Acute Medical Presentations — Flashcards

Flashcard 241: Gurgling and 'death rattle' in the end stages of terminal illness are due to airway _____

Answer: secretions

Flashcard 242: _____ therapy may be used in palliative patients for dyspnoea if they are at risk of symptomatic hypoxia

Answer: Oxygen

Flashcard 243: _____ 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 244: _____ can be used to treat nausea & vomiting caused by raised ICP

Answer: cyclizine

Flashcard 245: 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 246: Cardiac tamponade causes _____-sided heart failure

Answer: right

Flashcard 247: What investigation is used for cardiac tamponade? _____

Answer: Bedside echocardiogram (quick)

Flashcard 248: Brugada syndrome is diagnosed with _____ AND clinical criteria

Answer: ECG findings

Flashcard 249: _____ can present with electrical alternans on ECG

Answer: Cardiac tamponade

Flashcard 250: Cardiac tamponade may be associated with _____, which is a(n) decrease in systolic BP > 10 mmHg during inspiration

Answer: pulsus paradoxus