Acute Medical Presentations — Flashcards

Flashcard 251: What is the likely diagnosis in a patient with an aortic dissection that develops hypotension, JVD, and pulsus paradoxus? _____

Answer: Cardiac tamponade

Flashcard 252: What is the management for cardiac tamponade? _____

Answer: Urgent pericardiocentesis

Flashcard 253: Cardiac tamponade can be caused by a _____, particularly penetrating

Answer: traumatic injury

Flashcard 254: What is pulsus paradoxus?\n_____ seen in cardiac tamponade.

Answer: > 10 mmHg decrease in systolic BP during inspiration

Flashcard 255: What is the management of asymptomatic Wolff-Parkinson-White pattern? _____

Answer: Monitor

Flashcard 256: Wolff-Parkinson-White syndrome with atrial fibrillation may cause _____ which can result in death, particularly when administering AV node node blockers (BB, CCB)

Answer: ventricular fibrillation

Flashcard 257: If a DVT is unlikely (≤ 1 points on Wells' Score) and the D-dimer is negative, then the _____

Answer: diagnosis is excluded

Extra: According to the Wells' Criteria for DVT: - Score ≤ 1: DVT Unlikely. Proceed to D-dimer; if negative, DVT is ruled out. - Score ≥ 2: DVT Likely. Proceed directly to Compression Ultrasonography.

Flashcard 258: The most dangerous complication of a DVT is _____

Answer: pulmonary embolism

Flashcard 259: Cardiac tamponade features are _____, jugular venous distension, & muffled heart sounds (Beck's triad)

Answer: hypotension

Flashcard 260: If a DVT is likely (≥ 2 points) a D-dimer is +ve but proximal leg vein ultrasound scan (24 hours) is -ve then _____

Answer: stop anticoagulation & repeat proximal leg vein ultrasound 6-8 days later