I don't know, I'm having receptive aphasia (Neuro)
26 yo F w/ no significant pmhx presents w/ acute R sided hemiparesis and aphasia. She has no stroke risk factors, and on exam, has expressive aphasia and does not move her right arm spontaneously. This is the most likely diagnosis.
What is complicated migraine?
Complicated migraines can present at any age and can mimic stroke. They do not have to have a headache present.
Most common drug associated with hemolytic anemia.
What is piperacillin?
This is the largest distributor of toys in the world.
What is McDonald's?
You are called that a patient you are cross-covering is having increasing oxygen requirements. The patient is a 61 yo M with active diffuse large B cell lymphoma whom the day team admitted 2 hours prior for sepsis. He is currently receiving his 3rd liter of IVF per sepsis protocol. You order a stat CXR and note flash pulmonary edema as you view it at bedside. This is the most likely reason for his pulmonary edema.
What is CHFrEF due to anthracycline induced dilated cardiomyopathy?
Most non-Hodgkin's lymphomas (like this DLBCL) are treated with CHOP chemo regimen, which includes the anthracycline Doxorubicin. The dilated cardiomyopathy can occur at any time during or after treatment.
Most common metal causing a type IV hypersensitivity reaction.
What is Nickel?
The ED calls you to admit a patient for acute CVA.The initial CT is unremarkable for any acute abnormality. As you are speaking to the ED physician, the radiologist pages the ED physician that the MRI shows a large L MCA infarct. This is the next appropriate step in management.
What is urgent neurosurgical referral?
Large MCA and large cerebellar strokes are at very high risk of edema and subsequent herniation, and require urgent craniectomy.
Reversal agents for Dabigatran, and Apixaban respectively.
What is Idarucizumab and andexanet alpha?
This is the largest manufacturer of tires in the world?
What is LEGO?
Phlebotomy improves heart failure associated with this metabolic disease.
What is Hemochromatosis?
This is the most common cause of non-pharmacologic anaphylaxis.
What is hymenoptera (bees, wasps, etc.) stings?
56 yo F with a hx of alcoholic cirrhosis and epilepsy presents to the ED w/ seizures. She takes phenytoin 100 mg TID at home. On her initial labs: her phenytoin level is 17, she has a sodium of 129, mildly elevated transaminases, eGFR 95, albumin 1.5, and slightly elevated coags. This is the most likely cause of her seizures.
What is paradoxical seizures due to phenytoin toxicity?
Phenytoin is the only AED that can cause paradoxical seizures at supra-therapeutic levels. Therapeutic phenytoin levels are 10-20. This patient has hypoalbuminemia due to liver disease. Her phenytoin level when corrected for albumin is 33.2.
Clotting factor deficiency most commonly associated with AL amyloidosis.
What is factor X?
This is the only word in the English language with three consecutive sets of double letters.
What is "Bookkeeper?"
Eponym for visible pulsations of the fingernail beds associated with aortic regurgitation.
What is quincke sign?
A 50 yo M is admitted for seemingly unprovoked PE. He also has peripheral neuropathy, and dilated retinal veins on fundoscopic exam. An SPEP shows an M spike of IgM. This is the most likely diagnosis.
What is Waldenstrom macroglobulinemia?
Characterized by elevated IgM, hyperviscosity, neuropathy, kidney damage, cryoglobulinemia, and fundoscopic abnormalities.
This is the only movement disorder that does not abate when the patient is asleep.
What is palatal myoclonus?
Caused by a stroke specifically within the Guillain-Mollaret triangle; which is between the Dentate nucleus, Red nucleus, and Inferior Olivary nucleus.
You are paged because a patient you are cross-covering has been oozing blood from her phlebotomy sites all day, and has been bruising easily. A quick review of her labs shows an elevated platelet count of 754, and her baseline platelet count seems to be around 725. She is hemodynamically stable, and her H&H has not changed significantly. Besides basic coags, this is the next lab that you order.
What is a factor 8 level?
A subset of patients with essential thrombocythemia develop an acquired Von Willebrand syndrome. A low factor 8 level can confirm diagnosis and results much faster than sending the panel for Von Willebrand antibodies.
These are the only 2 countries with the color purple on their national flag.
What are Nicaragua and Dominica?
LVEF threshold indicating need for mitral valve surgery in an asymptomatic patient.
What is <60%?
Diagnosis associated with hypogammaglobulinemia and recurrent sinopulmonary infections.
What is common variable immunodeficiency?
40 yo F presents w/ 3 year history of slowly progressive bilateral hearing loss, memory loss, and darkening vision. Symptoms had some mild improvement with a course of pulse dose steroids. Her symptoms could be caused by this autoimmune neurological pathology.
What is Susac syndrome?
Susac syndrome is an autoimmune endotheliopathy that damages the small vessels of the brain, retina, and inner ear.
A 59 yo F presents to the ED w/ 3 week hx of worsening R leg pain and swelling after having her leg dragged by a car for several feet. A CTA w/ runoff shows multiple fluid collections in her thigh and calf but no active bleeding. This is the most likely diagnosis.
What is a Morel-Lavallee lesion?
A Morel-Lavallee lesion is an internal degloving injury caused by a traumatic sheer force. It causes fluid collections (blood, pus, liquified fat, lymphatic, serous) in subcutaneous or deep fascial spaces.
At 12:01am on August 1st 1981, MTV aired for the first time, opening the broadcast with the music video to this song.
What is "Video Killed the Radio Star?"
Eponym for rhythmic head bobbing with heart beat associated with Aortic regurgitation.
What is De Musset's sign?
41 yo M presents with petechiae, and ecchymoses. He has a platelet count of 65, and a peripheral blood smear is remarkable for small platelets. He should be screened for this immunodeficiency syndrome.
What is Wiskott-Aldrich syndrome?