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EM-IM.txt
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RBBB
-Qrs greater than 0.12
-Incomplete rbbb has narrow qrs with rsr' patern
Sanfrancisco syncope rules
CHF
Hct<30
EkG changes
Systolic bp<90 on presenting
Shortness of breath
If none pf above dc
U waves
-after t wave
Causes
:
1)Hypokalemia
2)Hypercalcemia
Prolonged qt
-Hypokalemia
Endocarditis
-#1 cause is bacteria
-Native valve
: right sided
1) Strep viridans
2) other strep
3) staph
-prosthetic valve
: left side, commonly mitral
1) staph epi
2) staph auereus
3) strep viridans
-IVDA/immunocompramized
: R sided commonly tricuspid
1) staph auerus
2) strep sp
-Sx
: #1 is fever
-Dx
: blood cx x3, echo
-Tx
: native valve: pcng + naf or gent or vanc and gent; prosthetic valve add rifampin to above
Admit
Call ct surg
Give proph for oral or gu surgery
Acute otitis media
Dx
: most reliable sign is decreased TM mobility
Cx:
1) S. Pneumo
2) h. Flu
3) Moroxella
Malignant (necrotizing) otitis externa
High mortality rate
Primarily in diabetics
Pseudomonas osteitis
Tx
:
Iv antibiotics
Emergency ent consult
hospitalize
Author
joauerb
ID
24335
Card Set
EM-IM.txt
Description
see above
Updated
2010-06-21T01:54:32Z
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