Episodes (Page 10)
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Consider acute mesenteric ischemia with atrial fibrillation and 'pain out of proportion'.
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Classify hernias as reducible, incarcerated, or strangulated (emergent).
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Define unstable arrhythmias by hypotension, edema, chest pain, or altered mental status.
Common Arrhythmias
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Diagnose corneal abrasion with fluorescein stain and woods lamp.
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Manage bite wounds with irrigation, tetanus update, and appropriate antibiotics/suturing.
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Simple febrile seizures are age 6mo-5yr, <15min, one in 24h, no focal deficits.
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Penetrating abdominal trauma below the nipple requires immediate laparotomy if unstable or peritonitis.
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For test questions, read the last sentence and answer choices first.
General Concepts
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CPR should stop when death is irreversible, like rigor mortis or decay.
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Abdominal aortic aneurysms present with sudden pain, syncope, or pulsatile masses.
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Testicular torsion is a time-sensitive emergency causing sudden scrotal pain and vomiting.
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Flank pain differentials include AAA, ectopic pregnancy, and kidney stones.
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Volume Assist-Control ventilation provides fixed volume and rate breaths.
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Rabies is a rare, aggressive encephalitis transmitted by bites/scratches.
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Occupational exposures include meningococcus and tuberculosis.
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All breast complaints require evaluation for cancer until proven otherwise.
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Worst neonatal conjunctivitis causes include gonorrhea, chlamydia, and HSV.
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Subarachnoid hemorrhage presents as sudden, maximal headache with neck stiffness.
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Blood in a diaper can be from urinary crystals, vaginal bleeding, or anal fissures.
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Nutritional emergencies affect alcoholics, those with GI disorders, and the elderly.