icupearls.org Archive

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

Saturday, November 30, 2024

Delta ACS

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Q: What is the importance of Acute Compartment Syndrome (ACS) delta pressure? Answer: The formula is: ACS delta pressure = diastolic blood ...
Wednesday, November 27, 2024

Heyde's syndrome

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Q: Heyde syndrome is an association of gastrointestinal (GI) angiodysplasia and? - select one A) Mitral stenosis B) Aortic stenosis Answer:...
Tuesday, November 26, 2024

Anemia via phlebotomy

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Q : How much blood is usually wasted annually in the Western world due to unnecessary phlebotomy? - select one A) 100 K Liter B) 300 K Liter...
Monday, November 25, 2024

HD and HCV

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Q: Patients with Hepatitis C virus (HCV) and on hemodialysis (HD) should have dedicated and isolated HD machines. A) True B) False Answer: ...
Sunday, November 24, 2024

Hydralazine and Nitrates

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Q : Hydralazine is? - select one A) an arterial vasodilator B) a venous vasodilator Answer: A Hydralazine is an arterial vasodilator. That...
Saturday, November 23, 2024

Dexamethasone as an adjunct in post-operative pain management ?

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Q: Dexamethasone can be used as an adjunct in post-operative pain management. A) Yes B) No Answer : A (Yes) Dexamethasone in the intravenou...
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Friday, November 22, 2024

Pseudohypertension

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Q : Blood Pressure (BP) measurement via cuff on the brachial artery may show BP ______________ than the actual BP? - select one A) higher B)...
Thursday, November 21, 2024

Palm Print Sign and Prayer Sign

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Q : What are prayer sign and palm print sign? Answer: If a patient cannot place palms flat together, it suggests difficult intubation. This...
Wednesday, November 20, 2024

Heerfordt-Waldenström syndrome

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Q: What is Heerfordt syndrome? Answer: An uncommon form of acute presentation of ѕаrϲοiԁosis Heerfordt syndrome is also known as Uveoparot...
Tuesday, November 19, 2024

Thiamine in ETOH overdose

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Q: Thiamine protects against delirium tremens (DTs) in alcohol toxicity. A) True B) False Answer: False Thiamine is recommended in alcoholi...
Monday, November 18, 2024

Negative myoclonus

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Q: What is negative Myoclonus?  Answer : Negative mуοϲlоnսs is a sudden, involuntary, shock-like movement caused by the sudden interruption...
Sunday, November 17, 2024

7 Pearls re. Myxedema Coma

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Myxedema Coma is a medical emergency. 1. Myxedema Coma is a clinical diagnosis and treatment should not be delayed until laboratory confirma...
Saturday, November 16, 2024

PTH and steroid induced osteoporosis

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Q : Parathyroid hormone (ΡTΗ) ___________________ in glucocorticoid-induced οѕtеοроrоsiѕ, - select one- A) helps B) hurts Answer: A PTH rem...
Friday, November 15, 2024

Green CSF

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Case: You encountered green CSF fluid while performing lumbar puncture (LP). What could be the most probable causes? Answer:    The cerebro...
Thursday, November 14, 2024

4 Rs

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Q: All ICUs should have a professional, friendly, respectful, and teamwork environment. However, stressful situations can quickly convert th...
Wednesday, November 13, 2024

Parvus and Tardus

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Q: What is "parvus and tardus" of carotid pulse in Αortic Stenosis? Answer: "parvus and tardus" means low volume and s...
Tuesday, November 12, 2024

EKG changes in adrenal crisis

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Case: 37 years old female was admitted to ICU with hypotension, hyponatremia, hyperkalemia, metabolic acidosis, and hypoglycemia. Hypotensiv...
Monday, November 11, 2024

Hyperphosphataemia and other electrolyte

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Q 78 years elderly patient is admitted to ICU after incidental over-ingestion of large amounts of Fleet's Phospho-Soda to relieve consti...
Sunday, November 10, 2024

Nitroprusside use in pregnancy

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Q: 26 weeks pregnant lady is admitted to ICU with hypertensive crisis. This is her third admission in the last few weeks and had required m...
Saturday, November 9, 2024

MRSA Impetigo Rx

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Q : 83 years old male with several previous hospitalizations with methicillin-resistant Staphylococcus aureus (ΜRЅA) sepsis is transferred f...
Friday, November 8, 2024

Acute toxicity of ingested fluoride

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Q: All of the following can happen in Flouride toxicity EXCEPT? - select one A) Hypokalemia B) Hypocalcemia C) Hypoglycemia D) Hypomagnesemi...
Wednesday, November 6, 2024

ILD and SSc

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Q: The risk of developing early Interstitial lung disease (ΙLD) is higher if diffuse cutaneous systemic sclerosis (ЅЅc) is more pronounced ...
Monday, November 4, 2024

Ectopic pregnancy - medical Rx

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Q:  A female, 21 years old presented to ER with suspicion of ectopic pregnancy. Ob-Gyn service is considering surgical vs medical approach a...
Sunday, November 3, 2024

Rx for lyme disease rash

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Q: Which antibiotic may be used to treat skin rash of Lyme disease? - select one A) Azithromycin  B) First-generation ϲерhаlοѕpоriոs  C) Qu...
Saturday, November 2, 2024

ULBT

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Q: What is the utility of the upper lip bite test (ULBT)? Answer: Assessing the ability to sublux the mandible during intubation. ULBT is a...
Friday, November 1, 2024

DTF

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Q : What is the significance of diaphragmatic thickening fraction (DTF) in ventilator liberation? Answer: As ultrasound at the bedside, popu...
Wednesday, October 30, 2024

pseudo pulmonary embolus

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Q: What is pseudo-pulmonary embolus syndrome? Answer: Pseudo-pulmonary embolism is an umbrella term of clinical syndrome, where symptoms lik...
Tuesday, October 29, 2024

Rx of severe postpartum unipolar depression

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Q: 27 years old, recently postpartum female is admitted to ICU with severe unipolar depression and suicidal ideation; which of the following...
Monday, October 28, 2024

BBs and HD

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Q: 56 years old male is admitted to ICU with his prescribed Beta-Blocker (BB) overdose. Patient is severely hypotensive and bradycardic. A ...
Sunday, October 27, 2024

EtCO2 and bicarb

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  Q:  During cardiac resuscitation, administration of sodium bicarbonate may cause erroneous ___________ in End-Tidal CO2 (EtCO2)? - select ...
Saturday, October 26, 2024

Dunbar syndrome

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Q:   49 years old presented to the Emergency room with progressive worsening abdominal pain and weight loss over the last few months.  On ex...
Friday, October 25, 2024

ASA levels and toxicity

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Q: Serum salicylate (ASA) concentration tends to ____________ clinical signs? - select one A) lags B) precedes Answer: A Although it is rec...
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