icupearls.org Archive

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

Saturday, June 22, 2024

Atlanta classification

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Q: Which of the following pathologies goes under the  Atlanta classification? (select one)   A) acute pancreatitis   B) Acute Kidney failur...
Thursday, June 20, 2024

Type-3c Diabetes Mellitus

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Q: What is type 3C diabetes? Answer:   Pancreatogenic diabetes Pancreatogenic diabetes is usually a complication of Chronic pancreatitis an...
Wednesday, June 19, 2024

Lyme carditis

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 Q: 44 years old male who was diagnosed with Lyme's disease 4 weeks ago is now admitted to ICU with syncope and Atrio-ventricular block...
Tuesday, June 18, 2024

LAA thrombi in AF

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Q: What percentage of left atrial thrombi in atrial fibrillation (AF) originates from Left Atrial Appendage? (select one) A) 50% B) 70% C) ...
Sunday, June 16, 2024

ICP in cryptococcal meningitis

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Q : 42 years old male with known history of AIDS and previous cryptococcal meningoencephalitis is brought to ED by his roommate with cloudin...
Thursday, June 13, 2024

Fibrinogen in DIC

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Q: Normal fibrinogen level in DIC is a good prognostic feature.  A) True  B) False  Answer: B  Disseminated intravascular coagulation (D...
Tuesday, June 11, 2024

BT in asthma

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Q:  A 24-year-old male is admitted to ICU with a fourth exacerbation of Asthma within the last 6 months. The patient continued to fail all...
Monday, June 10, 2024

Type B - LA - types

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Q: What is Type B1, Type B2 and Type B3 Lactic acidosis? Answer; Basically, there are 2 major types of Lactic acidosis: A and B (let's ...
Sunday, June 9, 2024

cholestyramine and thyrotoxicosis

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Q:  46 years old female is admitted to ICU with symptoms consistent with exacerbation of her hyperthyroidism symptoms. The endocrinology se...
Saturday, June 8, 2024

Visual functions and adverse ocular effects in patients with amiodarone

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Q: What could be the ocular side effects of Amiodarone? Answer: Most side effects are due to Amiodarone intracytoplasmic lamellar deposits i...
Thursday, June 6, 2024

A case of unusual choking

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Q; 65-year-old female was admitted to ICU 9 days ago with small bowel obstruction. Pt. is now stable and about to get transferred out of the...
Wednesday, June 5, 2024

Ketamine and liver

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Case: 77-year-old patient has been in ICU intubated due to severe community-acquired pneumonia for the last 2 weeks. The patient was unable...
Monday, June 3, 2024

Drug overdose and SOB

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Case: The Rapid Response Team (RRT) has been called for a 32-year-old male with a history of IV drug abuse (IVDA) who is now in inpatient re...
Sunday, June 2, 2024

Sodium in Legionnaires' disease

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Q: Legionnaires' Disease (Legionella Pneumonia) tend to cause?-  select one  A) Hypernatremia B) Hyponatremia Answer:  B LEGIONELLA PNE...
Saturday, June 1, 2024

IVT and its success

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Q: A 72-year-old male, with past medical history of only hypertension (HTN) found to have a  witnessed stroke in a restaurant. He is promptl...
Friday, May 31, 2024

Inhalers in pulmonary medicine

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Q: A 21-year-old male with a history of Asthma is admitted again to ICU with exacerbation of his symptoms. Patient insists that he takes his...
Thursday, May 30, 2024

Medication to avoid in ASPD

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Q: All of the following medications can be tried in a patient with Anti-Social Personality Disorder (ASPD), particularly with aggressive ten...
Wednesday, May 29, 2024

PREGNANCY-ASSOCIATED RISK MARKERS for ASCVD

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Q: All of the following are the PREGNANCY-ASSOCIATED RISK MARKERS for atherosclerotic cardiovascular disease (ASCVD) in the future EXCEPT? ...
Tuesday, May 28, 2024

Lidocaine inhalation for cough

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Q:   Nebulized lidocaine is frequently used for refractory cough. Name at least one caveat that should be considered while using it in the ...
Monday, May 27, 2024

Drugs in cardiac cachexia

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Q: Which of the following drugs can help independently in cardiac cachexia? A)  ACE-I B) Hydralazine C) Clonidine D) Ca-Channel-blockers E) ...
Sunday, May 26, 2024

FMT in other diseases beside C.Diff.

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Q: Name at least one disease  besides severe C. diff. Colitis in which Fecal Microbiota Transplantation (FMT) may be helpful? Answer: Irrit...
Saturday, May 25, 2024

EILO

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Q: The typical patient for Exercise-Induced-Laryngeal-Obstruction (EILO) is "a male adolescent competitive athlete who describes the re...
Friday, May 24, 2024

Images in EGD

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Q: As per the European Society of Gastrointestinal Endoscopy (ESGE), the endoscopist should take at least how many photos during an upper GI...
Thursday, May 23, 2024

Stages of Sarcoidosis on chest X-ray

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Q: What are the four stages of Sarcoidosis on chest X-ray? Answer:  Most of the times,, sarcoidosis gets diagnosed during the course of a c...
Wednesday, May 22, 2024

Refractory delirium tremens

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Q : How is "refractory delirium tremens" usually defined? Answer: Refractory delirium tremens is also called "benzodiazepine...
Tuesday, May 21, 2024

CPR in VAE

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Q: While the nurse was pulling the central venous line, the patient took a deep breath and soon after went into a PEA arrest. There is a hi...
Sunday, May 19, 2024

K and Dig-tox

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Q: The degree of hyperkalemia in acute digoxin toxicity correlates with the risk of death. A) True B) False Answer: A Acute digoxin toxici...
Saturday, May 18, 2024

C. Diff - Adjuvant Treatment

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Q : Name at least 3 antibiotics/medicines that may be used as adjuvants in treating C. diff. colitis along with Fidaxomicin, Metronidazole, ...
Thursday, May 16, 2024

Catamenial Pneumothorax

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Q ; What is Catamenial pneumothorax?   Answer: Catamenial pneumothorax is a rare condition defined as recurrent spontaneous pneumothorax occ...
Wednesday, May 15, 2024

TXA and CS

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Q: If topical or intravenous tranexamic acid is used in the surgery, the cell salvage technique (CS = cell-saver) should never be applied. ...
Monday, May 13, 2024

Disulfiram-ETOH interaction - Part 2

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  Case : 44 years old male who is on Disulfiram maintenance treatment with alcohol (ETOH) abstinence is admitted to ICU with chest pain, swe...
Sunday, May 12, 2024

Disulfiram-ETOH interaction - Part 1

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Case: 44 years old male who is on Disulfiram maintenance treatment with alcohol (ETOH) abstinence is admitted to ICU with chest pain, sweati...
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