Sweet Emergencies
When Lungs Act Up
Take my breath away
Kody's CPC+
Dizzy
200
These are 2 essential steps in the management of DKA and HHS prior to insulin administration.
Fluids, Fluids, Fluids, electrolyte replacement.
200
According to GOLD guidelines, this is the specific duration of systemic corticosteroid therapy for inpatient AECOPD.
What is 5 days?
200
This is a likely cause of hemolytic anemia when blood smear demonstrates Heinz bodies and bite cells.
What is G6PD deficiency?
200
This was the cause of hematuria in Kody's CPC.
Bladder-invasive prostate cancer
200
This maneuver is the definitive treatment for posterior canal BPPV.
What is the Epley maneuver?
400
This is the expected pH finding in a patient with HHS.
What is a near-normal or mildly elevated pH (no significant acidosis)?
400
Two devices that can deliver O2 between 6 & 15 LPM.
Venturi mask
Non-rebreather mask
(heated high-flow NC can also accommodate that range and up to 90L/min)
400
These are 3 contraindications to NPPV.
What are: indication for emergent intubation, facial trauma, airway obstruction, inability to protect airway, anticipated prolonged duration of NIP support, UGIB, recurrent/anticipated emesis
400
These are the two approaches for prostate biopsy.
What are transperineal (TP) and transrectal (TRUS)?
400
This result on head impulse test is consistent with central cause of vertigo.
Normal, appropriate tracking eye movements with abrupt head impulse.
600
In DKA, this is the arterial pH below which bicarbonate should be infused.
pH < 6.9
pH ≥ 6.9, no bicarb
600
These are 2 etiologies for decreased DLCO.
What are ILD, pulm resection, CTEPH?
600
These are 2 conditions with demonstrated mortality benefit with NPPV.
What are:
Hypercapnic Respiratory Failure
Cardiogenic Pulmonary Edema
Neuromuscular/chest wall causes of Respiratory Failure, Postoperative respiratory failure after abdominal, thoracic, and cardiac surgery, Respiratory failure in immunocompromised patients
600
This is the most common cause of elevated PSA in men with age > 50.
What is BPH (benign prostatic hyperplasia)?
600
Two tests with Class I recommendation for every patient with suspected (pre)syncope.
What are orthostatic vitals and ECG?
800
In a patient with DKA, this is a characteristic of leukocytosis that is suggestive of infection.
What is WBC > 25,000 or > 10% bands?
800
This is the more likely cause of hypercapnia in patient's with COPD receiving excessive oxygen therapy.
Supplemental O2 inducing/worsening V/Q mismatch and undermining pulmonary vascular auto-regulation (perfusing unventilated lung). (Haldane effect may also be at play)
800
This specific type of anemia is characterized by spherocytes on peripheral smear and a positive direct Coombs test.
What is autoimmune hemolytic anemia?
800
This is the most likely cause of syncope in a patient with this ECG.
What is long QT syndrome possibly Torsades?
The ECG demonstrates sinus rhythm with a very prolonged QT interval of 0.6 second. Note broad T waves with notching (or possibly U waves) in the precordial leads. Patients with long QT syndrome at increased risk for torsade de pointes, syncope, and SCD. Patients at high risk of recurrent syncope or sudden death need an ICD.
800
These are two activities that commonly precede situational or vagotonic (not vasovagal) syncope.
What are micturition, defecation, tussation, deglutition?
1000
This is the initial insulin bolus dose typically given intravenously in DKA patients.
What is 0.1 units/kg IV bolus?
1000
These are two medications that, under the right circumstances, may be provided to help a patient tolerate NPPV.
What are dexmedetomidine, low dose benzodiazepine, or low dose opioids.
1000
This is a brief explanation of how to calculate a reticulocyte index.
Correcting abs retic ct for the hematocrit and expected maturation provides a more accurate assessment of the BM ability to mount an appropriate response to anemia and differentiate a production vs destruction/loss etiology.
1000
In the initial staging prostate adenocarcinoma, a PSA level exceeding 20 ng/mL, a Gleason Grade Group of 4 or higher, or a clinical T-stage of T3 or T4, universally mandates these two specific imaging modalities to evaluate for distant metastatic disease before proceeding with definitive local therapy.
What are a bone scan and a CT scan of the abdomen/pelvis (or MRI)?
1000
For a patient with recurrent, unexplained syncope and no clear cardiac structural disease, this device is indicated for long-term rhythm monitoring to detect elusive arrhythmias.
What is an ILR?