Risk Factors for Post-Operative Nausea and Vomiting:
• Young age
• Female
• History of PONV
• Non-smoker
• Type of surgery: ophtho, ENT, abdo/pelvic, plastics
• Type of anesthetic: N 2 O, opioids, volatile agents

Solubility of Volatile Anesthetics in Blood Least Soluble to Most Soluble:

Nitrous oxide < desflurane < sevoflurane < isoflurane < halothane

Kostmann syndrome:

⭕️Congenital neutropenia
⭕️Autosomal recessive
⭕️Sepsis
⭕️Staphylococcal abscesses
⭕️⬆Risk of Acute myeloid leukemia

Antibiotics Associated With Pseudomembranous Colitis:

🔷Clidamycin ( the most important)
🔷Fluoroquinolones
🔷Cephalosporin
🔷Carbapenems

Abdominal swelling causes
9 F's:

- Fat
- Feces
- Fluid
- Flatus
- Fetus
- Full-sized tumors
- Full bladder
- Fibroids
- False pregnancy

Causes of secondary hypertension

CHAPS

- Cushing syndrome

- Hyperaldosteronism

- Aortic coarctation

- Pheochromocytoma

- Stenosis of renal arteries

Indications for CABG are :-

🔸Unable to perform PCI
🔹Left main coronary artery disease
🔸Triple-vessel disease
🔹Depressed ventricular function

Quick Motor Nerve Exam:

👍🏿“Thumbs Up”: PIN (Radial Nerve)
👌🏽“OK Sign”: AIN (Median Nerve)
🖐🏻“Spread Fingers”: Ulnar Nerve

Pulmonary Embolism Rule-out Criteria (PERC)

HAD CLOTS:

H - Hormone use
A - Age>50
D - DVT/PE history
C - Coughing blood
L - Leg swelling disparity
O - O2 saturation <95%
T - Tachycardia (>100 bpm)
S - Surgery or trauma in past 4

Conditions Associated with an Increased Incidence of Adhesive Capsulitis
• Prolonged immobilization (most significant) 🌟
• Female gender
• Age >49 yr
• DM (5x) 🌟
• Cervical disc disease
• Hyperthyroidism
• Stroke
• MI
• Trauma and surgery
• Autoimmune disease

X-Ray Rule of 2s in fractures:
2 sides = bilateral
2 views = AP + lateral
2 joints = joint above + below
2 times = before + after reduction

Chromosome 15 the "MAP" syndromes:


🔵Marfan syndrome
🔵Angelman syndrome
🔵Prader-Willi syndrome

The 4 Cs of TB:

- Caseation
- Calcification
- Cavitation
- Cicatrization

✨Clinical Triad of Hydatidiform Mole✨

❗️Uterine enlargement inconsistent with dates
❗️Hyperemesis gravidarum
❗️Markedly ⬆ hCG

🔺Endotracheal intubation “5 Ps indication🔺
💢Patent airway
💢Protects against aspiration
💢Positive pressure ventilation
💢Pulmonary toilet (suction)
💢Pharmacologic administration & hemodynamic instability

Antibiotics Associated With Pseudomembranous Colitis:

🔷Clidamycin ( the most important)
🔷Fluoroquinolones
🔷Cephalosporin
🔷Carbapenems

💉💉The most common cause of mortality in blood transfusion is TRALI (transfusion related acute lung injury) !!! 💉‼️