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Flashcards in General Medical Deck (30)
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1
Q

With a DKA pt you would anticipate their potassium level to be ________

A

Low

2
Q

DKA is primary a problem with

A
  1. They don’t make insulin
  2. Don’t make enough insulin
  3. Resistant to insulin
3
Q

DI =

A

Inadequate ADH production

4
Q

DI is caused by ______

A

Head Injuries

Dilantin

5
Q

Best treatment for DI

A

Aggressive fluid admin with DDAVP

6
Q

The lab study associated most with DI is _____

A

Urinary Hypo-Osmolatity

7
Q

The most common type of DI is

A

Central Neurogenic

8
Q

The lab study associated most with SIADH is _____

A

hyponatremia (dilutional)

9
Q

Do Not drop blood sugars more the ________/hour

A

100

10
Q

With HHNK the problem is too much _______ compared to their ________ production

A
  1. Sugar

2. Insulin

11
Q

DI Treatement:

A
  1. Fluids (Aggressive)
  2. Vasopressin (ADH)
  3. dDAVP
12
Q

Causes of SIADH

A
  1. Oat Cell Carcinoma
  2. Viral Pneumonia/TB
  3. Head Injury
13
Q

SIADH Treatment:

A
  1. Fluid Restriction

2. Diuresis (loop diuretics)

14
Q

Graves Disease (Thyroid Storm) Presentation:

A
  1. Dramatic Weight Loss
  2. CP/SOB
  3. Fever
  4. Tremors/Nervousness
  5. Marked Tachycardia (AF common)
15
Q

Any young female who is otherwise healthy who presents marked tachycardia (Afib) think _________

A

Graves Disease

16
Q

Graves Disease Treatment

A
  1. Fluids
  2. Oxygen
  3. Decadron
  4. Control Temp (Avoid ASA)
  5. Do Not give meds to control rate
17
Q

Myxedma Coma/Hypothyroid Presentation :

A
  1. Primarily Women
  2. Almost exclusively over age 60
  3. > 90% of case in winter
  4. Fatigue and Weight Gain
  5. Cold Intolerance, Deep Voice, Coarse Hair
  6. Officially myxedema coma when change in LOC
18
Q

Myxedma Coma/Hypothyroid Treatment:

A
  1. Supporative

2. IV Levothyroxine

19
Q

Cullens, Alcoholism, LUQ pain =

A

Pancreatitis=sepsis=ARDS

20
Q

Coarse muscle flapping is a telltale sign of ______

A

Hepatic Encephalopathy

21
Q

Kehrs sign = problem with _______

A

Spleen

22
Q

Murphy’s sign = problems with _____

A

Gallbladder

23
Q

Classic sign of acute MI is _________

A

Levine’s Sign

24
Q

Pancreatitis Causes

A
  1. ETOH Abuse
  2. Biliary Stone
  3. Steriods and ATB
  4. Infection
25
Q

Pancreatitis Common Lab Value

A

Low CA

26
Q

Pancreatitis, Sepsis ARDS

A

They go together

27
Q

Pancreatitis Progression

A
Sepsis
ARDS
MODS
DIC
DEAD
28
Q

Hepatic Encephalophy Treatments

A
  1. NPO
  2. Evacuate the Gut
  3. Replace Potassium
29
Q

Brudzinki’s

A

Meningitis -Neck

30
Q

Grey-Turner’s

A

Pancreatitis- Flank and Groin Bruising