1
Q
Dresslers Syndrome
A
Pericarditis occurring in the post MI/post cardiac surgery patient.
2
Q
McRoberts Manuver
A
- Fingers relieving pressure off the baby’s nose so they can breathe
- downward suprapubic pressure while the baby is rotated out of the birth canal
3
Q
HELLP Syndrome
A
- Hemolysis
- Elevated Liver Enzymes
- Low Platelets
4
Q
Condition: PIH
A
Tx: Labetolol
5
Q
Condition: Post partum hemorrhage
A
tx: Fundal Massage
6
Q
Pregnant Seizures
A
TX: Valium
7
Q
Uterine Contractions
A
tx: Terbutaline, Mag Sulfate
8
Q
Omphalocele
A
- O abdominal ring, protrusion of viscera
- High morbidity
9
Q
Gastroschesis
A
- Defect with completed development of internal organs
- on one side of the umbilical cord
10
Q
Tetralogy of Fallot
A
- more common
- sudden cyanosis and syncope
- treat with knees to chest, morphine
- then RSI, Intubate, 100%02
11
Q
Patent Ductus Arteriosis
A
- Indocin is the drug of choice for closing a PDA
- PGE1 (prostaglandin) keeps the PDA open
- PDA Problems… check femoral pulses
12
Q
Transposition of the great arteries
A
-need PDA, PFO, atrial septal defect
13
Q
Pulmonary Stenosis
A
- right ventricle hypertrophy overriding aorta
- this is not part of the tetralogy of fallot
14
Q
Child with CHF
A
Digitalis 15-40 mcg/kg over 24 hours
15
Q
Autonomic Dsreflexia
A
- buzz words, “head injury”, “distended bladder”
- insert catheter and drain slowly
16
Q
Brown Sequard Legion
A
- ipsilateral motor and vibratory sense loss below the level of injury
- contralateral pain (opposite side) and temperature loss
17
Q
Central Cord Injury
A
Moter weakness in upper extremities is greater than lower extremities
18
Q
Anterior Cord Syndrome
A
Loss of pain and temp sensation everywhere below injury
- worst prognosis
- transection of cord
19
Q
Spinal Shock
A
tx: neosynephrine
20
Q
Brudzinki’s Sign
A
The appearance of involuntary lifting of the legs when lifting a patients head with the patient lying supine
21
Q
Kernig’s Sign
A
- Severe stiffness of the hamstrings causes an inability to straighten the leg when the hip is flexed to 90 degrees
- (Kicking kernigs”
22
Q
DI
A
- polydispia, polyuria, polyphagia
- Dilantin overdose very similar (-DI)
23
Q
Hypothyroidism
A
- buzz word “salt craving” (also Addisons)
- myxedema coma upon LOC change
- TX with IV Levothyroxine (T4)
24
Q
Chance FX
A
- T12 Fx,
- increased chance of splenic injury
- common back injury (rear impacts)
- “Chance you may never walk again.”
25
Kehr's Sign
- "L Shoulder irritation secondary to diaphragmatic irrational from blood
- Pressure on dermatome causes referred pain to mid back
- Rib Fractures causing splenic rupture
- On ultrasound looking at morrisons pouch
26
Cushings Syndrome
- Buffalo hump, moon face, thin arms and legs, purple striae on abdomen
- Tumor number 1 cause
27
Adrenal insufficiency, addison's crisis
- -depression, malaise, salt craving
- negative ACTH testing
- Treated with oral steroids
28
Asterixis
- Coarse "Flapping" muscle tremor may be observed during voluntary movement
- this is from the loss of fine motor skills often seen with hepatic Encephalopathy
29
Grey Turner's Sign
Flank ecchymosis caused by hemorrhagic pancreatitits
30
Cullens Sign
Periumbilical ecchymosis caused by hemorrhagic pancreatitis
31
Chovosteks Sign
- Cheek muscle spasms when the facial nerve (CN VII) tapped
- Seen in hypocalcemia
- administer calcium gluconate
32
Trousseue's Sign
-Forearm tetany when B/P cuff is applied
33
Homan's Sign
Dorsiflexion of the foot and constriction of the calf causing calf pain
-seen in DVT's (limb is warm) blood can't get out
34
6 P's of Arterial Occlusion
- pain
- pallor
- paresthesia(numbness)
- Poikilothermia
- paralysis
35
Anticholinergic Poisioning
Physostigmine is the antidote
36
Hangmans Fx
C2 Fx
37
Jeffersons Fx
- Possible C1 Fx from Axial Loading
| - Diving Injury
38
Balance Sign
Dullness to percussion on the left side of the abdomen due to coagulated blood
39
Coopernails Sign
-Scrotal or labial ecchymosis from abdominal trauma or pelvic fx's
40
Halsted's Sign
- Marbled skin on the abdomen following abdominal trauma
| - Caused by blood in the abdomen
41
Kussmauls Sign
Rise in venous pressure on inspiration
42
Becks Triad
- muffled heart tones
- JVD
- hypovolemia with narrowed pulse pressure e.g (90/70)
43
Electrical Alterans
-the heart is getting closer to and further away as it moves around the sac of fluid
44
Hamman's Crunch
Crunching, rasping sound, synchronous with heartbeat
| -Tracheobronchial injury
45
Transfusion Related Acute Injury (TRALI)
- Acute pulmonary edema
| - TX peep
46
Frank Starling Law
- The stroke volume of the heart increases in response to an increase in the volume of blood filling the heart
- The increased volume of blood stretches the ventricular wall, causing cardiac muscle to contract more forcefully
47
Atelectasis
Alveolar Collapse
48
Apneustic Respirations
- abnomral pattern characterized by deep, gasping inspiration with a pause at full inspiration followed by a brief, insufficient release
- associated with decelerate posturing
49
Ataxic Respirations
- -abnomral pattern characterized by complete irregularity of breathing, with irregular patterns and increasing periods of apnea
- caused by damage to the medulla secondary to trauma or stroke
50
Biots Respirations
- abnormal pattern characterized by groups of quick, shallow inspirations followed by regular or irregular periods of apnea
- "The war of the chemoreceptors."
- caused by damage to the medulla by stroke (CVA) or trauma, or pressure on the medulla secondary to brainstem herniation
51
Cheyne Stokes
- progressively deeper and sometimes faster breathing, followed by a gradual decrease that results in a temporary apnea
- associated with decorticate posturing (Cushings trade, brainstem herniation)
52
Kussmauls
- Respirations gradually become deep, labored, and gasping
| - associated with DKA
LY FPC
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Decks in class (4)
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