XI: HEMETOLOGY & ONCOLOGY

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on XI: HEMETOLOGY & ONCOLOGY

Definition •  Anaphylaxis – acute onset skin, mucosal or GI involvement w/ at least 1 of the following: Respiratory distress, hypotension, end-organ Dysfxn History •  Exposures: Nuts, shellfish, medication (abx,…

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XII: MUSCULOSKELETAL & RHEUMOTELOGICAL

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on XII: MUSCULOSKELETAL & RHEUMOTELOGICAL

PERIPHERAL VASCULAR DISEASE Claudication History •  Ischemic muscle pain reproducible w/ exertion, improves w/ rest •  Pts often place legs in dependent position to improve flow •  1–2% have chronic…

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XVII: AIRWAY MANAGEMENT

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on XVII: AIRWAY MANAGEMENT

•  Anticipated need for airway management in pts at risk for deterioration •  Assess difficulty of intubation early •  In pts w/ acute respiratory failure, BVM ventilation or noninvasive positive…

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VIII: DERMATOLOGY

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on VIII: DERMATOLOGY

•  ROS, PMH, h/o skin lesions, travel, exposures (pets or hobbies), sick contacts, immunizations, sexual hx, menstrual hx, new medication hx (including OTC) •  Physical exam: Assess for fever, hypotension,…

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VI: RENAL & GENITOURINARY

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on VI: RENAL & GENITOURINARY

URINARY TRACT INFECTIONS Definitions UTIs are classified according to a spectrum of dz & the predominant clinical sxs: Asymptomatic bacteriuria, uncomplicated lower UTI (cystitis), uncomplicated pyelonephritis, complicated UTI w/ or…

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II: PULMONARY

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on II: PULMONARY

Disposition •  CAP: See PNA Severity Index Score & CURB-65 (below) •  HCAP: Generally requires admission for IV abx •  PCP: Inpt unless SpO2 >95% w/o desaturation on exertion •…

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XIX: APPENDIX

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on XIX: APPENDIX

!DOCTYPE html PUBLIC “-//W3C//DTD XHTML 1.1//EN” “http://www.w3.org/TR/xhtml11/DTD/xhtml11.dtd”> ABBREVIATIONS a/w Associated with AAA Abdominal aortic aneurysm ABG Arterial blood gas ABI Ankle-brachial index abnl Abnormal abnlty Abnormality abx Antibiotics ACE-I/ Angiotensin-converting…

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XV: PSYCHIATRIC PATIENT

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on XV: PSYCHIATRIC PATIENT

History •  Ask open-ended? s re: thoughts, feelings, personal relationships; drug use; prior hospitalizations/psych hx; psych medications; physical/sexual abuse •  Suicidal/HI: Access to weapons, plan, prior SI/HI or attempt; command…

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VII: OBGYN

Sep 6, 2016 by in EMERGENCY MEDICINE Comments Off on VII: OBGYN

Miscarriage History •  Vaginal bleeding ± passage of clots or tissue at <20 wk; abdominal pain/cramps Physical Exam •  Speculum and bimanual inspection to assess for passage of blood/POC and…

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