icupearls.org Archive

Pearls on Intensive Care Medicine Practice - Project "Critical Care A Day"

Wednesday, July 31, 2013

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  Q: How PEEP may contribute to induce pulmonary edema? Answer: PEEP may increase pulmonary edema by 2 factors 1, incre...
Tuesday, July 30, 2013

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Q: Is it necessary to use heparinized saline in pressure bag for arterial line monitoring? Answer: No Previously, it was a standar...
Sunday, July 28, 2013

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Q: What bacteria E.coli has to do with Filgrastim (Neupogen)? Answer : Filgrastim  (Neupogen) is a granulocyte colony-stimulatin...
Saturday, July 27, 2013

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Q; What are the 3 catheter based interventions to perform mechanical thrombectomy in massive/submassive pulmonary embolism? Answer: ...
Friday, July 26, 2013

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Q; What is the significance of increased Troponin in Pulmonary Embolism? Answer:   In acute pulmonary embolism, troponins pro...
Thursday, July 25, 2013

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Q; Which test would be better in predicting septic arthritis? Answer:   CRP An elevated CRP (C-reactive protein) is helpful ...
Wednesday, July 24, 2013

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Q; Tumor lysis syndrome may cause all except ? (Choose one) A) Hyperkalemia B) Hyperphosphatemia C) Hypercalcemia D) Hyperuric...
Tuesday, July 23, 2013

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Q; Which tumors are more prone to give negative cytology in malignant pleural effusion? Answer: Generally c ytology is positiv...
Monday, July 22, 2013

Septic Pulmonary Emboli

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    Septic pulmonary emboli is embolization of intravascular thrombus containing microorganisms into the lungs. Septic emboli can ...
Sunday, July 21, 2013

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CPAP vs Bi-PAP ventilation (Basics) Source: http://youtu.be/BdeOiDJmbrk
Friday, July 19, 2013

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Q: Which lung cancer is more prone to produce Syndrome of Inappropriate Antidiuretic Hormone (SIADH)? Answer: Small cell lung cancer...
Thursday, July 18, 2013

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Q: What is clinical importance of Mayo-Robson point? Answer: A point just above and to the right of the umbilicus is called Ma...
Wednesday, July 17, 2013

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 LEMON for Airway intubation Some providers use the LEMON pneumonic to help them assess an airway L-  Look externally (facial tr...
Tuesday, July 16, 2013

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Q: What is large bore IV ? Answer:  At least 16 gauge  and ideally 12-14 gauge. As contrary to popular belief and practice c...
Monday, July 15, 2013

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Q: 17 year old male is admitted with bloody diarrhea and vomiting. Patient visited petting zoo 3 days ago with his friend. Now patient ...
Sunday, July 14, 2013

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Q: Ideally, mature Arterio-Venous Fistula (AVF) for hemodialysis should have which basic properties? Answer: Ideally, mature...
Saturday, July 13, 2013

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Q: 54 year old male who is POD # 22 heart transplant is found to have symptomatic bradycardia with heart rate of 24. Resident administ...
Thursday, July 11, 2013

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Q: 36 year old female is in ICU with septic shock and diagnosed with strongyloidiasis. She also has severe GI ileus and was made NPO . She ...
Wednesday, July 10, 2013

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Q: What is "botulinum cook" ? Answer: Botulinum toxin is destroyed by proper thorough cooking but the spore itself is n...
Tuesday, July 9, 2013

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Q: 28 year old male, who just returned from Bangladesh 2 days ago presented to ED with vomiting, painless but profuse "rice water...
Monday, July 8, 2013

Adenosine and limbs numbness

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  Adenosine can make patients' limbs feel numb for about 2–5 minutes after intravenous administration part...
Sunday, July 7, 2013

Taste disturbances with captopril

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Captopril though not much in use in USA is a well known and frequently used ACE inhibitor in many developing countries, due to its availa...
Saturday, July 6, 2013

Fenoldopam and Beta blocker

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Fenoldopam is an antihypertensive agent, which acts as a selective D1 receptor partial agonist. Fenoldopam's concomitant use wit...
Friday, July 5, 2013

Causes of Hemoptysis

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Causes of Hemoptysis & Diffuse Aveolar Hemmorhage can be remembered with folllowing mnemonic  BATTLE CAMP Bronchitis,...
Thursday, July 4, 2013

Happy Birthday America

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 May this flag fly high forever
Wednesday, July 3, 2013

Cocaine overdose and Rimcazole

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Cocaine overdose causes tachyarrhythmias and life-threatening hypertensive crisis. Moreover, Cocaine is very pyro...
Tuesday, July 2, 2013

Acute abdomen in DKA

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Q:   One of the most deceiving sign in DKA (Diabetic ketoacidosis) is acute abdomen. Which factors are commonly associated with acute abd...
Monday, July 1, 2013

False positive or false negative stool guaiac test

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Q: What can turn stool guaiac test false positive or false negative ? Answer: False positive: Ir...
Sunday, June 30, 2013

Reversal of INR - Guidelines

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The American College of Chest Physicians (ACCP) updated their recommendations on the use of vitamin K in June of 2008. Oral vita...
Saturday, June 29, 2013

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Q; Why "Bridging of warfarinization" is recommended ? Answer:   For the first 48 to 7...
Friday, June 28, 2013

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Q; What are the guidelines on  new oral anticoagulants (NOACs) on holding before surgical procedures? Answer:  Warfarin rema...
Thursday, June 27, 2013

ICU Sonography

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Very informative website with detailed 14 tutorials on use of sonography in ICU, including heart, lung, vascular, abdomen and other g...
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