Steroids
This steroid has the least mineralocorticoid activity and the most glucocorticoid activity; you might have seen it used in COVID or ARDS.
What is dexamethasone?
Your patient is given IV regular insulin instead of the subcutaneous insulin you ordered. This would be the expected electrolyte abnormality if you got a renal chem 10 one hour later.
What is hypokalemia?
This serum marker has a sensitivity for acute aortic syndrome of about 96%, which is similar to the sensitivity for the condition it is moreso known to be used to rule out.
What is the D-Dimer?
This trial, published in 2014, found sacubitril-valsartan to be superior to enalapril in heart failure patients with EF 40% or less.
What is the PARADIGM-HF trial?
A nocturnist Dr. Gowen, or the Adult Swim of Nickelodeon programming.
What is Nick at Night?
Patients on the equivalent of 20 mg of prednisone or more daily for >1 month typically are started on prophylaxis against this organism.
What is Pneumocystis jirovecii?
This electrolyte abnormality is the strongest one that is associated with chronic PPI use.
What is hypomagnesemia?
Serum and urine studies still have you confused? This serum study is typically low in SIADH.. and typically normal/elevated in all other causes of hyponatremia.
What is uric acid?
What is the BRIDGE trial?
This IV fluid has all of the liquid portion of your blood without the extra calories.
What is Plasma Lyte?
You might use this scoring system to further risk stratify patients on chronic glucocorticoids in a patient who doesn't meet criteria for bisphosphonates by bone mineral density alone.
What is the FRAX (Fracture Risk Assessment) tool?
You admit a patient with a calcium of 13.2, a low PTH and a low 25OH-Vit D. Other studies are pending but the patient is diagnosed with sarcoidosis. What is the most likely mechanism of hypercalcemia?
What is 1,25OHVitD production?
This serum study is likely a better marker for EGFR than creatinine, especially if your patient has very high/low muscle mass.
What is Cystatin C?
Published in 2018, this trial found among critically ill adults in the ICU, use of balanced IV fluids compared to normal saline resulted in lower rate of the composite outcome of death, new renal-replacement therapy, or persistent renal dysfunction.
What is the SMART trial?
This addition to a patient's bowel regimen is also how someone may describe Dr. Clausen when he's lying or stealing.
What is a senna?
Your patient might develop this condition if they have been on long-term glucocorticoid therapy and abruptly stop or wean too quickly.
What is (Tertiary) adrenal insufficiency?
Your patient is admitted with toxic alcohol poisoning. The anion gap is 9. What is the most likely toxic alcohol?
What is isopropyl alcohol?
This antibiotic, compared to counterparts in its class, is often said to have a PEA sized hole. Name the antibiotic and the PEA sized hole.
Published in 2022, this trial found that, among patients with severe ischemic LV Systolic Dysfunction who received optimal medical therapy, revascularization by PCI did not result in a lower incidence of death from any cause or hospitalization for heart failure.
What is the REVIVED Trial?
This hidden-camera reality TV show is getting a new fungal spinoff.
What is Candida Camera?
This is the glucocorticoid used in the "CAPE COD" trial.... where, among patient's with severe community-acquired pneumonia, patient's receiving this steroid had a lower risk of death at Day 28 of enrollment.
What is hydrocortisone?
A 54 y.o. female patient on HCTZ is found to have a calcium of 10.8. PTH is 90. What electrolyte will most likely be low?
What is phosphorous?
Hives and hypotension? Give epinephrine but also draw this lab to confirm the diagnosis in a couple of days.
What is tryptase?
This study, published in April 2024, found that patients that were fully vaccinated against COVID-19 with at least one risk factor, as well as non-vaccinated patients without such risk factors, found no difference (Time to alleviation of symptoms) between nirmatrelvir-ritonavir (Paxlovid) compared to placebo.
What is the EPIC-SR trial?
<0.05 in a positive study, or your patient's urine output.
What is the pee value?