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random lau 2 points (2020) exam 1
Terms in this set (34)
Pel-ebstein fever is associated with:
pt has chest pain and used cocaine prior to arrival. What medication is contraindicated?
what type is a "silent" MI?
tx for an increase in ICP?
tx for syphilis?
what is EMTALA?
antidumping law enacted to prohibit the refusal of care for indigent and uninsured pts, and to prohibit the transfer of unstable patients
what is used for cardiac arrhythmias?
what does stridor indicate?
upper airway obstruction
what is considered a fever?
temp > 100.3
what is ESI 1?
severely unstable pt, must be stabilized ASAP, most likely admitted
what is ESI 2?
potentially unstable pt, see them within 10 min, usually need labs, meds, and admission
what is ESI 3?
stable pt, should be seen urgently (30 min), need labs, meds, usually discharged
what is ESI 4?
stable pt, may be seen non-urgently, usually need test or procedure, expected to be discharged
what is the best way to tx a bradycardic pt?
what is ESI 5?
stable pt, non-urgent, NO tests or procedures, discharged
what does left atrial enlargement indicate?
what is the gold standard dx for pulmonary embolism?
contrast CT, pulmonary angiogram
what is the triad for walking pneumonia?
bullous myringitis, cold agglutination, hemolytic anemia
what is the Levine sign?
squeezing pain indicated by clenched fist over chest
best dx for rib fracture?
pulmonary embolism cardiac findings
R ventricular S3
what are the 3 I's to differentiate during EKG?
Ischemia - inverted T wave in V5
Infarction - ST elevation in location (if diffuse it is pericarditis)
Injury - Q waves in location (old problem)
what does a new LBBB mean in a patient with chest pain?
what does a new RBBB indicate?
pulmonary issue - MAT (multifocal atrial tachycardia) in pt with COPD
what is the MI with the worst prognosis?
anterior wall aka widow maker
what is the HEART score for?
determining pt risk of MI
what does HEART of the HEART score stand for?
H - history
E - EKG findings
A - age ( > 55 )
R - risk factors
T - troponin
taking temperature orally is the best method for those under the age of:
3 years old
what is corrigan's pulse?
Bounding and forceful pulse with rapid rise and collapse
MC associated with aortic regurgitation
what is the TIMI score?
Thrombolysis In MI
> 65 yo = 1 point
> 3 RF for CAD = 1 point
Use of ASA in last 7 days = 1 point
Known CAD with stenosis > 50% = 1 point
> 1 episode of rest angina in last 24 hours = 1 point
ST segment deviation = 1 point
Elevated cardiac enzymes = 1 point
Score >/= 3 is high risk and should be treated aggressively
What is pulsus paradoxus?
When the BP > 10 mmHg difference on expiration than on inspiration
what is the triad for aortic stenosis?
what is the wells' criteria for?
what are the criteria in the wells' criteria?
cancer, major surgery/bedridden, calf swelling, superficial veins present, entire leg swollen, tenderness along venous system, pitting edema > in symptomatic leg, paralysis/paresis of lower extremity, previous DVT
all worth 1 pt each
>2 = likely have DVT
<2 = unlikely
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