Name the rhythm seen here:
Normal Sinus Rhythm!
Name the cell in the center
Eosinophil!
This is the most common cause of hypercalcemia in the outpatient setting
Primary Hyperparathroidism
We were both young when I first saw you
I close my eyes and the flashback starts
I'm standin' there
On a balcony in summer air
Love Story
What is this an image of? What does it mean?
A lines (in lungs!) - means normal aeration aka normal lungs
What is the most common cause of NICM in the US?
HTN
You are concerned your patient has developed HIT due to a decrease in her platelets 6 days after admission for surgical wound debridement. What should you do?
STOP heparin, START direct thrombin inhibitor (like dabigatran)
This is the most common cause of hypercalcemia in the inpatient setting.
Hypercalcemia of malignancy
I'm in the room, it's a typical Tuesday night
I'm listening to the kind of music she doesn't like
And she'll never know your story like I do
You Belong With Me
Patient with acute SOB. What do they have?
Pneumothorax
Name 3 famous ex boyfriends of Taylor Swift
Jake Gyllenhaal, Taylor Lautner, Harry STyles, John Mayer, Calvin Harris
Name the cell and a potential problem
Hypersegmented neutrophil (seen in megaloblastic anemia)
B12 or folate deficiency
Name 4 symptoms associated with hypercalcemia
Psychiatric overtones (anxiety, dperession, lethargy, confusion), Moans (constipation, anorexia, nausea), Stones (polyuria, nephrolithiasis, renal insufficiency), Bones (bone pain, muscle weakness)
It's me, hi. I'm the problem it's me.
Anti-Hero
What is the quickest way to deliver the highest FiO2 to a breathing patient?
Non-rebreather! ~90% FiO2
Patient presents to the ED after syncopal episode at home. What does the EKG show and what is indicated.
Third degree heart block
PPM!
Name a unique lab tests sent out in each of TTP, HUS, and HIT
TTP: ADAMST13
HUS: Ecoli O157, Shiga Toxin, Genetic testing (aHUS)
HIT: anti-PF4 antibody test (ELISA), Serotonin Release Assay
This type of Vitamin D is elevated in vitamin D toxicity
25(OH)D
And you call me up again just to break me like a promise
So casually cruel in the name of being honest
All Too Well
Name two causes of hypoxia without hypoxemia!
Vascular compromise (ischemia/clots), Anemia, Histotoxic aka defect in cells ability to use oxygen (cyanide), Increased O2 affinity/poor offloading of hemoglobin (carbon monoxide)
(Remember: Hypoxemia is low oxygen in the blood while Hypoxia is low oxygen in the tissues)
What is abnormal here?
Quadricuspid aortic valve
Name the Taylor Swift album that has Bad Blood
1989
How old was Taylor Swift when she released her first album?
16 Years
(self titled album)
I've been having a hard time adjusting
I had the shiniest wheels, now they're rusting
I didn't know if you'd care if I came back
I have a lot of regrets about that
this is me trying
Pulmonary AVM's are a cause of anatomic shunting. Name the condition associated with multiple pulmonary AVMs
Osler Weber Rendu