Coagulopathic Catastrophe
These are the factors that are activated by vitamin K
2,7,9,10
Name all three of light's criteria that would define a pleural effusion as exudative.
A pleural/serum protein ratio >0.5, an LDH ratio >0.6, or a pleural LDH >2/3 the upper limit of normal
Pinpoint pupils, a respiratory rate of 6, and a fentanyl patch in the trash call for this antidote
What is naloxone?
Bony tenderness at the posterior malleolus, base of the 5th metatarsal, or navicular, or being unable to take 4 steps, means you need an X-ray under these rules
What are the Ottawa ankle rules?
A cave explorer in the Ohio River Valley develops hilar adenopathy after exposure to bat guano
What is Histoplasma capsulatum?
Measurement of the concentrations of this factor can help distinguish between DIC and coagulopathy of liver disease.
8
This is the most common cause of an exudative pleural effusion
What is a parapneumonic effusion (pneumonia)?
A man brought in after fighting five police officers has displays abnormal strength, extreme erratic behavior, vertical nystagmus, a BP of 190/110, and a CK of 40,000. He’d been smoking a “sherm,” a cigarette dipped in this dissociative.
What is PCP (angel dust)?
Nocturnal hand numbness relieved by shaking the hand out is called the “flick sign” of this condition
What is carpal tunnel syndrome?
Hell hath no fury like a cat scorned, and a bite can deliver this rapid-onset gram-negative rod within 24 hours
What is Pasteurella multocida?
Measurement of this factor is often helpful to distinguish between coagulopathy of liver disease vs coagulopathy of vitamin k deficiency.
Factor 5 (normal in vit k)
A right-sided transudative effusion in a cirrhotic patient with ascites is otherwise known as this.
hepatic hydrothorax.
Starting buprenorphine too early in a full-agonist opiate abuser causes this
What is precipitated withdrawal?
A “Mulder click” when squeezing the forefoot, with pain in the 3rd web space is characteristic of this diagnosis.
What is Morton neuroma?
Freshwater triathletes in Hawaii can get conjunctival suffusion, jaundice, and AKI in this eponymous disease
What is Weil disease (leptospirosis)?
Warfarin exerts its anticoagulant effect by inhibiting this enzyme, thereby preventing the reduction of vitamin K.
What is VKORC1 (or Vitamin K Epoxide Reductase)?
Pleural pH <7.20 or glucose <60 mg/dL in a parapneumonic effusion mandates this intervention
What is chest tube drainage?
This drug of abuse is a mu-agonist from a Southeast Asian leaf, sold in smoke shops for “natural” opioid withdrawal
What is kratom?
Sudden sensorineural hearing loss warrants urgent treatment withthis drug class.
What are corticosteroids?
A man who had a splenectomy after a car accident develops fulminant sepsis, DIC, and purpura days after his dog licks a cut. Its name literally means “dog bite”
What is Capnocytophaga canimorsus?
This product can be used to treat DIC when fibrinogen is less than 200, name all four components of this product.
vWF, fibrinogen, F8, F13
Per the MIST2 trial, this two-drug intrapleural combination improved drainage of a loculated empyema, while neither drug did alone
What are tPA and DNase?
Found in spray paint and glue, this solvent is “huffed” for a high and causes severe hypokalemia with a non-gap acidosis from distal RTA. Chronic use leads to cerebellar ataxia and white matter disease
Toluene
These are the three most common causes of chronic cough ordered from most common, to least common.
A toddler develops bloody diarrhea, and the family recently bought a pet turtle. The FDA banned the sale of small turtles in 1975 to prevent this infection
Nontyphoidal Salmonella enterica