My head hurts!
Poorly demarcated, Heterogenous Irregularly shaped border, Near surface of brain
What would a CT of a cerebral contusion show?
ecchymosis of the left external ear with a blue-gray discoloration behind the mastoid process and bilateral periorbital ecchymosis
What are clinical signs of basilar skull fracture?
Reed Sternberg Cells
What characterizes Hodgkin Lymphomas?
Reliable diagnostic and prognostic indicator of shock states
What is Serum Lactate?
Decreased urine output, mental status changes, clammy extremities
What are symptoms related to decreased organ perfusion?
Convex, lens-shaped, hyperdense collection of blood
Surrounding cerebral edema; midline shift
What does an epidural hematoma look like on CT scan?
distended neck veins with muffled heart sounds
What are clinical signs of cardiac tamponade?
Bone pain, hypercalcemia, renal failure, and anemia.
What is the clinical presentation of Multiple Myeloma?
Intravenous administration of nitroglycerin, treatment of cardiac dysrhythmias, Vasopressor support
What is included in management of cardiogenic shock?
Metabolic acidosis
What is the most likely acid base disturbance in multi system organ failure?
Head CT without contrast
What is the appropriate diagnostic test for head trauma?
GCS <8
What is "It's time to intubate"?
CA19-9 and AFP
What additional labs should be included when concerned for certain abdominal cancers?
MAP greater than 65 mmHg, Urine output greater than 0.5 ml/kg/hour, SvO2 greater than 65%
What are goals for a patient with septic shock?
respiratory system
What is the first system to show signs of dysfunction in systemic inflammatory response syndrome and multi-organ dysfunction syndrome?
Loss of consciousness, Lucid Interval, Symptoms can progress rapidly, can lead to Cerebral Herniation
What is epidural hematoma?
Irregular, decreased respirations (caused by impaired brainstem function) Bradycardia. Systolic hypertension (widening pulse pressure)
What are the components of Cushing's Triad?
Chemotherapy given after surgical resection of a tumor.
What is adjuvant chemotherapy treatment?
stroke volume of the left ventricle will increase as the left ventricular volume increases
What does the Frank Starling law state?
Nutritional consult
What is the highest priority in individuals with acute diagnosis of systemic inflammatory response syndrome (SIRS)?
The more blood seen, the worse the outcome
What is subarachnoid hemorrhage?
chest moves inward during inspiration and outward during expiration
What is flail chest?
Diffuse large B-cell lymphoma
What is the most common type of Non-Hodgkin's Lymphoma?
Inability to produce adequate cardiac output despite normal intravascular volume and myocardial function.
What is obstructive shock?
administration of inotropes, performing a passive leg raise, administering a fluid bolus
What are ways to improve cardiac output in hemodynamically compromised patients?