CDEM M4 Curriculum Comprehensive Review Exams_ Answered 2022/2023.

CDEM M4 Curriculum Comprehensive Review Exams_ Answered 2022/2023. how many pts with aortic dissection have normal CXR? ()>>40% initial actions in abdominal pain patients? ()>>UPT, blood products for hemorrhage, abx, bedside ultrasound, immediate surgical consult if unstable or rigid abdomen, analgesia hemodynamic instability and abdominal pain should alert you to... ()>>possible AAA, hemorrhage, sepsis, perforated viscus, necrotic bowel - think bowel edema or fluid placing pressure on IVC and splinting breathing hemodynamic instability and abdominal pain immediate actions... ()>>consult surgery, 2 PIV large bores, NS bolus, O2, monitors, type and cross (give type O if needed) differential for life/organ threatening abdominal pain: ()>>Infectious: sepsis GI: biliary, appendicitis, SBO, perforated bowel, mesenteric ischemia, pancreatitis, diverticulitis GU: PID, tubo-ovarian abscess, testicular/ovarian torsion, ectopic pregnancy CV: AAA, dissection, schemia, CAS initial actions in patient presenting with AMS? ()>>ABCDE-G: - airway: visual check, pulse O2, O2 prn - breathing - RR (i.e. narcan?), ventilation (BVM?) - circulation - rhythm monitor vs EKG, BP, pulses, fluids, PIV access - disability - GCS, neuro deficits, pupils, trauma, pain (imaging?) - exposure - undress, trauma, patches, PIC or dialysis access, petechiae, bruising - GLUCOSE