of 128
8/18/2019 Med Surg Quick Notes 20 2
1/128
!"#$%& (&)*+,- .-%/ 0 1&2 +2 3%% 0 4.56 7,8"/
8/18/2019 Med Surg Quick Notes 20 2
2/128
"#$ %&'( )&*+, -./#0
!"#$ ! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
3/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
4/128
"#$ %&'( )&*+, -./#0
!"#$ & &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
5/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
6/128
"#$ %&'( )&*+, -./#0
!"#$ " &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
7/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
8/128
"#$ %&'( )&*+, -./#0
!"#$ $ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
9/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
10/128
"#$ %&'( )&*+, -./#0
!"#$ *+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
11/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
12/128
"#$ %&'( )&*+, -./#0
!"#$ *! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
13/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
14/128
"#$ %&'( )&*+, -./#0
!"#$ *& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
15/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
16/128
"#$ %&'( )&*+, -./#0
!"#$ *" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
17/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
18/128
"#$ %&'( )&*+, -./#0
!"#$ *$ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
19/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
20/128
"#$ %&'( )&*+, -./#0
!"#$ !+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
21/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
22/128
"#$ %&'( )&*+, -./#0
!"#$ !! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
23/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
24/128
"#$ %&'( )&*+, -./#0
!"#$ !& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
25/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
26/128
"#$ %&'( )&*+, -./#0
!"#$ !" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
27/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
28/128
"#$ %&'( )&*+, -./#0
!"#$ !$ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
29/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
30/128
"#$ %&'( )&*+, -./#0
!"#$ #+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
31/128
8/18/2019 Med Surg Quick Notes 20 2
32/128
"#$ %&'( )&*+, -./#0
!"#$ #! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
33/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
34/128
"#$ %&'( )&*+, -./#0
!"#$ #& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
35/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
36/128
"#$ %&'( )&*+, -./#0
!"#$ #" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
37/128
8/18/2019 Med Surg Quick Notes 20 2
38/128
"#$ %&'( )&*+, -./#0
!"#$ #$ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
39/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
40/128
"#$ %&'( )&*+, -./#0
!"#$ &+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
41/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
42/128
"#$ %&'( )&*+, -./#0
!"#$ &! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
43/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
44/128
"#$ %&'( )&*+, -./#0
!"#$ && &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
45/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
46/128
"#$ %&'( )&*+, -./#0
!"#$ &" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
47/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
48/128
"#$ %&'( )&*+, -./#0
!"#$ &$ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
49/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
50/128
"#$ %&'( )&*+, -./#0
!"#$ '+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
51/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
52/128
"#$ %&'( )&*+, -./#0
!"#$ '! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
53/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
54/128
"#$ %&'( )&*+, -./#0
!"#$ '& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
55/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
56/128
"#$ %&'( )&*+, -./#0
!"#$ '" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
57/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
58/128
"#$ %&'( )&*+, -./#0
!"#$ '$ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
59/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
60/128
"#$ %&'( )&*+, -./#0
!"#$ "+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
61/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-#
8/18/2019 Med Surg Quick Notes 20 2
62/128
"#$ %&'( )&*+, -./#0
!"#$ "! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
63/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-#
8/18/2019 Med Surg Quick Notes 20 2
64/128
"#$ %&'( )&*+, -./#0
!"#$ "& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
65/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-#
8/18/2019 Med Surg Quick Notes 20 2
66/128
"#$ %&'( )&*+, -./#0
!"#$ "" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
67/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-#
8/18/2019 Med Surg Quick Notes 20 2
68/128
"#$ %&'( )&*+, -./#0
!"#$ "$ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
69/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-#
8/18/2019 Med Surg Quick Notes 20 2
70/128
"#$ %&'( )&*+, -./#0
!"#$ (+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
71/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
72/128
"#$ %&'( )&*+, -./#0
!"#$ (! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
