Zusammenfassung der Ressource
Frage 1
Frage
76yof presents with 4 days of dark melanotic stools. What should you grab to bring with you before you go into the room?
Antworten
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guaiac card
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NG Tube
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developer
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blood consent form
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2U PRBC
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Speculum
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culture swabs
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lube
Frage 2
Frage
76yof presents with 4 days of dark melanotic stools. You brought in your stuff with you... like a boss... What do you want to ask this patient about?
Frage 3
Frage
76yof presents with 4 days of dark melanotic stools. You do a rectal exam, it's guaiac positive. You also hear a late-peaking crescendo-decrescendo systolic murmur. What is a likely cause of her GI bleeding?
Antworten
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longstanding aortic stenosis --> GI AV malformations
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profound anemia --> AV malformations
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longstanding mitral regurg --> esophageal varices
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H. pylori infection --> peptic ulcer disease
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hemorrhoids
Frage 4
Frage
76yof presents with 4 days of dark melanotic stools. Guaiac positive stool. VS are stable, patient is not in distress, she is not on anticoagulants, has no cardiac history. Her hemoglobin returns at 6.9, what do you do?
Frage 5
Frage
42yom w/ history of EtOH abuse presents to ED with massive hematemesis. BP 64/22. Patient's mental status is declining. What do you need set up/at the bedside in order to intubate this patient?
Frage 6
Frage
You have successfully intubated the 42yom w/ massive hematemesis. What medications should be started now in order to reduce morbidity and mortality?