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General Allied Health
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First Aid
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First Aid for the USMLE Step 1 (2022)
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First Aid for the USMLE Step 1 (2022) | General Allied Health School Study Aid

Page 399 -
7 Picmonics to Learn | 9 mins
Spontaneous Bacterial Peritonitis
Characteristics
Cirrhosis
Ascites
Monomicrobial
Clinical Features
Often Asymptomatic
Change in Mental Status
Abdominal Pain
Diagnosis
Paracentesis
PMN >250/mm3
Management
3rd Generation Cephalosporin
Albumin
Antibiotic Prophylaxis
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2 mins
Liver Enzyme Tests: AST and ALT
AST/ALT Ratio
AST: 8-20 U/L
ALT: 8-20 U/L
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1 min
Bilirubin Lab Value
0.2-1.2 mg/dL
Increased Bilirubin Causes Jaundice
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54 secs
Albumin Lab Value
3.5 - 5.5 g/dL
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49 secs
PT/PTT Lab Values
Prothrombin Time (PT)
10-14 seconds
Activated Partial Thromboplastin Time (PTT or aPTT)
25-35 seconds
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1 min
Platelet Lab Value
150,000-400,000 Micro L
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40 secs
Reye's Syndrome
Cause
Aspirin (Salicylates) to Treat Viral Illness (In Children)
Assessment
Cerebral Edema
Lethargy (Decreased LOC)
Vomiting
Liver Failure
Interventions
Monitor for Increased ICP
Mannitol (Osmitrol)
Considerations
No Aspirin for Children
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2 mins

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