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electrical alterans - ..........ANSWER.......Alternating of the
amplitude of the QRS complex from beat to beat. Seen in Cardiac
Tamponade.
reactive hypoglycemia? - ..........ANSWER.......occurs postprandially
most common in pts with prior gastric surgery
ranson criteria - ..........ANSWER.......assess severity of pancreatitis
age >55 yrs
wbc >16,000
glucose >200
LDH >350
AST >250
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after 48hrs
hematocirt decrease >10%
bun increase >5
calcium <8
pao2 <60
base deficit >4
fluid sequestration >6
relative risk equation? - ..........ANSWER.......(a/(a+B)) / (c/(c+d))
unstable pt with SVT? - ..........ANSWER.......IV access followed by
sedation and synchronized cardioversion
less than 5 yrs old with fever, rash with bullae, and positive
nikolskly? - ..........ANSWER.......staph scalded syndrome
triad of chronic pancreatitis? - ..........ANSWER.......diabetes,
steatorrhea, and pancreatic calcifications on CT
exudative effusions critera?
caused by? - ..........ANSWER.......total pleural fluid prot to prot in
serum >0.5
LDH in pleural fluid to serum >0.6
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pleural LDH >2/3 upper limit of normal
caused by leaky blood vessels or impaired lymphatic drainage -
lung CA, tb, pneumonia, trauma, asbestosis
tx for wilson dz? - ..........ANSWER.......penicillamine
how to tx akathisia? - ..........ANSWER.......beta blocker or benzo
osteopenia vs osteoporosis? - ..........ANSWER.......-1 to -2.5 =
osteopenia
below -2.5 = osteoporosis
fever 48 hours postop?
after 5 days? - ..........ANSWER.......phlebitis, UTI, or PNA
wound infxn or surgical space infxn
- dx using CT
viscerosomatic segment for lower GU/GI ?
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transverse colon to rectum, lower ureter to bladder -
..........ANSWER.......T11-T12
tx gastroschiss? - ..........ANSWER.......immediate fluid resuscitation
and urgent surgical replacement
most reliable method for preventing febrile transfusion rxns? -
..........ANSWER.......use tleukocyte washed red blood cells
preventing cluster headaches med? - ..........ANSWER.......verapamil,
prednisone, valproic acid, topiramate, ergotamine
complications of adult polycystic kidney disease? -
..........ANSWER.......intracerebral berry aneurysms, hepatic cysts,
thoracic aortic aneurysms
old person with closed head injury? - ..........ANSWER.......subdural
hematoma
especially w antithrombotic meds
severe vomiting does what to potassium and chloride? -
..........ANSWER.......LOW potassium
LOW chloride