Holiday Hazards
50/M comes with sudden onset chest pain after forceful vomiting during holiday feasts. This is the best diagnostic test for a life threatening condition.
CT chest with oral contrast.
First-line rewarming strategy for mild hypothermia.
What is passive external rewarming?
Reheating leftover risotto causes this bug to wreck havoc in your gut.
Bacillus cereus
This isolation precaution is recommended in hospitalized patients with Influenza.
Is it droplet?
This trial demonstrated mortality benefit from low tidal volume ventilation in ARDS.
Is it ARDS-NET?
Classic holiday poisoning from homemade alcohol or windshield washer fluid.
Methanol poisoning
This ECG finding is associated with hypothermia.
What are Osborn (J) waves?
Soft cheese associated gastroenteritis with placental transmission is caused by this bug
Listeria monocytogenes
This is the most common cause of post-Influenza pneumonia.
Is it Staph aureus (accept MRSA)?
This trail demonstrated benefit of an SGLT2 inhibitor in HFrEF patients regardless of Diabetes status.
Is it DAPA-HF?
A 52/M had fun during the holidays, he binge drank and now has palpitations. This is the most likely diagnosis.
Holiday Heart Syndrome
This method best measures core temperature in hypothermia.
Esophageal probe?
45/F previously healthy, came to ED after eating home-canned peaches with a pie, her cousins are also presenting with similar symptoms of nausea, vomiting. One day later they started complaining of blurred vision, difficulty swallowing and dry mouth; you also find symmetric descending flaccid paralysis and dilated poorly reactive pupils. In addition to ICU care, administration of this will tremendously help the patient.
Is it Trivalent Equine Antitoxin? (Accept antitoxin)
The active form of oseltamivir inhibits this.
Is it neuraminidase?
This trial demonstrated mortality benefit in severe community-acquired pneumonia being treated in the ICU, those who received hydrocortisone.
Is it CAPE COD?
Being enclosed within unventilated space with heaters and generators puts you at risk of developing a toxicity which causes inhibition of this enzyme.
Cytochrome c oxidase
Below this core temperature repeat defibrillation attempts are typically limited if VF or VT is refractory.
<30 degrees celsius
32/F with history of asthma presented with acute onset facial flushing, urticaria and dyspnea approx 20 min after eating tuna sandwich at a deli. She is here with her husband who has similar symptoms but much milder. They most likely have-
Is it Scombroid poisoning?
A child with Flu is treated with aspirin and later develops vomiting, confusion and elevated ammonia. The most likely diagnosis is-
Reye Syndrome
This trial established early prone positioning as mortality reducing in severe ARDS.
Is it PROSEVA trial?
Severe vomiting, sudden onset chest pain and cervical subcutaneous emphysema constitute this triad.
Mackler’s Triad
This drug class’ effect is most exaggerated in hypothermia
Paralytics or neuromuscular blockers?
23/M went on a holiday trek with his friends, they found these pretty wild mushrooms and after 2 days they are all jaundiced and confused.
Is it Amanita phalloides? (Accept Amanita)
The Influenza A virus binds to respiratory epithelial cells through its ____ protein.
Is it hemagglutinin?
This trial demonstrated that among hospitalized patients with bloodstream infection, antibiotic treatment for 7 days was noninferior to treatment for 14 days.
Is it BALANCE trial?