Liver Let Die
Shaken, Not Stirred
Quality Heme Consults
The Great Mimicker
it's fat chewsday, innit?
200
This diagnosis is made by finding a neutrophil count greater than 250 cells/µL in ascitic fluid.
What is Spontaneous Bacterial Peritonitis (SBP)?
200
What is the first-line medication class for alcohol withdrawal syndrome?
Benzodiazepines
200
Dr. Shahin will likely want to perform this initial treatment when you consult him for a patient with fever, AKI, altered mental status, thrombocytopenia, and schistocytes on their blood smear.
Plasma exchange
(removes high-molecular-weight vWF multimers and replaces deficient ADAMTS13)
200
What is the classic chest x-ray finding in a patient with sarcoidosis?
Bilateral hilar lymphadenopathy.
200
Whoever finds this in their king cake is responsible for purchasing the next cake
A plastic baby figurine
400
This first-line therapy for pruritus in cirrhosis is a bile acid sequestrant.
What is cholestyramine?
400
In what timeframe does delirium tremens typically begin?
48-96 hours after last alcohol drink
400
Provide the thresholds for both the M protein level and percentage of bone marrow clonal plasma cells below which MGUS (monoclonal gammopathy of undetermined significant) may be diagnosed.
M protein <3 g/dL
Clonal plasma cells <10% of bone marrow cellularity
400
Pathologic finding on tissue biopsy for sarcoidosis?
Non-caseating granulomas.
400
This day comes after Mardi Gras
Ash Wednesday
600
What is the recommended way to screen for Hepatocellular Carcinoma (HCC) in a patient with cirrhosis?
Biannual abdominal ultrasound and serum α-fetoprotein.
600
This FDA-approved medication for AUD is safe in Child-Pugh Class A/B cirrhosis but should not be used in patients on opioids.
naltrexone
600
Name the four lab abnormalities that comprise the Cairo Bishop criteria for tumor lysis syndrome.
Hyperuricemia
Hyperkalemia
Hypocalcemia
Hyperphosphatemia
600
This cutaneous manifestation of sarcoidosis has a misleading name
Lupus pernio
600
This was the location of the first Mardi Gras parade in the US
Mobile, Alabama
800
In a patient with cirrhosis and portal hypertension, what is the preferred non-selective beta-blocker, and at what optimal daily dose?
Carvedilol 6.25 mg BID
(accept 12.5 mg/day)
800
This medication for AUD should be avoided in patients with severe chronic kidney disease
acamprosate
800
Dr. Jacocks might ask you to order this test when you consult him about a patient with thrombocytopenia and an high 4T score.
Serotonin release assay
OR
heparin-induced platelet aggregation assay
800
This is a clinical presentation of sarcoidosis characterized by fever, anterior uveitis, parotitis, and facial nerve palsy
Heerfordt syndrome
800
Derived from a Latin phrase meaning "farewell to meat", this is the name for the festive season culminating with Mardi Gras
Carnival
(from the Latin "carne vale")
1000
A patient with compensated cirrhosis and small esophageal varices (<5 mm) without red wale marks is found on endoscopy. He cannot tolerate BB therapy. What is the recommended management?
Repeat upper endoscopy in 2 years
1000
According to ASAM guidelines, what is the preferred benzodiazepine dosing method for alcohol withdrawal in a setting with continuous monitoring?
Symptom-triggered treatment
1000
Dr. Shahin might ask you about the presence of certain lab abnormalities when you consult him about a patient with an elevated leukocyte count, blasts with Auer rods on peripheral smear, and prolonged oozing from phlebotomy sites. Provide at least four of these lab abnormalities.
1. Thrombocytopenia
2. Prolonged PT (will also accept elevated INR)
3. Prolonged aPTT
4. Hypofibrinogenemia
5. Elevated D-dimer
1000
A patient with a history of cardiac sarcoidosis starts having runs of nonsustained VT. PET scan shows inflammation in the LV inferolateral wall. How do you treat the NSVT?
Prednisone
Drug class (systemic glucocorticoids) acceptable
1000
This item, thrown out by the Krewe of Zulu during their parade, is among the most coveted of Mardi Gras throws.
Coconuts