Friday, February 28, 2014

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Q: While floating a Pulmonary Artery Catheter, as you  inflate  balloon and enter right ventricle, nurse inform you that monitor is rea...
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Wednesday, February 26, 2014

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Q: What are the essential components of Decorticate and Decerebrate posturing Answer: Decorticate posturing: Elbows, wrists and f...
Monday, February 24, 2014

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Q: What is the recommended DVT prophylaxis in patients with no major risk undergoing spinal surgery? Answer: Fo...
Saturday, February 22, 2014

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Q: What are the added risk factors for pressure ulcer in ICU patients in addition to other hospitalized adul...
Friday, February 21, 2014

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Q: Ideally, how frequent lubricant should be applied in ICU patients, who have exposed cornea to prevent keratop...
Wednesday, February 19, 2014

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Q: What is Palla's sign in Pulmonary Embolism (PE)? Answer: A chest x-ray shows a prominent right descending pulmonary artery...
Tuesday, February 18, 2014

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Q: 45 year old female with established diagnosis of pheochromocytoma and on maintenance dose of phenoxybenzamine - presented with septic ...
Monday, February 17, 2014

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Q: What advantage plasma exchange provides in acute exacerbation of Wegner's Granulomatosis? Answer: ...
Sunday, February 16, 2014

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Q: What is the recommendation for giving Haldol (Haloperidol) in patients over age 65?   Answer: Haldol should be use with cautio...
Saturday, February 15, 2014

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Q: What is the clinical utility of doing free plasma Hemoglobin?   Answer: Plasma normally contains no free hemoglobin. Significant...
Friday, February 14, 2014

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Q: You have been called to ER to evaluate a patient with severe headache. You ruled out SAH (Subarachnoid hemorrhage) with radiological...
Thursday, February 13, 2014

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Q: "Worst h eadache of life" or "like being kicked in the head" is the classic presentatio...
Wednesday, February 12, 2014

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Q: Which patient population is at highest risk of developing HIT (Heparin Induced Thrombocytopenia)? Answe...
Tuesday, February 11, 2014

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Q: Patient's platelet count suddenly dropped from 283 k/uL to 25 k/uL. Patient is clinically stable and you expect pseudothrombocytop...
Monday, February 10, 2014

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Q: In Dengue virus shock syndrome, what should triggers the blood transfusion? Answer: In contrast to other clinical situations, Bl...
Sunday, February 9, 2014

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Q: 52 year old male while on trip to Arizona encountered Scorpion sting and probable Envenomation. Patient is i...
Saturday, February 8, 2014

GET SMASHED

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The mnemonic GETSMASHED is used for common causes of Pancreatitis: G - Gall stones E - Ethanol T- Trauma S - Steroids M - Mum...
Friday, February 7, 2014

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Q: What is the advantage of intraduodenal feeding beside less chances of aspiration pneumonia? Answer: Intraduodenal feeding causes...
Thursday, February 6, 2014

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Q: What is the dose of Methylene blue (MB) in Vasoplegic Syndrome? Answer: A single dose of IV MB, 2 mg/kg over 20-min infusion....
Tuesday, February 4, 2014

A note on Magnesium level and Hemolysis

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Magnesium concentrates in erythrocytes almost three times more than in serum. Hemolysis can increase plasma magnesium. Hypermagnesemia is ...
Monday, February 3, 2014

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Q: What is the most important clinical relevance of TTKG (The trans-tubular potassium gradient)? Answer: T...
Sunday, February 2, 2014

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Q: What is the typical increase in potassium level after usual dose administration of  succinylcholine?   An...
Saturday, February 1, 2014

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Q: What is the dose of Ketamine in RSI (Rapid Sequence Intubation)? Answer: Ketamine is given intravenou...
Friday, January 31, 2014

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Q: What is the rule of thumb of dosing Argatroban in patients with significant liver dysfunction?   Ans...
Thursday, January 30, 2014

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Q: Combination of Argatroban and Warfarin can give falsely very high INR. What would be the best method to know that INR would be in ther...
Wednesday, January 29, 2014

Bedside Tracheostomy safe in community hospitals

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"Bedside percutaneous tracheotomy can be done in critically ill patients with a low risk of morbidity in the community hospital setting...
Tuesday, January 28, 2014

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Q:   What is the advise for nursing staff taking care of patient on Ribavarin inhalation therapy? Answer:   Pregnant nursing sta...
Monday, January 27, 2014

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Q:   Why Thiazide diuretics are contraindicated in acute treatment of hypercalcemia? Answer:    Thiazide diuretics increases the re...
Sunday, January 26, 2014

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Q:   72 year old male received Morphine on medical floor and is now apneic. Pt. is DNR and DNI. As you call for Naloxone for reversal, you...
Saturday, January 25, 2014

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Q: Why flumazenil should be use with caution in patients with Cocaine overdose Answer:   Use of flumazenil in the cocaine-intoxica...
Friday, January 24, 2014

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Q: What is the typical finding to look for in  Broncho-Alveolar Lavage (BAL) in  AEP (Acute Eosinophilic Pneumonia)?  Answer: In AEP, in...
Wednesday, January 22, 2014

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Healthcare Personnel Attire in Non-Operating-Room Settings "BBE Approach" Bare below the elbows” (BBE):   "This art...