Bugs that bug us
Guts and Glory
Call the specialist
Heme
Pulm crit
100
HME (Human Monocytic Ehrilichiosis) peripheral blood smear finding
Morulae
Multiple morulae in a monocyte from a patient with HME
100
Postprandial abdominal pain, fear of eating, weight loss
Chronic mesenteric ischemia
100
Acute eye pain, halos around lights, nausea/vomiting
Acute angle-closure glaucoma
Eye dilation should be avoided when ACG is suspected to prevent precipitously increasing IOP.
100
Patients with iron overload are also at risk for certain bacterial infections- name 2 organisms
Vibrio vulnificus and Yersinia enterocolitica
100
Timing of initiation of enteral nutrition in ICU
24-48 hours after admission
200
Identify the Tick
Amblyomma americanum (lone star tick)
Ehrlichia ( HME)
200
What does FODMAP stand for
Fermentable oligosaccharides, disaccharides, monosaccharides, and polyols.
200
Most common cause of tinnitus
Hearing loss
- Imaging is not needed in nonpulsatile bilateral tinnitus unless it is associated with focal neurologic findings or hearing loss that is asymmetric or sudden.
200
One unit of blood (500 mL) contains how many mg of iron
200 to 250 mg of iron
200
Diagnosis suggested by hyperthermia, hyperreflexia, dysautonomia, mental status changes
Serotonin syndrome
300
Cause of swimming pool–related diarrhea
Cryptosporidium
- Municipal water supplies and swimming pools can be a source of Cryptosporidium infection.
- It has an outer shell that lets it survive in properly chlorinated water for more than 7 days.
300
What's the diagnosis
Upper endoscopic view of Barrett mucosa (salmon-colored, indicated by arrows) versus normal squamous mucosa (pink).
300
Impulsive overeating and loss of control over eating
Binge eating disorder
300
Which factor is deficient in Hemophilia C
Factor XI deficiency
300
Cholinergic toxicity is characterized by this pneumonic
SLUDGE (Salivation, Lacrimation, increased Urination and Defecation, Gastrointestinal upset, and Emesis).
400
Identify the tick
Ixodes scapularis (blacklegged tick)
Anaplasma (HGA)
400
What is the diagnosis?
Eosinophilic Esophagitis.
The characteristic findings of eosinophilic esophagitis on endoscopy include rings and longitudinal furrows; strictures, edema or exudates may also be seen.
400
This procedure should be performed within 1 hour of symptom presentation of Acute angle closure glaucoma
Iridotomy
Acute ACG is an ocular emergency, and laser peripheral iridotomy should be performed within 1 hour of presentation. If iridotomy is delayed, IOP-lowering drops should be administered to lower the pressure until iridotomy can be performed.
400
Treatment of complement-mediated HUS
Eculizumab
400
Test for suspected cough-variant asthma with normal spirometry
Methacholine challenge test
500
This is the name given to a rare, fulminant form of disseminated tuberculosis characterized by a sudden onset of septic shock, multi-organ failure, and disseminated intravascular coagulation (DIC)
Landouzy sepsis (also known as sepsis tuberculosa acutissima or Landouzy's typhobacillosis)
500
In Eosinophilic Esophagitis, esophageal biopsy specimens show eosinophil counts of this number or more per high-power field?
15
500
Nonhormonal drugs for vasomotor symptoms of menopause
SSRIs, SNRIs, gabapentin, neurokinin receptor antagonists (fezolinetant and elinzanetant) are effective
500
Duration of VTE prophylaxis in pregnant person with SCD
While hospitalized and 6 weeks postpartum.
estrogen-containing hormonal contraceptives should be avoided in the immediate postpartum period.
500
Asthma monotherapy associated with increased mortality
LABA