• Immunocompromised host or presence of prosthetic joints
• High-risk animal bites and all cat bites
,L4
Give this one a try later!
Medial calf
Dorsiflexion of foot
Diffuse Axonal Injury
Give this one a try later!
Shearing of axons due to deceleration or rotational forces about the brain
In the deep white matter and midbrain
CT may initially be normal. Evolves to show loss of gray-white interface
and/or multiple small hemorrhages
Diagnostic Tests in Determining Brain Death
• Apnea test
Give this one a try later!
preoxygenate the patient; discontinue mechanical ventilation but deliver
100% O2 through
ETT. Observe for ventilatory effort. Test is complete when: ABGs show pH ≤
7.28, PaCO2 ≥60 mm Hg,
and a PaCO2 ≥20 mm Hg from baseline
TCAs
, Give this one a try later!
Amitriptyline, doxepin
S1
Give this one a try later!
Lateral aspect of foot
Planter flexion of foot
Ankle jerk (D), Babinski (S)
Presentation of Acute Aortic Rupture
Give this one a try later!
• Chest or midscapular pain
• Dyspnea
• Hoarseness
• Dysphagia
May be asymptomatic
FAST
Assesses for free fluid in four
areas
Give this one a try later!
