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87 Cards in this Set
- Front
- Back
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Electrolytes
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Na
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135-145
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Cl
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95-05
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K
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3.5-5
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HCO3
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22-28
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Severe Dehydration
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sunken (not flat) fontanelles, 20mL/kg normal saline
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Hyponatremia Equasions
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[(px Tg -400) / 100] x 1.6 + pt sNa (hyperTG) Hyperglycemic (px glucose - 100_
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Hyernatremia with mild dehydration in children
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(sNa - 140)/3 = #L D5W1L. D5W for every 3mEq above 140. over 48hrs
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Mg
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1.5-2
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Ca
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8.4-10.2
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Phosphorus
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3.0-4.5
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Albumin
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3.5-5.5
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Total Ptn
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6.0-7.8
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Corrected Ca
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(Nl albumin - Px albumin) x 0.8 + sCa
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PTH
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230-630
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Gases
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pH
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7.35-7.45
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pCO2
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33-45
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Bicarb
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22-28
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pO2
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75-105
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Expected PCO2
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HCO3 + 15 (PCO2 < Predicted = loosing PCO2 therefore Respiratory Alkalosis)
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Hematological
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Erythrocytes
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3.5-6.0
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Hematocrit
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Male 40-50 Female 35-45
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Hemoglobin
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Male 13.5-17.5 Female 12-16
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MCV
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80-100
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Leukocytes
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4500-11000
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Neutros
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54-62
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Lymph
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25-33
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Monos
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3-7
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Bands
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3-5
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Eos
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1-3
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Reticulocytes
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0.5-1.5%
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Platelets
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150,-400,
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PTT
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25-40
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PT
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11-15
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BT
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2-7min
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ESR
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0-20
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Haptoglobin
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40-140 Low think Hemolysis/Drugs, High Inflammation/Steroids
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Autoimmune Thrombocytopenia
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<40k Steroids, <20k plasmapheresis/IVIg, <10k splenectomy
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Hemoglobin A1c
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<5% normal px <7%in Diabetic px
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Renal
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BUN
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7-18
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Creatine
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0.6-1.2
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CSF
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WBC
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<5, <100 Viral-Lymphos, >100 TB-Lymphocyts Bac/Fungal-Neutros (up to 30 is normal in newborns
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Pressure
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50-180
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Glucose
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NL and Viral >40, Bacterial consuption <40
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Protien
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<45, >45 Viral, > 100 Bacterial/Fungal/ TB
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Ascites (Transudates/Exudates)
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pH
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>7.2 <7.2 malignancy/bacteria
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Protien
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< 2.5g > malignancy/bacteria
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SAAG
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SerumA - AscitesA >1.1 more Salbumin, think liver cirrhosis like. <1.1 more Aalbumin think malignancy, TB, pancreatic, lymphatic leak, tissue dz.
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WBC
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<250 (Bacterial PMNs, TB/Lymphoma Lymphocytic)
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Glucose
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~Serum levels(>50). In Bacterial consumption: <50
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Amylase
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half serum level, 5x serum perferated vicus or pancreatitis
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LDH
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LDH equal to 60% of SLDH with high protien look for Malignancy
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Synovial Fluid Analysis
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WBC count
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>1000,000 Septic Arthritis. >2,000 Inflammatory Arthritis <2,000 Osteoarthritis
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Crystals
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Positive-Pseudogout, Neg-Gout
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Glucose
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Low in RA and Septic A.
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Culture
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Borrelia Burgdorfi-Lyme not easily detected.
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Heart Pressures / Swan Ganz
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normal systemic vascular resistance
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~1000-1600 dyne*sec/cm
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CVP
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3-5cc
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RA
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0-8
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Pulmonary
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32-48/16-24
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LA PCWP
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8-10
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LV
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140/8-10
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Aorta
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120/80
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systolic RA RV Pul LA LV
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RA3-Pul25/10-LA10-LV140/10-A120/80
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Atypical Glandular Cells
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Endometrial Cancer,<35 with no risk factors- colposcopy, endocervical curretage and HPV DNA testing. Anything else add endometrial biopsy.
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Atypical Squamous Cells of Undetermined Significance or Low Grade Intraepithelial Lesion
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<21 repeat in a yr. >21 colposcopy-HPV DNA and repeat PAP in 6 mths.
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High Grade Anything
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immediate colposcopy
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CIN1
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>21 close observation, pap at 6 and 12mths, HPV 12 mths
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CIN 2-3
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cryo, lazer, LEEP
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CURB 65
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Hospitalization for CAPneumonia,
Confusion, PaO2 <60mmHg or <90%. RR >30, BUN >7, >65yo |
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Lymphnodes Head n Neck
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Submental, Submandibular, Tonsillar, Ant Cervical, Posterior Cervical,
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Lymph nodes of arm
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Supratrochlear: above the medial epicondyle of humerus
Deltoideopectoral gland, pec major and deltoid muscle. Axillary gland: Para sternum, Lateral or brachical, anterior or pectoral axillary, posterior or subscapular axillary, central or intermediate, medial or subclavian. |
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Lymph nodes of lower limbs
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Superficial inguinal
Deep Inguinal Popliteal lymph nodes |
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sneeze, laugh, loss of urine
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Stress Incontinence, fallen out bladder neck, loss of bladder angle, tx urethroplexy
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gotta go, gotta go, gotta go
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Urge Incontinence, overactive detrussor, cystometric examination, unihibitited contractions. Tx anticholinergic to relax detrussor
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Overdistended bladder
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Overflow, loss with valsalva, dribbling, DM, spinal cord injery, Postvoid residual volume, Tx intermittent self catheterization
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Fistula
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die into the bladder shows up in vagina
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GFR
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healthy adult 120ml/min
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Filtration Fraction
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0.2 or 20%
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