Professional Documents
Culture Documents
27 If risk of MI, symptoms Aspirin 300 then clopidogrel then thrombolysis and PCI if
there are signufucant ECG change
28 J wave ECG (osborn, camel-hump, late delta, hathook hypothermia <32
junction)
29 Rewarming in severe hypothermia <30 Peritoneal lavage, dialysis, cardiac bypass
30 Addisonian crisis Hydrocortisone 100mg IV
31 Traumatic pneumothorax, even simple Chest drain until no evidence of air leak (lung injury
sealed)
32 ER thoracotomy Ventricular penetration, hilar lung injuries, great vessel
disruption
33 Hemopneumothorax Chest drain (risk of tension)
34 Anaphylactic shock Adrenaline IM 1:1000 (0.5ml)
35 Homonymous hemianopia only Occipital infarct (posterior CA), carotid endarterectomy
not appropriate
36 Numbness of face, contralateral hemisensory loss+ ataxia, Lateral medullary syndrome
nystagmus, dysphagia, CN palsy
37 Isolated hemisensory loss, hemiparesis Lacunar infarction
38 Diagnostic test for CSF leakage Beta 2 transferrin assay
39 Vertigo, dysarthria Posterior circulation event
40 Vertigo, dysarthria+sudden deterioration of conscious Basilar artery occlusion
68 Superficial partial burn Preserved hair follicle, sweat glands, painful, vesicles, heal
by re-epith, erythema, blisters, no ext beyond ptoximal
dermal papillae, good capillary refille