Pulseless Pt

Hypovolemia causes syncope

Cause: Aldosterone secreting tumor

tricuspid murmur increase with inspiration

handgrip increases mitral valve prolapse.

both increase with valsava and decrease with
rapid squatting
Tb, Radiation, Heart surgery
BB: beta blockers
nitrates least fav cause they increase pulse
remove oxygen

Tx: decompress
not including stents
pseudomona: cystic fibrosis

20's
oxygen therapy, unconscious: hypercapnea, remove oxygen

ojeras brillosas
albuterol
incidental findings
PE: SOB in oral contraceptives: order chest CT
cough blood-tinged sputum, apical infiltrate: Tb

myasthenia gravis
gets worse
fever, 70/40: 0.9 NSS: volumen
hydration: 0.45 NSS
 place foley catheter

oliguric

leads to hypovolemia
excessive exercise
young, child
fusion of foot processes
Zenkers diverticulum (pharyngoesophageal diverticulum, also pharyngeal pouch, also
hypopharyngeal diverticulum): manifestations such as dysphagia (difficulty
swallowing), and sense of a lump in the neck; moreover, it may fill up with food,
causing regurgitation (reappearance of ingested food in the mouth), cough (as some
food may be regurgitated into the airways), halitosis (smelly breath, as stagnant
food is digested by microrganisms), potential infection of the pharyngeal areas due
to food stuck, and involuntary gurgling noises when swallowing.
Rotavirus
Dx: Angyography
 lowest number

1st degree relative

hemochromatosis: complications:
arthritis, restrictive CMP

follow with INR

diabetic undergoes TIPS: complication: hepatic encephalopathy

low
UDP-glucuronyl
transferase absent

black liver
serum-ascites
worst Px factor: hypocalcemia
 BMI: 30, OA: Tx: weight loss, then acetaminophen

knee replacement if Tx
doesn't decrease pain

Tx: Colchicine or NSAIDs

or colchicine
long term steroids for hip pain, walks with a limb: nextstep: hip xray.
avascular necrosis: sickle cell anemia

pain when chewing

bulge in anterior shoulder: bicipetal tendon rupture
femur avascular
necrosis
one measurment 126: start meds
unconscious diabetic that forgets to take insulin:
measure blood glucose.

HbA1c > 9.5: Start insulin
ectopic-ACTH
cushings: >5cm adrenal mass: adrenalectomy

Tx: remove lithium

chronic pancreatitis: decreased insulin levels.

no uterus: u can give estrogen

achilles tendon
IM epinephrine: anaphylactic shock (distributive) BP low: hypotension
Treat Pt and partners
reddish-brown lesion
prevented by antiretrovirals
1 each or 2 major for Dx

doesnt cause stenosis

farm and dust exposure: anterior mediastinal widening: anthrax
respiratorio: Bacillus anthracis.

county fair and crop duster: exposure to dust: Bacillus anthracis
to 48 hrs
Tx: Doxicycline
Tetanus: if cut less than 7years: no booster, more than 7: booster

Pneumococcal: every 5 years
hypertensive encephalopathy: face and body same side affected: 200 systolic
psoriatic
dermatitis: not
in flexures
Tx: weight loss
biopsy!
next step: screen HIV or biopsy