Arterial motives
In this kind of gangrene, necrotic tissue is accompanied by severe infection.
What is wet gangrene?
This is the normal range for the PR interval.
What is 120–200 ms?
These are the components of Virchow's triad.
What is endothelial injury, hemostasis, and hypercoagulability?
Early artificial kidneys used this breakfast food-related material as tubing for filtering blood.
What is sausage casing?
This mythical sea creature became Norfolk’s city symbol in 1999.
What is a mermaid?
A wound near the malleolus, with edema and brown or scaly skin changes, points more toward this type of ulcer.
What is a venous ulcer?
In sinus rhythm, these are the expected P-wave polarities in leads II and aVR?
Upright in II, inverted in aVR
This standardized scoring tool helps assess whether a patient’s bleeding history is abnormal enough to warrant further evaluation.
What is the ISTH Bleeding Assessment Tool (ISTH-BAT)?
This city opened the world’s first outpatient dialysis center in 1962.
What is Seattle?
Built on a former landfill, this Virginia Beach park turned trash into hills, lakes, and trails.
What is Mount Trashmore?
This is the best initial study if you suspect PAD.
What is the noninvasive physiologic study?
Name and describe the two quick methods for estimating ECG axis taught in this weeks lecture.
What are the “thumbs” method or finding the direction 90° from the most isoelectric limb lead?
For warfarin-associated intracranial bleeding, this rapid reversal treatment is paired with IV vitamin K.
What is four-factor PCC?
This Dutch physician is often called the father of the artificial kidney.
Who is Willem Kolff?
These are the Norfolk Tides’ mascots.
Who are Rip Tide and Triton?
Name two indications for vascular surgical intervention for PAD/CLTI?
•Severe disabling/debilitating/lifestyle limiting claudication
•Rest pain
•Wounds/gangrene/tissue loss
Name 3 of the 5 differential diagnoses discussed for a wide QRS
LBBB
RBBB
Accessory pathway
Nonspecific interventricular delay
Beat of ventricular origin (PVC, paced beat, VT...)
71 yo F with CKD3 and HFpEF with Hgb 10.3, MCV 77, serum iron 14 (L), TIBC 300, iron saturation of 6% (L), ferritin 105.
This suggests what iron disorder?
What is mixed IDA/ACD?
In what year (+/- 2 years) did Congress extend Medicare coverage to people with permanent kidney failure?
1972.
In Virginia Beach, this state park marks the spot where English colonists first landed in 1607.
What is First Landing State Park?
A patient with chronic PAD has toe gangrene and tissue loss. Revascularization planning should aim for this endpoint to support wound healing and limb salvage.
What is complete in-line revascularization to the foot?
Name 2 of the 3 "buckets" included in the ddx for axis deviation
Change in mass (i.e., LVH, scar/old infarct)
Change in conduction (i.e., accessory pathway, LBBB, RBBB)
Change in position (i.e., dextrocardia, tension pneumothorax)
28yo F with Hgb 7.8, LDH 500, haptoglobin < 10, iron 159 (H), TIBC 230, tsat 68% (H), ferritin 50.
This underlying process explains these iron lab abnormalities.
What is hemolysis leading to increased serum iron and tsat (iron/TIBC)?
This physician’s Teflon shunt helped make long-term, repeated hemodialysis possible.
Who is Belding Scribner?
This annual Hampton festival brings pirate re-enactors to town to relive the area’s pirate lore.
What is the Blackbeard Pirate Festival?