Chemoreceptor Trigger Zone: Clinical
Serotonin, Histamine, Muscarinic, Opioids, Dopamine
Salem Hates Men On Drugs
Beta receptor activity
One heart two lungs
Beta-1 primarily on heart;
airway is beta-2 receptors
Little Boys Prefer Toys.
Lidocaine, Bupivicaine, Procaine, Tetracaine
Causes of Acute pancreatitis
-Gallstones, Ethanol, Trauma, Steroids, Mumps, Autoimmune(PAN), Scorpion bites, Hyperlipidemia, Drugs(azathioprine, diuretics)
Multiple Endocrine Neoplasia
MEN I is a disease of 3 P's (pituitary, parathyroid, and pancreas) plus adrenal cortex
MEN II is a disease of 2 C's(carcinoma of thyroid and catacholamines[pheochromocytoma]) plus parathyroid for MEN IIa or mucocutaneous neuromas for MEN IIB(aka MEN III)
Takayasu's diz = pulseless diz
, therefore when you have Takayasu's, I can't Tak'a yu pulse.
Alcohol use screening
1. Have you ever felt it necessary to CUT DOWN on your drinking?
2. Has anyone ever told you they were ANNOYED by your drinking?
3. Have you ever felt GUILTY about your drinking?
4. Have you ever felt the need to have a drink in the morning for an EYE OPENER?
P-Q-R-S-T--eliciting and HPI and exploring symptoms
P--palliative or provocative factors for the pain
Q--quality of pain(burning, stabbing, aching, etc.)
R--region of body affected
S--severity of pain(usually 1-10 scale)
T--timing of pain(eg.-after meals, in the morning, etc.)
The five W's--post-operative fever
Water--urinary tract infection
Walking--walking can help reduce deep vein thromboses and pulmonary embolus
Goombs classification of Gell & hypersensitivity reactions
Type I Anaphylaxis
Type II Cytotoxic-mediated
Type III Immune-complex
Type IV Delayed hypersensitivity
Treatment of Malignant Hyperthermia
Sunday Hot Day, Better Give Iced Fluids Today!
S: Stop all triggering agents, give 100% O2
D: Dantrolene 2.5mg/kg
G: Glucose and Insulin
I: IV Fluids, Cooling Blanket
F: Fluid Output; Furosemide
T: Tachycardia, be prepared to treat V Tach
Back Pain: DISK MASS
D == Degeneration: DJD, Osteoporosis, spondylosis
I == Infection: UTI, PID, Potts, osteomyelitis, prostatitis, Injury/fractur e, compression fracture.
S == Spondylitis, ankylosing Spondyloarthropathies (rheum. arthritis, Reiters, SLE)
K == Kidney stones/infarction/infection (pyelo/abscess)
M == Multiple myeloma Metastasis from breast, prostate, lung, thyroid, kidney CA
A == Aneurysm Abdominal pain referred to the back (see acute abdominal pain)
S == Slipped disk, spondylolisthesis
S == Strain, scoliosis/lordosis Skin: herpes zoster.
Regarding what to do in case of syncope:
If the face is red, raise the head.
If the face is pale, raise the tail!