Celebrities saga continues..
Too acidic?
You gotta know Geography!
My heart is in heart!
Clue is in History!
Final Jeopardy
100
who is he? And what disease he believed to have?
Syphilis!
Remains high yield for boards.
Know how to treat and how to recognize!
100
Acid base changes in - ASA poisoning.
Respiratory alkalosis and AG metabolic acidosis
100
Which disease is this on map based on geographical distribution?
Lyme!
Know Lyme very well.
100
Machinery murmur - systolic
PDA
100
This caused death over 600,000 in USA in 1918!
strain?
Spanish flu - h1n1
funfact: Aspirin was widely used for symptoms and ASA is associated with high mortality
200
He was diagnosed with this famous condition!
ruptured aortic aneurysm! He was smoker
- Remember to screen every man(65-75) who has ever smoked!
200
Sudden rapid onset of FSGN - makes you think of what disease?
HIV
- nephrotic syndrome!
200
common infection in this area of USA! Southwest area
Valley fever - Coccidioidomycosis
200
soft midsystolic murmur with wide split fixed s2
ASD
200
This catastrophe caused a significant increase in leukemia after 1945 !
Nuclear bombing in Hiroshima and Nagasaki - 1945
300
She allegedly was dianosed with this condition.
Failure to thrive/Severe protein-calorie malnutrition!
Remember it is billable code. Please update the problem list if the dietician is asking for it.
poor prognostic value. it changes out O/E ratio significantly
300
Osmolar gap but NO acidosis - what are you thinking of ?
Isopropyl alcohol poisoning!
Remember - Young man and normal bicarb but then urine has ketons!
300
fungal infection in the central area of USA!
Histoplasma -
actually pretty endemic in many part of usa - but remember - Mississippi river valley!
300
systolic murmur radiating to carotid
Aortic stenosis
- high mortality. Always choose to treat regardless of age
300
This tragedy happened between 1957-1962, and affected over 10,000 babies!
Thalidomide induced teratogenesis
400
cause of death!
Pneumonia!
Know your pneumonia inside out!!
Funfact! - he was treated for TB x 2 in his lifetime. He was jailed and he got TB from prison.
400
Metabolic alkalosis, hypokalemia, hypomagnesemia and mild hypotension!
Gitelman syndrome
400
The map shows the endemic area of what infection?
Blastomycosis!
know how to differentiate Blasto and Histo as kind of similar distribution!
400
high-pitched crescendo-decrescendo systolic murmur over the left sternal border!
HOCM
- Valsalva - increases murmur
-squatting - decreases murmur
400
First pandemic of this disease was in India 1817 - since then many outbreaks all over the world!
Cholera!
choice of antibiotics? - doxycycline!
500
How did he die?
Suicide!
The reason I have it here -
Ethics is a big topic and if any physician around you is showing signs of suicide - what are you supposed to do?
Real-life lesson and board question!
500
Amyloidosis can cause - this kind of abnormality in kidney!
type 1 RTA - DISTAL
urinary pH >5.5
500
What disease is prevalent now in this area? Hint - it was rare before and now it's endemic!
Babesiosis
500
loud harsh holosystolic murmur left lower sternal border
VSD
500
1st pandemic ever reported - considered deadliest - what was it?
1346-1352 Bubonic plague!
600
What syndrome he allegedly had?
His two kids died of what?
MEN2!
Multiple endocrine neoplasms 2.MEN remains high-yield topic!
Remember: Rare in real day-to-day medicine - very common on boards!
600
hyperkalemia and non anion metabolic acidosis and urine pH<5.5
Most common cause?
type 4 RTA
DM2
600
Disease endemic in t
his area!
Rocky Mountain spotted fever!
600
4 components of TOF
pulmonic stenosis, VSD, Right ventricular hypertrophy, overriding aorta!
Why did I put it here? Not a high yield for the board!
600
Pandemic that started in 1981 - not over yet!
HIV/AIDS!
600
cardiac tamponade - post CABG!