What is your assessment?
Orders 1
Medicine
Orders 2
Miscellaneous
100
A 65 year old women with medical history of COPD presents to the hospital with shortness of breath. At triage, patient was saturating at 86% on room air. What is your assessment?
What is Acute Hypoxic Respiratory Failure secondary to COPD exacerbation?
100
What are two things you must order for someone presenting with chest pain?
What is..
Troponins and EKG
100
What diabetic medication do we not continue in the hospital?
What is metformin?
100
what would you order in a patient presenting with sepsis?
CBC, urinalysis, urine culture, chest x-ray, blood cultures
100
When does discharge planning begin for a patient?
What is as soon as they are admitted?
We start thinking about barriers to discharge and discharge planning on admission.
200
An 88 y/o male with medical history of BPH with intermittent self-catheterization, HTN, HLD presented for confusion for one day. Pt is AAOx1 but cannot answer any other questions. Urinalysis was positive for leukocyte esterases, Nitrites, and showed >100 wbc. What is your assessment?
What is Acute Metabolic Encephalopathy secondary to UTI?
200
Name three labs/studies you would order for a patient presenting with altered mental status?
What is
TSH, B12, Ammonia, UA, UDS, Alcohol level, Salicylate level
200
What organ systems does diabetes affect?
What are eyes, kidneys, and nerves?
retinopathy, nephropathy, and neuropathy
200
What are two labs you want to order on every stroke patient?
A1c and Lipid Panel
200
What format do we use to give a sign out for our patients?
What is IPASS?
300
A 44 y/o F with history of cocaine and amphetamine use presented to the hospital for acute onset speech difficulties and loss of balance. CT head without contrast showed hyperintensity in the left basal ganglia. What is your assessment?
What is Acute onset Hemorrhagic stroke?
300
What would you order for someone presenting with Stroke-like symptoms?
what is..
CT head, MRI brain, CTA head and neck, Telemetry monitoring, Echo with bubble study
300
What are two scores we calculate for stroke/TIA patients?
NIHSS and ABCD2 score
300
What is one test you should order in every female in the hospital?
What is BHCG?
300
Where can we discharge a patient who has had a recent stroke with left sided residual weakness. PT has assessed the pt and he can tolerate 3 hours of physical therapy daily?
What is Rehab Facility?
400
A 33 year old male presents to the hospital for acute onset chest pain. He describes his chest pain as stabbing pain that is non-radiating and 10/10 in severity. On physical exam pain is brought on by palpation of his chest wall. What is your assessment?
What is Atypical chest pain secondary to Costochondritis Vs. GERD?
400
What would you order for someone coming in with acute hypoxic respiratory failure?
what is
CBC, CMP, Chest x-ray, Flu test, COVID test, BNP
400
What scores do we calculate when we suspect acute coronary syndrome in our patients?
What is HEART Score?
HEART Scores: 0-3 points confer a risk of 2.5% for any endpoint and can be used to support discharge from the ED. 4-6 points confer a risk of 20.3%, implying admission for clinical observation. ≥7 points has a risk of 72.7% and supports early invasive strategies.
400
What medication should we give patients we suspect upper GI bleed?
what is a PPI?
400
What is the fourth part of SIRS criteria?
1. Temperature >100.4F or <96.8F
2. HR >90
3. WBC >12,000/mm³, <4,000/mm³, or >10% bands
4. ??
What is:
RR >20 or PaCO₂ <32 mm Hg
500
A 52 year old male presents to the hospital with medical history of HTN, DM2, and HLD who presented for headache, blurry vision, and some shortness of breath. Vitals show blood pressure of 210/105, Labs are remarkable for Cr of 2.5 and BUN 29. Chest x-ray shows pulmonary vascular congestion. What is your assessment?
What is Hypertensive Emergency?
500
A 64 y/o male comes in with shortness of breath, 3+ pitting edema, orthopnea, and PND. Name three labs/imaging you would order that would help support your diagnosis?
What is...
BNP
CXR
Echocardiogram
500
what is one test that can help differentiate between iron deficiency anemia and thalassemia?
What is RDW?
500
What type of AKI does this pt have if his Cr is 1.4 and his BUN is 29?
What is pre-renal AKI?
500
How do you make the most of your IM clerkship?
Stay Involved
Ask Questions
Write notes
Read up on patient cases/relevant literature and present during rounds