What is the most common type of burn? - Answer Scald**
,Rule of 9: - Answer
Treatment for chemical burns: - Answer white phosphorus -- 1% copper sulfate/calcium gluconate
acid burns -- lavage x30min
Manage burn shock by aggressive fluid* resuscitation -- Parkland formula: - Answer % burn area x body
wight (kg) x4ml/hr= total amount of fluid needed x24hrs
What is the most common cause of third (3rd) trimester bleeding? - Answer Abruptio placentae ***
-- premature separation of placenta AFTER 20 weeks // PAINFUL
Risk factors are known for the development of Abruptio placentae (9): - Answer Trauma, smoking, HTN,
decrease folic acid, cocaine**, alcohol (>14 drinks/week), uterine anomalies, high parity, previous
abruption (re-occur 10-17%), advance age
What is the most common type of abruption/less severe? - Answer EXTERNAL abruption -- bleeding
occurs
examples of directions - Answer transverse -- R angle to the axis of the bone
, spiral -- twisted -- torsion
oblique -- between horizontal & vertical
comminuted -- splintered & crushed
segmental - double
Imaging studies for fx/dislocations: - Answer Plain-film radiograph -- both - AP and lateral (90degrees)
radionucleotide bone scan -- stress fx -athletes/ osteopenia, wight bearing
CT *** -- best -- carpal bones, elbow, tibial plateau// pelvic, facial, itra-articular fx
MRI -- hip fx **
How do you treat: Open fx, intra-articular fx, femur fx, fx's tibia, fibula in adults? - Answer analgesics,
immobilization, EMERGENT referral to Ortho
Define Open fx; How do you tx? - Answer bleeding **
tx: debrided/irrigated -OR -within 4-8hrs
IV antibiotics - 1st, 2nd cephalosporins & aminoglycosides -- x48 hrs (after fx, + after OR) -- TETANUS
status **
Define intra-articular fx; how do you tx? - Answer fx line enters a JOINT cavity
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