icupearls.org Archive

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

Friday, January 31, 2025

Jendrassik maneuver

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Q: What is Jendrassik maneuver in neurological exam? Answer : Maneuver to enhance the neurological reflexes. During a complete neurological ...
Wednesday, January 29, 2025

Anesthesia for I n D

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Q: 77 years old male bedbound patient at home is admitted to ICU with sepsis. A 3-inch wide abscess in the calf region is expected to be th...
Tuesday, January 28, 2025

Antibiotics and False-positive Aspergillus galactomannan assay

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Q: 54 years old post lung transplant patient is admitted to ICU with respiratory failure and found to have aspergillosis. Due to severe sep...
Monday, January 27, 2025

visual snow syndrome

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Q : What is visual snow syndrome? Answer: Continuous, tiny, flickering dots throughout the visual field of both eyes  Visual snow syndrome ...
Sunday, January 26, 2025

HnH in CHF

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Q: What is the clinical importance of following Hemoglobin with Hematocrit in Congestive Heart Failure (CHF)? Answer : The level of dilution...
Saturday, January 25, 2025

BAT

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Q: Which of the following is not part of the Bleeding Assessment Tool (BAT)? - select one A) Epistaxis B) Cutaneous Bruising C) GI Bleeding...
Friday, January 24, 2025

Initial HTN Mx

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Q : Although monotherapy is usually used as the initial first-line treatment to begin anti-hypertensive treatment in newly diagnosed patient...
Thursday, January 23, 2025

Testosterone Replacement Therapy and Klinefelter Syndrome

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Q:  A 28-year-old male with known Klinefelter syndrome and previous Deep Venous Thromboses (DVTs) is admitted to ICU with pulmonary embolism...
Wednesday, January 22, 2025

"Locked-in" Syndrome (coma vigilante)

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"Patient is a silent and unresponsive witness to everything that is happening" - from the story of Nick Chisholm.  A patient wit...
Tuesday, January 21, 2025

Spider angiomata

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Q: 44 years old male with known end-stage cirrhosis is admitted with variceal hemоrrhаge. Physical exam shows all stigmata of liver cirrhos...
Monday, January 20, 2025

brain glucose with normal plasma glucose in salicylate poisoning

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Q: Salicylate overdose causes - select one A) CNS glucose to go up B) CNS glucose to go down Answer: B Hemodialysis is recommended in salicy...
Sunday, January 19, 2025

CBC and adrenal crisis

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Q: Which CBC finding is highly suggestive of Adrenal crisis? (Select one) A) Neutrophilia B) Eosinophilia C) Thrombocytopenia D) Neutropeni...
Saturday, January 18, 2025

BB to cause toxic epidermal necrolysis

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Q: Which beta-blockers (BB) can cause toxic epidermal necrolysis, even at therapeutic levels. - Select one A) Acebutolol B) Sotalol  C) Car...
Friday, January 17, 2025

Chronic ethanol use and acute acetaminophen overdose toxicity

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Q : History of chronic alcoholism increases the chances of acetaminophen hераtοtοхicity. A) True B) False Answer : B It may seem logical tha...
Wednesday, January 15, 2025

NSAIDs and CHF

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Q; Why nonsteroidal antiinflammatory drug (NЅΑІD) is not recommended in heart failure patients? Answer:  Patients with advanced heart failu...
Monday, January 13, 2025

Infection in burn patients

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Q: Which organism is most likely to occur in burn patients? - select one A) Pseudomonas aeruginosa  B) Staphylococcus aureus Answer: A P. ...
Sunday, January 12, 2025

CCB, RAS meds and peripheral edema

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Q : Adding an angiotensin-converting enzyme (ACE) inhibitor may worsen the peripheral edemа due to calcium channel blockers (CCB). A) True B...
Saturday, January 11, 2025

Ice test in MS

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Q : What is the bedside ice test for myasthenia gravis? Answer:  Most Myasthenia patients, along with other symptoms of weakness, usually ex...
Friday, January 10, 2025

Reading Epilepsy

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Q: 19 years old male is brought from a local community college where he suddenly developed tonic-clonic seizures while intensely reading a ...
Thursday, January 9, 2025

Smoking and PONV

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Q: Smoking is an independent risk factor for Post-Operative Nausea and vomiting (РOΝV). A) True B) False Answer: B Interestingly, instead of...
Wednesday, January 8, 2025

Ruling Out plасeոtal abruption

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Q: Ρlасeոtal abruption can be ruled out if vaginal bleeding is painless. A) True B) False Answer: B The main differences between placenta ...
Tuesday, January 7, 2025

KS and GI involvement

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Q: 58 years old Greek male is admitted to ICU with hypovolemia, severe diarrhea, hematemesis, and bleeding from the rectum. CT scan is high...
Monday, January 6, 2025

acetaminophen administration in chronic patients

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Q: Patients with acute exacerbation of chronic pain can tolerate higher than recommended dose acetaminophen and should be tried on it befor...
Sunday, January 5, 2025

"man-in-a-barrel" syndrome

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Q : What is "man-in-a-barrel" type stroke or syndrome? Answer : Infarction of the brain's watershed areas Hospitalists and int...
Saturday, January 4, 2025

Colchicine for constipation

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Q : Colchicine tends to cause, - select either A or B A) Constipation B) Diarrhea Answer: B This question aims to bring to attention a litt...
Friday, January 3, 2025

Use of VRA in Liver Transplant Recipients

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Q : What is the utility of Vasopressin receptor antagonists (VRA) in pre-liver transplant patients?  Answer:   There are multiple anti-diure...
Thursday, January 2, 2025

Amphetamine toxicity

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Q: Amрhetamine intoxication may cause all of the following electrolyte disturbances EXCEPT? A) Hypokalemia B) Hурerոatremiа C) Hypermagnesem...
Tuesday, December 31, 2024

American Society of Anesthesiologists Physical Status Classification System

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Q : The American Society of Anesthesiologists (ASA)'s Level-6 physical status is the highest category classification, which means that a...
Monday, December 30, 2024

Rule out alcohol intake resumption

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Q:  48 years old male with past history of alcohol abuse but is in remission for the last few months brought to ER with change in mental sta...
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