Heart of the matter
ICU Know This!
Lesion Legends
Red Cell Rumble
ID or I Dunno
100
Indications for intervention in aortic coarctation
Systolic pressure gradient ≥20 mm Hg, evidence of collateral flow, upper extremity hypertension
100
Diagnosis suggested by CNS depression, increased anion gap metabolic acidosis, increased osmolal gap
Ethylene glycol or methanol ingestion
100
Characteristics of candidal intertrigo
Erythematous patches with satellite macerated pustules
100
Post-DVT pain, edema, stasis dermatitis
Postthrombotic syndrome
100
Gram-negative coccobacilli with “safety pin” shape
Yersinia pestis
200
Primary management of hypertriglyceridemia
Decreased caloric intake to achieve 5%-10% weight loss; reduced consumption of alcohol, sugar, and total fat
200
Timing of antibiotic therapy in suspected sepsis
Within first hour
200
Vitamin deficiency most associated with “corkscrew” hairs, perifollicular hemorrhage, and follicular hyperkeratotic papules
Vitamin C
200
Dabigatran reversal agent
Idarucizumab
200
Induction therapy for cryptococcal meningitis
Lipid formulation of amphotericin B plus flucytosine
300
Drug treatment for tricuspid regurgitation with right HF
Loop diuretics and aldosterone antagonists
300
Assessment test before liberation from mechanical ventilation
Spontaneous breathing trial
300
Longitudinal brown pigmentation of nail plate
Melanonychia
300
Increased infection risk in hereditary hemochromatosis
Name 2
Vibrio vulnificus and Yersinia enterocolitica
300
Treatment of severe travelers' diarrhea in SE Asia
Azithromycin
400
Cardiac biomarker to distinguish restrictive cardiomyopathy (elevated) from constrictive pericarditis (normal)
BNP
400
Preferred treatment for benzodiazepine overdose
Supportive care (not flumazenil)
400
Rapidly growing volcaniform skin tumor
Keratoacanthoma
400
Indications for a transfusion threshold >7 g/dL
Name 4
ACS, acute stroke, hemodynamic instability, active bleeding
400
Duration of IV acyclovir therapy for HSV encephalitis
14-21 days
500
Indications for repair in chronic severe primary mitral regurgitation
Symptoms; asymptomatic and EF <60%, and/or LV end-systolic diameter >40 mm
500
Type of IV catheter with highest flow rate
Peripheral wide-bore catheter
500
Hematologic conditions associated with Sweet syndrome
Name two
Myelodysplastic syndrome, AML
500
Common mineral deficiency causing thrombocythemia
Iron
500
Prevention of fungal infection after HSCT
Posaconazole