Say my name, say my name..
Yaba-daba-doo:
Don't ovary-react
Don't Go Breaking My Heart or Lung
Sounds of silence
100
Patient with JVD, diminished heart sounds, and hypotension
What is Beck's triad?
100
Name the Ottawa knee rules
What is age>55, patellar tenderness, fibular head tenderness, no flexion to 90 degrees, no weight bearing (4 steps)?
100
Medical term for excessive menstrual flow and irregular cycles
Menorrhagia is heavy bleeding, including prolonged menstrual periods or excessive bleeding during a normal-length period. Metrorrhagia is bleeding at irregular intervals, particularly between expected menstrual periods.
100
Initial treatment?
Immediate management of open pneumothorax is to cover the wound with a rectangular sterile occlusive dressing that is closed securely with tape on only 3 sides. Thus, the dressing prevents atmospheric air from entering the chest wall during inspiration but allows any intrapleural air out during expiration.
100
The highest frequency a human can usually hear is
20 Hz
200
Intravascular vessel wall damage, stasis of flow, and the presence of a hypercoagulable state.
What is Virchow's triad?
200
Damaged in Gamekeeper's thumb
What is ulnar collateral ligament?
200
Name the medications available for urgent BP control in preeclampsia
- hydralazine 5-10 mg IV titrated 20 minutely ( max 30 mg) OR
- labetalol 20 mg IV over 2 minutes, titrated 10 minutely ( max 80 mg)
Calcium channel blockers second line agents
200
Rice Krispie feeling on palpation of neck and shoulders is most indicative of this type of injury
What is tracheo-bronchial injury
Clinical signs and symptoms consistent with tracheobronchial injury include but are not limited to respiratory failure, dyspnea, crepitus/subcutaneous emphysema, high riding hyoid bone, pneumomediastinum, Hamman sign, persistent pneumothorax, stridor, hemoptysis, dysphonia, or dysphagia.
200
A 38 year old woman presents with midcycle LIF pain. It is colicky and you are asked to scan her pelvis.
Left mid ureter. The ureter crosses the iliac vessels at the pelvic brim. A 5mm echogenic shadow casting lesion is seen within the lumen of a slightly distended ureter. The cause of her pain is ureteric colic.
Renal stones generally cause symptoms when they pass into the ureter. They are known to get stuck at three points – the pelvi-ureteric junction (PUJ), the mid ureter at the pelvic brim as the ureter crosses the iliac vessels, and distally at the vesico-ureteric junction (VUJ).
In this case the stone is seen at the mid ureter.
300
Fever, RUQ pain, and jaundice.
What is Charcot's triad?
300
Name the fracture associated with ACL tear
What is Segond fracture?
The Segond fracture is a type of avulsion fracture from the lateral tibial plateau of the knee, immediately below the articular surface of the tibia.
300
Name the pathophysiology of late and variable decelerations
Variable decelerations are irregular, often jagged dips in the fetal heart rate that look more dramatic than late decelerations. Variable decelerations happen when the baby's umbilical cord is temporarily compressed. This happens during most labors.
300
Shallow breathing, decreased breath sounds on the injured side
.
300
What are the 3 places where a renal stone gets stuck
Renal stones generally cause symptoms when they pass into the ureter. They are known to get stuck at three points – the pelvi-ureteric junction (PUJ), the mid ureter at the pelvic brim as the ureter crosses the iliac vessels, and distally at the vesico-ureteric junction (VUJ).
In this case the stone is seen at the mid ureter.
400
Patient with vomiting subcutaneous emphysema, chest pain
What is Mackler's triad?
400
Medial malleolus fracture with proximal fibular fracture
What is Maisonneuve fracture?
400
Name the components of the APGAR score
What are appearance, pulse, grimace, activity, respirations?
400
The 3 Amigos of the street gang Trauma Lethal Triad.
What are Acidosis (Hypoxia), Coagulopathy (Hypotension), and Hypothermia
Martyn, Giles, and KaiWee
400
43 year old male presents with left sided chest pain after a collision on the sporting field. What does the ultrasound show?
Findings suggestive of pneumothorax. The presence of a pneumothorax is characterized by the following findings: (1) the absence of pleural (lung) sliding; (2) the absence of so-called comet-tail artifacts, also referred to as B-lines; (3) the absence of a lung pulse; and (4) the presence of one or more lung points.2
500
Child with palpable purpura, colicky abdominal pain, and arthralgias
Henoch-Schönlein purpura (HSP) usually affects the small blood vessels in the skin, causing a rash that is called purpura. It can also affect blood vessels in the intestines and the kidneys
HSP usually affects children from two to 10 years of age, but it can happen in anyone.
500
Radial head fracture with distal radioulnar joint dislocation, and rupture of interosseous membrane
What is Essex-Lopresti fracture?
500
6 week pregnancy vaginal spotting and shoulder pain.
500
Signs of orbital injury
What is decreased vision or double vision (diplopia), sensation loss above the eyebrow, over the cheek, or in the upper lip, and nasal discharge?
500
What is the finding on this ultrasound? What does it suggest
Comet tails; helps exclude a pneumothorax