Electrolytes Gone Wild
This is the most likely acid-base abnormality to see after multiple days of normal saline resuscitation
What is a non-anion gap metabolic acidosis?
This is the treatment for an elderly patient with a chronic indwelling Foley who presents with scrotal erythema and crepitus in the perineum
What is debridement?
This is the next step for a patient who was found to have an incidental 5cm adrenal mass
What is a biochemical workup?
This is the most likely reason for a skin graft to fail
What is a hematoma?
This is the treatment for a 7 year old who presented with intussusception, underwent air-contrast enema with successful reduction 2 hours ago, but now has recurrent intussusception
What is repeat pneumatic reduction?
This is the appropriate maintenance fluid rate for a 13kg patient
What is 46 mL/hr?
This is the most likely diagnosis for a 17 year old female presenting with an 8cm ovarian cyst with calcifications and a normal biochemical workup
What is a teratoma?
This is the next step for a patient who just had a total thyroidectomy, with pathology showing a 2.5cm papillary thyroid carcinoma with extrathyroidal extension
What is radioactive iodine?
This is the treatment for a patient who presented with a grade 3 renal injury with extravasation, now status post IR angioembolization who remains hypotensive after blood transfusion
What is a nephrectomy?
This is the treatment for an 8 month old patient presenting with bilious emesis and a UGIS that shows the ligament of Treitz visible directly below the gastric outlet.
What is a Ladd procedure?
Bonus 200 points for describing the steps of the surgeryThis is the most common postoperative complication in patients over the age of 65
What is delirium?
This is the correct treatment for a patient who had a urethral injury during a sigmoid colectomy, with a 6cm gap from the distal end of the ureter to the bladder
What is a Psoas hitch?
This is the treatment for a patient after total thyroidetomy who is found to have hypocalcemia with perioral numbness and QT prolongation
What is IV calcium gluconate?
This is the next step for a patient who presents status post gunshot wound to the left leg with a mildly displaced left tibial fracture, and ABIs of 0.85 on the left and 1.05 on the right
What is a CT angiogram?
These are the lab tests most likely to confirm the diagnosis for a pediatric patient with a palpable abdominal mass. Bonus 200 points if you don’t use an acronym
What are vanillylmandelic acid and homovanillic acid? (VMA/HVA)
This is the treatment for a patient who underwent a regional block with bupivacaine and subsequently develops dizziness and confusion
What is a lipid emulsion?
DAILY DOUBLE
This is the treatment for a 7cm tubo-ovarian abscess
This is the best screening test for a suspected aldosteronoma
What is the renin:aldosterone ratio?
This is the diagnosis and next step for a patient who presents with gunshot wound to the left chest, status post left chest tube with drainage of hemothorax, who has persistent hypotension with distended neck veins
What is cardiac tamponade and pericardial drainage?
This is what you would use to repair a large congenital diaphragmatic hernia in a newborn after they’ve been stabilized
What is a GoreTex mesh?
DAILY DOUBLE
This is the most likely vitamin deficiency in a patient with history of Roux-en-Y gastric bypass who presents with gait instability, edema, and nystagmus
This is the most likely diagnosis for a patient who presented for laparoscopic hysterectomy and after Veress insufflation beame hypoxemia, tachycardic, and hypotensive
What is a gas embolus?
Bonus 200 points for describing the treatment
This is the diagnosis for a female newborn with ambiguous genitalia and salt wasting
What is 21-hydroxylase deficiency?
This is the next step for a patient who presented after a motor vehicle crash and was found to have a left pneumothorax, had a chest tube placed with blowing air leak, and had a second chest tube placed with the same, with bronchoscopy showing injury to the carina extending to left main bronchus. (Be specific)
What is a right posterolateral thoracotomy?
This is the diagnosis and treatment for a newborn patient found to have jaundice, with liver biopsy demonstrating bile duct proliferation, bile plugging, and periportal fibrosis.
What is biliary atresia and a Kasai procedure?
Bonus 200 points for the name of the procedure without eponym