Term
| Pt with h/o drug use, temp 100.6 and unresponsive? |
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Definition
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Term
| What is the #1 cause of death in burn pts? |
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Definition
| Respiratory complications |
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Term
| If you give a pt 1u of PRBC, the Hct should be increased by what? |
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Definition
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Term
| How do you rewarm a pt with full-thickness frostbite? |
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Definition
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Term
| What are S&S for surgical emergency of back pain? |
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Definition
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Term
| What is an indication for thromboembolytics in pt with acute PE? |
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Definition
| Circulatory collapse with hypoxemia |
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Term
| How do you tx a child with hyponatremia? |
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Definition
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Term
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Definition
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Term
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Definition
Colle's: distal radius that is displaced dorsally
Smith's: distal radiu displaced ventrally |
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Term
| Pt with tinnitus, vertigo and horizontal nystagmus? |
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Definition
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Term
| What will cardiac markers show 1 hour post MI? |
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Definition
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Term
| Young man (26yo) presents with painless rectal bleeding? |
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Definition
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Term
| What is the 1st line tx for septic shock? |
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Definition
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Term
| Female pt with h/o hypertensive emergency, HA and stiff neck? |
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Definition
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Term
| What is the organism that causes epiglotittis? |
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Definition
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Term
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Definition
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Term
| Tx for child with status epilepticus? |
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Definition
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Term
| Tx of choice for Shigella/Salmonella? |
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Definition
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Term
| What is the goal of hypertensive emergency Tx? |
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Definition
| Decrease the MAP by 25% in 1hr |
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Term
| 1st line tx for hypertensive emergency? |
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Definition
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Term
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Definition
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Term
| What of the following is NOT used to Tx anaphylaxis? |
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Definition
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Term
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Definition
Class I: <15% blood loss, HR <100, normal pulse pressure
Class II: 15-30% blood loss, Increased HR, decreased Pulse pressure
Class III: 30-40% blood loss, High HR, very low pulse pressure
Class IV: >40% blood loss, Very High HR< Very low pulse pressure |
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Term
| Pediatric pt with Class III/IV shock gets how much fluid? |
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Definition
| IV bolus of 20cc/kg of NS, O- blood, send for T&C |
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Term
| Most common cause of large bowel obstruction? |
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Definition
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Term
| Which of the following will NOT cause a bowel obstruction? |
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Definition
| Mesenteric lymphadenopathy |
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Term
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Definition
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Term
| Unilateral HA, around eye that wake from deep sleep? |
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Definition
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Term
| Pt in a motor vehicle accident presents with tachycardia, distended neck veins, dullness to percussion on one side? |
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Definition
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Term
| A pt who was stabbed in the chest with a knife presents c/o dyspnea presents with tachycardia, distended neck veins and absent BS on the left. Immediate Tx? |
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Definition
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Term
| Pt in 3rd Trimester with dark bloody d/c, abdominal rigidity and tenderness? |
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Definition
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Term
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Definition
| Clean, debride then Augmentin |
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Term
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Definition
Head: Front = 4.5, Back = 4.5
Torso: Front = 18, Back = 18
Arm: Front = 4.5, Back = 4.5
Leg: Front = 4.5, Back = 4.5
Genitals: 1% |
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Term
| 12yo girl with fever, CSF shows decreased glucose and increased protein. Cultures for Gram (+) diplococci. Pathogen? |
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Definition
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Term
| What are the signs of DKA? |
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Definition
| pH <7.3, HCO3 <15, glucose >250, +ketones in urine |
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Term
| What would be the correct fluid choice for DKA? |
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Definition
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Term
| What is a lethal complication of erythema multiforme? |
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Definition
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Term
| What are risk factors for DVT/PE? |
|
Definition
-Pregnancy or postpartum state
-Prolonged bed rest/immobility
-Cancer
-Trauma/Burns
-CAD
-Polycythemia vera
-Antithrombin III, protein C or S deficiency |
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Term
| What is the most common cause of UGI bleed? |
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Definition
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Term
| What is the 1st line Tx for paroxysmal SVT? |
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Definition
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Term
| What is the best cardiac marker? |
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Definition
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Term
| What is the highest GCS score? |
|
Definition
15
-Eye response = 4
-Verbal response = 5
-Motor response = 6 |
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Term
| Pt with colicky LLQ pain that radiates to the groin? |
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Definition
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Term
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Definition
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Term
| Dx test for acute appendicitis? |
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Definition
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Term
| What is the parkland formula? |
|
Definition
4ml/kg X TBSA
First 1/2 over 8 hours, Second 1/2 over 16 hours |
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Term
| UO in adults, children and infants? |
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Definition
Adults: 0.5-1 mL/kg/hr
Children: 1 ml/kg/hr
Infants: 1-2 ml/kg/hr |
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Term
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Definition
Adults: 7% of wt
Peds: 8-9% of wt |
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Term
| What is the 1st line Tx in a pt with hypovolemic/hemorrhagic shock? |
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Definition
Volume replacement
Isotonic crystalloids, PRBCs |
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Term
| Pt with h/o DVT now has burning pain in LE, cool LE and absent pulses. Test of choice? |
