Acute Medical Presentations — Flashcards

Flashcard 231: _____ 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 232: _____ can be used to treat nausea & vomiting caused by raised ICP

Answer: cyclizine

Flashcard 233: What investigation is used for cardiac tamponade? _____

Answer: Bedside echocardiogram (quick)

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

Answer: Urgent pericardiocentesis

Flashcard 235: Cardiac tamponade causes _____-sided heart failure

Answer: right

Flashcard 236: Cardiac tamponade may be associated with _____, which is a(n) decrease in systolic BP > 10 mmHg during inspiration

Answer: pulsus paradoxus

Flashcard 237: 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 238: _____ can present with electrical alternans on ECG

Answer: Cardiac tamponade

Flashcard 239: What is the likely diagnosis in a patient with an aortic dissection that develops hypotension, JVD, and pulsus paradoxus? _____

Answer: Cardiac tamponade

Flashcard 240: What is pulsus paradoxus?\n_____ seen in cardiac tamponade.

Answer: > 10 mmHg decrease in systolic BP during inspiration