73/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
74/128
"#$ %&'( )&*+, -./#0
!"#$ (& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
75/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
76/128
"#$ %&'( )&*+, -./#0
!"#$ (" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
77/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
78/128
"#$ %&'( )&*+, -./#0
!"#$ ($ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
79/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
80/128
"#$ %&'( )&*+, -./#0
!"#$ $+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
81/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
82/128
"#$ %&'( )&*+, -./#0
!"#$ $! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
83/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
84/128
"#$ %&'( )&*+, -./#0
!"#$ $& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
85/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
86/128
"#$ %&'( )&*+, -./#0
!"#$ $" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
87/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
88/128
"#$ %&'( )&*+, -./#0
!"#$ $$ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
89/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
90/128
"#$ %&'( )&*+, -./#0
!"#$ )+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
91/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
92/128
"#$ %&'( )&*+, -./#0
!"#$ )! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
93/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
94/128
"#$ %&'( )&*+, -./#0
!"#$ )& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
95/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
96/128
"#$ %&'( )&*+, -./#0
!"#$ )" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
97/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
98/128
"#$ %&'( )&*+, -./#0
!"#$ )$ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
99/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
100/128
"#$ %&'( )&*+, -./#0
!"#$ *++ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
101/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
102/128
"#$ %&'( )&*+, -./#0
!"#$ *+! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
103/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
104/128
"#$ %&'( )&*+, -./#0
!"#$ *+& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
105/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
106/128
"#$ %&'( )&*+, -./#0
!"#$ *+" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
107/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
108/128
"#$ %&'( )&*+, -./#0
!"#$ *+$ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
109/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
110/128
"#$ %&'( )&*+, -./#0
!"#$ **+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
111/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
112/128
"#$ %&'( )&*+, -./#0
!"#$ **! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
113/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
114/128
"#$ %&'( )&*+, -./#0
!"#$ **& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
115/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
116/128
"#$ %&'( )&*+, -./#0
!"#$ **" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
117/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
118/128
"#$ %&'( )&*+, -./#0
!"#$ **$ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
119/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
120/128
"#$ %&'( )&*+, -./#0
!"#$ *!+ &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
121/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
122/128
"#$ %&'( )&*+, -./#0
!"#$ *!! &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
123/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
124/128
"#$ %&'( )&*+, -./#0
!"#$ *!& &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
125/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
126/128
"#$ %&'( )&*+, -./#0
!"#$ *!" &' "#$ ()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
127/128
"#$ %&'( )&*+, -./#0
()*+,$-./0)-#12&* 345 &/ 6)#7$/ &- 8&./ 9$:; 9./0)-# ?@@ A$/0)&- B ?+#/"C$
8/18/2019 Med Surg Quick Notes 20 2
128/128
"#$ %&'( )&*+, -./#0
Insect -If alive, kill using
mineral oil, alcohol,
or
lidocaine
-Remove with
forceps
using binocular
Acute otitis
externa
-Pain with manipulation of
tragus-Very itchy with spores if
fungal
-Remove debris
-Topical antibioticdrops with wick if
needed
-If antibiotics aren’t
working, culture for
fungus and treat
with
acetic acid drops or
clotrimazole droMalignant
otitis
externa
(temporal
-May appear just like
otitis
externa
-Chronic otorrhea
-CT of temporal
bone
-Admit for IV AB
-ENT consult
-May need
mastoidectomy
-Consider especially in diabetics
-Agent: Pseudomonas
Middle Ear
Emergencie
Presentation & PE Investigation Treatment Special
TM perforation -Usually posterior tear
due
to curvature of ear canal-Ragged, bloody hole in
ear
drum
-Decreased hearing
-Hearing test ASAP -Quinolone ear
drops
-Recheck hearingin 1-
2 months
-May need surgical
repair if chronic
-Beware ototoxic ear drops
Acute otitis
media
-Hearing loss, ear pain,
tinnitus, ear fullness,
drainage with relief if perf
-If uncertain of
infection, can wait
a
few days to see if it
gets better
-If ear is obviously
infected, generally
treat immediately
with
oral antibiotics for
10-
-Agents: Strep pneumo, H. flu, M.
cat
Barotrauma -H/o rapid pressurechange
like airplane or SCUBA
-Hearing test -Nasal steroids