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Definition
| Angiography (arteriography) |
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Term
| ST elevation in AVL, V5, V6. Where's the MI located? |
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Definition
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Term
| What artery causes inferior MI? |
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Definition
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Term
| What's the PRI in 1st degree HB? |
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Definition
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Term
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Definition
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Term
| Post-Op hip Sx, SOB 1 hr later. Dx? |
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Definition
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Term
| Pt presents with glucose of >600 and (-) ketones in urine. Dx? |
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Definition
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Term
| Pt is hit in the eye with hockey puck. Now has blood in anterior chamber and sudden decrease in visual acuity. Dx? |
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Definition
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Term
| Pt presents with "raccoon eyes" and bleeding behing the ears. Skull fx on X-ray. Where's the fx? |
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Definition
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Term
| Pt presents with eye pain and says that he was grinding metal when the pain started. What should you do? |
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Definition
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Term
| Pt presents with acute red, painful eye and c/o halo and photophobia. h/o similar episodes in the past. Dx and Tx? |
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Definition
| Acute angle closure glaucoma. Tx with irotomy |
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Term
| Pt has steeple sign on X-ray. Dx? |
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Definition
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Term
| Ped pt is SOB, tripod position and drooling. Dx? |
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Definition
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Term
| Pt fall and fractures their humerus mid shaft. Now they present with wrist drop. What nerve was damaged? |
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Definition
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Term
| Fx of proximal ulna with anterior dislocation of radial head. What type of fx? |
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Definition
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Term
| Fx of distal radius with dislocation at the distal radioulnar joint. What type of fx? |
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Definition
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|
Term
| What does poison ivy rash look like? |
|
Definition
| Intensely pruritic and erythematous papulovesicular eruption in linear pattern |
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Term
| What is the organism responsible for cate bites getting infected? |
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Definition
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|
Term
| What ABX used for dog bites? |
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Definition
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|
Term
| What should be done for human bites? |
|
Definition
| Irrigation, debridement, high dose PCN or clindamycin; **NO CLOSURE** |
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Term
| Pt with h/o alcoholism presents with epigastric pain radiating to back. What lab should you run? |
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Definition
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Term
| Pt presents with RUQ ab ! that is worse after dinner. What should you do? |
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Definition
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|
Term
| BRBPR, ab !, "thumbprinting" sign. Dx? |
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Definition
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|
Term
| Acute pancreatitis lab findings? |
|
Definition
| Increased lipase and amylase |
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|
Term
| Most common cause of LBO? |
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Definition
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|
Term
| Most common cause of SBO? |
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Definition
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|
Term
| 22yo male with mood changes and swings recently. On exam, nasal congestion, dilated pupils. Dx? |
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Definition
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|
Term
| What is a symptom of salicylate OD? |
|
Definition
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|
Term
| Tx for child with status epilepticus? |
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Definition
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Term
| Pt found in a coma and has RR of 8, BP 60/? and pinpoint pupils. Dx? |
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Definition
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|
Term
| What is the tx for benzodiazepine OD? |
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Definition
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|
Term
| What is the Tx for tylenol OD? |
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Definition
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Term
| Pt who took too much ASA presents with N/V, hyperventilation, initial respiratory alkalosis followed by metabolic acidosis. What the tx? |
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Definition
| Hospitalize, charcoal, fluids |
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Term
| Tx for dysentery caused by shigella/salmonella? |
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Definition
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|
Term
| Which of the following is most common location for epistaxis? |
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Definition
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|
Term
| Potential Txs for anaphylaxis? |
|
Definition
| Diphenhydramine, Epi, B-agonists |
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|
Term
| A pt presenting s/p head trauma states that he has a HA and it is "worst in his life." Dx? |
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Definition
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|
Term
| 12 hours ago pt fell from ladder. He initially felt fine, now he presents with AMS. Dx? |
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Definition
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Term
| Drug of choice for increased renal perfusion? |
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Definition
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Term
| Woman brings her mother to the office b/c she is having tremors and anxiety. On exam, you note exopthalmos. What tests should you order? |
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Definition
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|
Term
| How long should sutures remain in the neck before they are removed? |
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Definition
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|
Term
| Which cranial nerves are involved in taste? |
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Definition
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Term
| Pt has hypotension with no fx, normal chest and pelvic x-ray. Dx? |
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Definition
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Term
| Pt presents s/p stab wound to L chest with HoTN, JVD, pulsus paradoxus, Kussmaul's sign. Dx? |
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Definition
| pericardial effusion/pericardial or cardiac tamponade |
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Term
| Pt in MVA presents with tachycardia, distended neck veins with hyperresonance to percussion on one side. Dx? |
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Definition
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|
Term
| Schistocytes (Helmet cells) are diagnostic for what? |
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Definition
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|
Term
| What type of respirations are characterized by periodic breathing oscillations with periods of apnea and tachypnea? |
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Definition
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|
Term
| What's the definition for Cor Pulmonale? |
|
Definition
| R sided heart changes 2/2 respiratory problems (PE, COPD, CHF) |
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Term
|
Definition
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