CEN Sneak Peek

Updated: Jul 17, 2020

1. Isoproterenol (Isuprel) is the first-line medication for the heart transplant patient with symptomatic bradycardia. Atropine is not used because the Vagus nerve is not reattached during the transplant.

2. Temporal Arteritis is more common in Caucasian females age 50 or greater. S/S: headache, abrupt onset of visual disturbances, fever, and palpable cord-like artery. DX: increased ESR and C-reactive protein. TX: corticosteroids.

3. Myasthenia Gravis – ptosis, diplopia, dysphagia, speech difficulties, inability to smile, and progressive muscle weakness. TX: plasma exchange and IV IG.

4. Carbon Monoxide – headache, vertigo, nausea, vomiting, “cherry-red” flushed skin, ST segment depression. TX: high-flow oxygen. Fetus at greatest risk of hypoxia.

5. Central Retinal Artery Occlusion (CRAO) – “eye stroke” retinal ischemia. TX: fibrinolytics.

6. Keratitis – inflammation of the cornea, most common in contact lens wearers. TX: warm compresses, do not patch.

7. Cat Bites – high risk of Pasteurella infection from deep puncture wounds.

8. Bacterial Vaginosis – malodorous “fishy” gray vaginal discharge. TX: metronidazole or clindamycin.

9. Trichomoniasis – malodorous, greenish-yellow vaginal discharge, dyspareunia, “strawberry cervix”. TX: Metronidazole.

10. Pheochromocytoma – S/S: hypertension, headache, palpitations, diaphoresis. TX: Phentolamine (alpha blocker) and Nitroprusside (Nipride).

11. Tumor Lysis Syndrome – destroyed cancer cells release potassium, uric acid, and phosphate into bloodstream. TX: IVF with sodium bicarbonate, diuretics, dialysis.

12. Antidotes – Dimercaprol (BAL), DMSA, Edetate disodium for heavy metals such as lead.

13. Ludwig’s Angina – submandibular swelling, trismus, muffled voice, fever, drooling. Monitoring airway is the priority.

14. Bleeding Esophageal Varices – TX: IV Vasopressin or Octreotide.

15. Gastroesophageal Reflux – triggered by spicy foods. TX: antacids, H2 blockers, proton pump inhibitors.

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Contact Information:

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Pam Bartley

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Prosperity, SC 29127