In the Bowels of Hell
Diverticulosis & Diverticulitis. What's the difference
Diverticulosis - pouches form in the colon
Diverticulitis - pouches are inflamed from trapped food/stool
Normal cardiac output is 4-8 L/min. How is that calculated
When referring to sepsis, the acronym SIRS stands for
Systemic
Inflammatory
Response
Syndrome
Industry vs Inferiority
School age child (6-11 years)
The 5 "P's" of Labor
Passage - pelvic shape
Passenger - fetus
Position - mother's position changes
Power - contractions
Psychology - mother's psychological state
Gastric vs Duodenal Ulcers. When does pain occur with each? What results when a patient eats?
Gastric - 30 min - 1 hr (eating makes it worse)
Duodenal - 2 - 3 hrs (eating makes it better)
I am the "pacemaker" of your heart
Sinoatrial Node (SA node)
Along with a CBC, chemistry panel, coagulation panel & ABG's, the cardinal lab test when it comes to diagnosis of Sepsis
Serum Lactate
Trust vs Mistrust
Infancy (birth to 18 months)
What is the third stage of birth/delivery?
From birth of infant to delivery of placenta
Cullen Sign & Turner Sign occur in which diagnosis?
Acute Pancreatitis (with retroperitoneal hemorrhage)
Turner - flank bruising
Cullen - bruising around umbilicus
Ejection Fraction is the amount of blood pumped with each contraction of the left ventricle. What should it be
EF = 50 - 70%
Before starting broad spectrum antibiotic therapy, it is important to rapidly obtain what microbiology samples
Blood Cultures
Urine Culture
Integrity vs Despair
Maturity (65 years to death)
Two differences between Placenta Previa & Placental Abruption
Previa -bright red, painless bleeding, soft abdomen
Abruption - dark red, painful bleeding, rigid abdomen
The 5 "F's" of Cholecystitis
Family History
Female
Fat
Forty
Fertile
The three types of Cardiomyopathy
Dilated (pump failure, muscle becomes thin/weak)
Hypertrophic (septal wall thickens, genetic)
Restrictive (muscle becomes stiff, refilling ability poor)
Crystalloid IVF should be given in the presence of hypotension and/or elevated serum lactate. What crystalloid should be administered
Normal Saline
Integrity vs Role Confusion
Adolescent (12-18 years)
What is her GTPAL?
Currently in 5th pregnancy
2 spontaneous abortions
Had twins at 36 weeks by cesarean section
1 therapeutic abortion
1 vaginal delivery at 41 weeks
1 VBAC at 37 weeks
G - 5
T - 2
P - 1
A - 3
L - 4
What is Intussusception, what is the cardinal symptom, & how is it diagnosed?
Telescoping bowel
Red current jelly stool
Barium or Air Enema
The two primary differences between Atrial Fibrillation and Atrial Flutter are
Fibrillation is irregular & can't see P waves
Flutter is regularly irregular & has sawtooth P waves
To support a patient with persistent hypotension despite IVF resuscitation, what classification of medication can be used to keep MAP > 65
Vasopressors
First line medication is Norepinephrine
Initiative vs Guilt
Preschool (3-5 years)
What does BUBBLEHE stand for?
Breasts
Uterus
Bladder
Bowels
Lochia
Episiotomy
Homan's Sign (we no longer do this)
Emotions/Bonding