Term
| What is the medical term for hiccups? |
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Definition
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Term
| What are hiccups that last longer than 48 hrs? |
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Definition
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Term
| What are hiccups that last longer than 1 mo? |
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Definition
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Term
| Hiccups occur due to afferent stimulation from what nn? |
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Definition
| phrenic, vagus, and t6-t12 sympathetic fibers |
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Term
| Where is central integration theorized to occur w/singultus? |
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Definition
| either between c3-c5, the brainstem, or the midbrain |
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Term
| What is the efferent limb of singultus? |
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Definition
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Term
| What is the incidence of singultus? gender? gender for protracted and intractable? age? age for intractable? |
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Definition
| m=f. protracted and intractable occur more often in m (82%). occur less frequently in advanced age. intractable occur more commonly in adult yrs. |
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Term
| What are 6 categories for causes of singultus? |
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Definition
| psychogenic, cns, metabolic, vagal n stimulation, surgical, drugs |
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Term
| What cause of singultus involves hysteria, shock, fear, personality disorders, conversion disorders, malingering |
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Definition
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Term
| What is most important for determining cause of singultus? |
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Definition
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Term
| What cause of singultus involves neoplasms, trauma, infection, cva? |
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Definition
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Term
| What cause of singultus involves hyponatremia, hypokalemia, hypocalcemia, hyperglycemia, uremia, hypocarbia, fever? |
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Definition
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Term
| What cause of singultus involves meningitis, foreign body in ear, pharyngitis, neoplasms, esophagitis, pancreatitis? |
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Definition
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Term
| What cause of singultus involves benzodiazepines, shortacting barbituates, dexamethasone, alpha methyldopa |
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Definition
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Term
| What are 4 complications of singultus? |
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Definition
| arrhythmia, ge reflux, sleep disturbance, weight loss |
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Term
| What should a pe workup for singultus include? |
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Definition
| complete neuro exam. heent. pulmonary. cv. ab |
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Term
| What are 3 labs that should be ordered when working up singultus? |
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Definition
| cmp, cbc w/differential, amylase and lipase |
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Term
| What are 2 studies that can be done to work up singultus? What else could be ordered? |
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Definition
| cxr, ekg. also, ct (head, chest, ab), echocardiography, bronchoscopy, upper endoscopy |
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Term
| What type of tx involves stimulation of nasopharynx, c3-c5 dermatome stimulation, direct pharyngeal stimulation, removal of gastric contents? |
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Definition
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Term
| What type of tx involves ice gastric lavage, valsalva, cartoid sinus massage, digital ocular globe pressure, digital rectal massage, interference w/nml respiratory function, mental distraction? |
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Definition
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Term
| What type of tx involves behavioral conditioning, hypnosis, acupuncture, phrenic n or diaphragmatic pacing, ger sx, phrenic n ablation? |
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Definition
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Term
| What are 2 antiemetic tx of singultus? |
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Definition
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Term
| What is an anticonvulsant tx of singultus? |
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Definition
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Term
| What are 2 anesthetic tx of singultus? |
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Definition
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Term
| What is a mm relaxant tx of singultus? |
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Definition
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Term
| What are 2 sedative tx of singultus? |
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Definition
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Term
| What can tricyclic antidepressants tx? |
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Definition
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Term
| BQ: what are the centor criteria |
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Definition
| fever over 38, tender cervical adenopathy, lack of cough, pharyngeal exudate: gabhs (hoarseness, cough, and coryza are not suggestive of this disease) |
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Term
| BQ: what is the most commonly used med for hiccups? |
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Definition
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