Acute Medical Presentations — Flashcards

Flashcard 231: _____ can be used to treat nausea & vomiting caused by raised ICP

Answer: cyclizine

Flashcard 232: _____ and chemical disturbance are the 2 most common causes of nausea & vomiting in palliative patients

Answer: Gastric stasis

Extra: In palliative care, identifying the underlying cause (e.g., stasis vs. metabolic/chemical) is crucial for choosing the correct anti-emetic (prokinetic vs. centrally acting).

Flashcard 233: ECG finding: _____ [Credit: litfl.com]

Answer: Brugada sign - Convex ST segment elevation > 2mm in > 1 of V1-V3 followed by a negative T wave

Flashcard 234: What is the management for cardiac tamponade? _____

Answer: Urgent pericardiocentesis

Flashcard 235: What is the likely diagnosis in a patient with an aortic dissection that develops hypotension, JVD, and pulsus paradoxus? _____

Answer: Cardiac tamponade

Flashcard 236: _____ can present with electrical alternans on ECG

Answer: Cardiac tamponade

Flashcard 237: Cardiac tamponade may be associated with _____, which is a(n) decrease in systolic BP > 10 mmHg during inspiration

Answer: pulsus paradoxus

Flashcard 238: Cardiac tamponade can be caused by a _____, particularly penetrating

Answer: traumatic injury

Flashcard 239: Brugada syndrome is diagnosed with _____ AND clinical criteria

Answer: ECG findings

Flashcard 240: Cardiac tamponade causes _____-sided heart failure

Answer: right