CDEM M4 Curriculum Comprehensive Review Exams_ Answered 2022/2023.

CDEM M4 Curriculum Comprehensive Review Exams_ Answered 2022/2023. how many pts with aortic dissection have normal CXR? ()40% initial actions in abdominal pain patients? ()UPT, blood products for hemorrhage, abx, bedside ultrasound, immediate surgical consult if unstable or rigid abdomen, analgesia hemodynamic instability and abdominal pain should alert you to... ()possible AAA, hemorrhage, sepsis, perforated viscus, necrotic bowel - think bowel edema or fluid placing pressure on IVC and splinting breathing hemodynamic instability and abdominal pain immediate actions... ()consult surgery, 2 PIV large bores, NS bolus, O2, monitors, type and cross (give type O if needed) differential for life/organ threatening abdominal pain: ()Infectious: sepsis GI: biliary, appendicitis, SBO, perforated bowel, mesenteric ischemia, pancreatitis, diverticulitis GU: PID, tubo-ovarian abscess, testicular/ovarian torsion, ectopic pregnancy CV: AAA, dissection, schemia, CAS initial actions in patient presenting with AMS? ()ABCDE-G: - airway: visual check, pulse O2, O2 prn - breathing - RR (i.e. narcan?), ventilation (BVM?) - circulation - rhythm monitor vs EKG, BP, pulses, fluids, PIV access - disability - GCS, neuro deficits, pupils, trauma, pain (imaging?) - exposure - undress, trauma, patches, PIC or dialysis access, petechiae, bruising - GLUCOSE