Get Deja Review Emergency Medicine PDF

By David Jang

ISBN-10: 0071476253

ISBN-13: 9780071476256

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Extra info for Deja Review Emergency Medicine

Sample text

Sensation of movement of oneself or the surrounding area most often described as a feeling of spinning What is the pathophysiology of peripheral vertigo? Disorders of the ear or CN VIII How much does peripheral vertigo account for all cases of vertigo? 85% What are some common clinical features of peripheral vertigo? Sudden onset of intense sensation of intermittent disequilibrium, nausea and vomiting, hearing loss/tinnitus common; nystagmus common as well What are some important causes of peripheral vertigo?

CBC, ESR/C-reactive protein (CRP), and urinalysis What are some important points to consider in each of the “can’t miss” diagnosis? Metastasis Often older then 50 with hx of cancer; Often >1 month of weight loss and LBP; Often requires a variety of imaging tests Neurologic Emergencies 43 Spinal epidural abscess Immunocompromised and IVDA at risk; Often have fever and local spine tenderness; Focal neurological deficit not uncommon; Broad-spectrum Abx/ neurosurgery consult Disc herniation Common in >30 years with progressive LBP; Sciatica and L4-L5 involvement common; Treat conservatively; Neurosurgery consult if evidence of cord compression Vertebral fracture Often history of trauma or mets; Sudden onset of pain and neurologic logic deficits; Imaging is important for further evaluation Cauda equina syndrome Often in those with mets or hx of trauma; Incontinence/saddle paresthesias common; MRI test of choice; Neurological emergency SYNCOPE What is the definition of syncope?

Hyporeflexia, weakness, respiratory depression, hypotension, bradycardia, and systole in very high levels What are some ECG findings that can be seen in hypermagnesemia? Extreme ST elevation and T-waves along with prolonged PR and QT interval Introduction to Emergency Medicine What are some key points in the management of hypermagnesemia? 21 Identify and treat the underlying cause; Dialysis for severe serum levels; Calcium gluconate for conduction problems Hypochloremia What is the serum chloride level in hypochloremia?

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Deja Review Emergency Medicine by David Jang

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