Medical Criteria and Management Quiz

Age > 55, WBC > 16,000, Blood glucose > 200 mg/dL, LDH > 350 U/L, AST > 250 U/L

Immediate referral to ophthalmologist, bed rest with head elevation, cycloplegic and mydriatic agents, avoidance of aspirin and NSAIDs

Widened and irregular epiphyseal plate, posterior and inferior displacement of the epiphysis

<p>Type I: Anterior ring, Type II: Posterior ring, Type III: Both anterior and posterior, Type IV: Combined mechanical and vertical shear</p> Signup and view all the answers

<p>The King’s College criteria for predictors of death or transplantation in liver disease include a high prothrombin time, encephalopathy, and elevated bilirubin levels.</p> Signup and view all the answers

<p>The initial approach to resuscitation includes correcting glucose levels, giving fluids, administering antibiotics, and starting pressors if the patient remains hypotensive.</p> Signup and view all the answers

<p>The management involves active internal rewarming for hypothermia, followed by prompt initiation of advanced cardiac life support (ACLS) protocols for ventricular fibrillation (VF) cardiac arrest.</p> Signup and view all the answers

<p>The likely diagnosis is ascending cholangitis.</p> Signup and view all the answers

<p>Possible causes include acidosis, respiratory decompensation, and hyperkalemia.</p> Signup and view all the answers

<p>The elements of the PERC rule include age, heart rate, oxygen saturation, and other clinical criteria. A negative PERC rule indicates a low probability of pulmonary embolism (PE) in patients with suspected PE.</p> Signup and view all the answers

<p>The approach involves addressing the patient's pain, managing the intoxicated physician, and ensuring the safety of other patients seen by the doctor.</p> Signup and view all the answers

<p>The bradycardia and hypotension may be due to vagal stimulation and increased parasympathetic activity in the setting of inferior ST-elevation myocardial infarction (STEMI).</p> Signup and view all the answers

<p>Initial interventions may include vagal maneuvers, adenosine administration, and if unsuccessful, electrical cardioversion for hemodynamically unstable SVT in infants.</p> Signup and view all the answers

<p>The differential diagnosis may include leukemia/blast crisis with concurrent pneumonia from immunosuppression. The final diagnosis may be guided by further investigations and clinical course.</p> Signup and view all the answers

<p>An urgent response may be warranted, emphasizing the need for immediate intervention to prevent further deterioration and complications in the patient with ascending cholangitis.</p> Signup and view all the answers

<p>The appropriate diagnosis would be posterior myocardial infarction (MI), which requires specific management and consideration of associated complications.</p> Signup and view all the answers