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1. Iron Toxicity Treat- Chelating agent (Deferoxamine) and ICU admit
ment
2. Mobitz Type II 2nd de- Acute: admit for continuous cardiac monitoring and further workup (even
gree AV block Treat- if HDS)
ment Definitively: pacemaker
3. ARDS risk factors Direct Lung Injury(Aspiration, Pneumonia, Chest Trauma, Embolism, Near
Drowning) or
Indirect Lung Injury (Sepsis, Massive trauma, Acute pancreatitis, anaphy-
laxis, DIC, multiple blood transfusions, Severe head injury, Shock states)
4. ARDS - criteria for di- -Respiratory sxs onset <1 week of known clinical insult OR new or worsen-
agnosis ing Sxs in past 1 week
-CXR or CT shows BL opacities consistent with pulmonary edema
-Respiratory failure not explained by HF/fluid overload
5. ARDS severity Berlin Criteria for ARDS:
(oxygenation: Decreased PaO2:FiO2 on PEEP e
5)
Mild: 200-300
Moderate: 100-200
Severe: d
100
6. Necrotizing soft tissue Clostridium (freshwater)
infection causes Vibrio (seawater)
7. Erythema multiforme HSV
rash cause Mycoplasma
Sulfonamides
Penicillins
Barbituates
Phenytoin
Lupus
1/5
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Hepatitis
Lymphoma
common drug causes: SOAPS
8. DKA anion gap treat- IV insulin
ment NS infusion for dehydration
9. Most sensitive H&P/PE Urinary retention (followed by incontinence)
finding in Cauda others include: bowel dysfunction, saddle anesthesia, flaccid LE, loss of
Equina DTRs, loss of rectal tone
10. Aspiration PNA tx Ampicillin-Sulbactam (Unasyn) or ceftriaxone&metronidazole
Aspiration PNA RFs: intox, anesthesia, seziure, dementia, brain injury (think
pukers)
11. rule of nines
12. parkland formula for % BSA x weight (kg) x 4
burns (excludes 1st de-
gree burns) give 1/2 fluids in first 8 hours.
remaining 1/2 in last 16 hours.
13. LP: Opening pressure Patient in lateral recumbent: 10-18 mm H2O
What do I send the CSF for?
1. CBC with differential
2. Glucose
3. Protein
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