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ED SAEM test Questions and Answers (Attained Grade A+) Latest Update, RATED A+.
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INR >1.5 or PTT >60s lactate >2 mmol/L
manual detorsion by rotating away from midline 90 degrees while checking doppler (2/3 of cases)
65 yrs old, DM, CAD, splenectomy, SC DZ, malignancy
ORAL N-acetylcysteine
NAPQI causes hepatic damage. NAC repletes Glutathione. MC cause for liver transplant give differential for Delirium - correct answers ✅-Withdrawal (alcohol, barbiturates, benzodiazepines) -Acute metabolic disorder (electrolyte imbalance, hepatic or renal failure) -Trauma (head injury, postoperative)
-CNS pathology (stroke, hemorrhage, tumour, seizure disorder, Parkinson's) -Hypoxia (anemia, cardiac failure, pulmonary embolus) -Deficiencies (vitamin B 12 , folic acid, thiamine) -Endocrinopathies (thyroid, glucose, parathyroid, adrenal) -Acute vascular (shock, vasculitis, hypertensive encephalopathy) -Toxins, substance use, medication (alcohol, anesthetics, anticholinergics, narcotics) -Heavy metals (arsenic, lead, mercury)