Emergency Medicine EOR
2 most sensitive tests for cauda equina in order - ANS-1 Urinary retention (90%)
2 Incontinence
3Ds of pericardial tamponade - ANS-Distant heart sounds
Distended jugular veins
Decreased arterial pressure
5 causes of chest pain that must be considered - ANS-1 Pericarditis
2 ACS
3 Pulmonary embolism
4 Pneumothorax
5 THoracic aneurysm/dissection
A 26-year-old female reports progressive distal to proximal spread of extremity weakness over
the last 36 hours without fever, headache or syncope. Examination reveals symmetrical, paresis
of the hands and feet with loss of the brachioradialis and Achilles reflexes. Biceps and knee
reflexes are present but diminished. Sensory exam is normal. What are the most likely findings
on cerebral spinal fluid (CSF) analysis? - ANS-Normal glucose, normal WBC count and elevated
protein
A 28-year-old female comes to the office with fever, flank pain, and dysuria for the past two
days. Which of the following urinalysis results are suggestive of acute pyelonephritis? -
ANS-White cell casts
A 4-month-old infant is brought to the clinic by his mother with complaints of a cough for the
past 3 weeks. Initially, symptoms included running nose, sneezing and an irritating cough. Over
the past week the cough has changed to persistent staccato, paroxysmal forceful coughs
ending with a loud inspiration. WBC is 20,0000/mcl with 72% lymphocytes. Which of the
following is the drug of choice for managing this patient? - ANS-Azithromycin (Zithromax)
According to SMarty Pance, what is the difference between malignant hypertension vs
hypertensive emergency? - ANS-Malignant hypertension is someone who is also altered (Also
associated with DBP greater than 130 and retinal findings)
Becks triad - ANS-hypotension, JVD, muffled heart sounds
Bouchard's nodes - ANS-Osteoarthritis (PIP swelling 2° to osteophytes)
Budd-Chiari syndrome - ANS-syndrome consisting of hepatomegaly, ascites, and abdominal
pain due to hepatic vein thrombosis
, Cherry red spot is associated with what? - ANS-Central retinal artery occlusion (CRAO)
chest pain tests - ANS-ACS or MI (EKG, troponin)
Pericarditis (EKG, ESR)
CHF (CXR and BNP)
Pneumothorax (CXR and CT)
PE (D-Dimer and CTA)
Thoracic aneurysm (CT aortogram)
Classic pentad of thrombotic thrombocytopenic purpura - ANS-1 CNS abnormalities
2 Renal pathology (Failure)
3 Fever
4 Microangiopathic hemolytic anemia (Petechiae)
5 Thrombocyotpenia
Coombs test - ANS-used to detect antibodies that act against the surface of your red blood
cells. The presence of these antibodies indicates a condition known as hemolytic anemia, in
which your blood does not contain enough red blood cells because they are destroyed
prematurely.
a test for the presence of anti-Rh factor antibodies in the blood (this is often given to pregnant
women that are Rh- to see if they will mount an immune response against the blood of their
fetus)
Definitive dx for stable angina - ANS-Angiography
DRESS syndrome - ANS-Drug Reaction w/ Eosinophilia and Systemic Symptoms (DRESS)
syndrome is a drug-induced condition characterized by:
•Extensive rash
•Fever >38°C
•Lymphadenopathy
•Hematologic abnormalities
•Hepatitis
•Involvement of at least one internal organ
Onset = *2-6 wks* after drug initiation w/ a mortality rate of 10-20%, w/ most fatalities 2/2 *liver
failure*
Tx = supportive, steroids, antihistamines
ASSOCIATED DRUGS: phenytoin, carbamazepine, allopurinal, sulfonamides, antibiotics.
2 most sensitive tests for cauda equina in order - ANS-1 Urinary retention (90%)
2 Incontinence
3Ds of pericardial tamponade - ANS-Distant heart sounds
Distended jugular veins
Decreased arterial pressure
5 causes of chest pain that must be considered - ANS-1 Pericarditis
2 ACS
3 Pulmonary embolism
4 Pneumothorax
5 THoracic aneurysm/dissection
A 26-year-old female reports progressive distal to proximal spread of extremity weakness over
the last 36 hours without fever, headache or syncope. Examination reveals symmetrical, paresis
of the hands and feet with loss of the brachioradialis and Achilles reflexes. Biceps and knee
reflexes are present but diminished. Sensory exam is normal. What are the most likely findings
on cerebral spinal fluid (CSF) analysis? - ANS-Normal glucose, normal WBC count and elevated
protein
A 28-year-old female comes to the office with fever, flank pain, and dysuria for the past two
days. Which of the following urinalysis results are suggestive of acute pyelonephritis? -
ANS-White cell casts
A 4-month-old infant is brought to the clinic by his mother with complaints of a cough for the
past 3 weeks. Initially, symptoms included running nose, sneezing and an irritating cough. Over
the past week the cough has changed to persistent staccato, paroxysmal forceful coughs
ending with a loud inspiration. WBC is 20,0000/mcl with 72% lymphocytes. Which of the
following is the drug of choice for managing this patient? - ANS-Azithromycin (Zithromax)
According to SMarty Pance, what is the difference between malignant hypertension vs
hypertensive emergency? - ANS-Malignant hypertension is someone who is also altered (Also
associated with DBP greater than 130 and retinal findings)
Becks triad - ANS-hypotension, JVD, muffled heart sounds
Bouchard's nodes - ANS-Osteoarthritis (PIP swelling 2° to osteophytes)
Budd-Chiari syndrome - ANS-syndrome consisting of hepatomegaly, ascites, and abdominal
pain due to hepatic vein thrombosis
, Cherry red spot is associated with what? - ANS-Central retinal artery occlusion (CRAO)
chest pain tests - ANS-ACS or MI (EKG, troponin)
Pericarditis (EKG, ESR)
CHF (CXR and BNP)
Pneumothorax (CXR and CT)
PE (D-Dimer and CTA)
Thoracic aneurysm (CT aortogram)
Classic pentad of thrombotic thrombocytopenic purpura - ANS-1 CNS abnormalities
2 Renal pathology (Failure)
3 Fever
4 Microangiopathic hemolytic anemia (Petechiae)
5 Thrombocyotpenia
Coombs test - ANS-used to detect antibodies that act against the surface of your red blood
cells. The presence of these antibodies indicates a condition known as hemolytic anemia, in
which your blood does not contain enough red blood cells because they are destroyed
prematurely.
a test for the presence of anti-Rh factor antibodies in the blood (this is often given to pregnant
women that are Rh- to see if they will mount an immune response against the blood of their
fetus)
Definitive dx for stable angina - ANS-Angiography
DRESS syndrome - ANS-Drug Reaction w/ Eosinophilia and Systemic Symptoms (DRESS)
syndrome is a drug-induced condition characterized by:
•Extensive rash
•Fever >38°C
•Lymphadenopathy
•Hematologic abnormalities
•Hepatitis
•Involvement of at least one internal organ
Onset = *2-6 wks* after drug initiation w/ a mortality rate of 10-20%, w/ most fatalities 2/2 *liver
failure*
Tx = supportive, steroids, antihistamines
ASSOCIATED DRUGS: phenytoin, carbamazepine, allopurinal, sulfonamides, antibiotics.
