JCAHO A Go Go
Washing your hands
HPI, PEx, vitals, PMH, medications, age / gender, recent workups / visits
Doctor brother man
During the summer, visits to the ED increase by what percent? (must be within percent range)
15 - 27%
What year was the first Harry Potter book released?
1997
Doing this process before starting a patient procedure is important to identify any missing information, and prevent errors.
(Hint: It's marked "yes" on every procedure note that we do)
A Time-Out
Pt is a 63 y/o male with a PMH of gout. He had an episode of right wrist pain three weeks ago, but joint aspiration did not reveal gout. His PCP referred him for a Cortisone shot into the wrist, which he received ten days ago. He presents today with fever and right wrist pain that is worse with ROM. The wrist is erythematous and warm to the touch. Provide 2 differential diagnoses.
Gout, cellulitis, abscess, osteomyelitis, septic joint
This unsuspecting provider requested that "Don't look me in the eye..." be added to his PDG entry.
Dr. Meister
What percentage of firework-related injuries are sustained by men? (within 5%)
61%
Following an official vote in 2011, Toyota decided that the plural of Prius is what?
Prii
What are 3 ways we can protect patient privacy?
Keep door closed, pull currents, log off computer each time leaving computer, do not talk about patient outside in public
47 y/o female with no PMH presents with acute onset, atraumatic, constant, central back pain. She is tachycardic and markedly hypertensive at 200's / 100's. Her pain improved with a dose of Toradol, but she continued to be hypertensive despite adequate pain control. Name two differential diagnoses, including one that is a life-threatening emergency.
Musculoskeletal back pain, kidney stone, UTI, aortic dissection
About what percentage of providers prefer an initial impression? (within 5%)
55%
According to a 2016 review on ED visits from 2014, what was the estimated total cost associated with the 33,000+ visits related to sunburn? (within $500,000)
$11.2 million
Oscar the Grouch wasn't always green. What color was he originally?
Orange
What does JCAHO stand for?
Joint Commission on Accreditation of Healthcare Organizations
21 y/o M presents with dysuria for the past three days. He is otherwise asymptomatic. Vitals are WNL. GU examination revealed normal genitalia. A UA obtained in Intake revealed leukocyte esterase with a few WBCs, but was otherwise unremarkable. UTI is a consideration, but what else is in the differential?
STDs causing urethritis
"No loud foods. I have Misophonia. I know, it's me, not you."
Which doctor does this apply to?
Dr. Lieber
Young adults 20 to 24 years of age had the highest estimated rate of emergency department-treated, fireworks-related injuries (4.9 injuries per 100,000 people). Which group holds the second highest?
(A) <5 y/o (B) 5 - 12 (C) 12 - 19 (D) 24 - 40 (E) >40
Children younger than 5 years of age had the second highest estimated rate (4.4 injuries per 100,000 people).
We all know how delicious M&M's are, but you do you know what M&M stands for?
Mars & Murrie's (the candy's creators)
How often does JCAHO conduct unannounced, on-site surveys?
18 to 36 months after the last full review
68 y/o F with a PMH significant for ovarian cancer s/p total hysterectomy, DM, HTN, and daily smoking presents with non-radiating left mid to lower back pain for the past 12 hours. She reports SOB secondary to pain, but ROS is otherwise negative. On examination there is left CVA tenderness, a normal neurological examination, and decreased air movement throughout. Vitals are: 187/84, 126, 81% RA. CXR is negative. Name two differential diagnoses, and the imaging required to diagnose each.
PE (CT chest)
Kidney stone (abdominal CT)
Meister - "Scribes do not need to watch procedures, though missing out on my angelic procedural skills is a crime"
About how many fireworks related deaths occur in the United States each year?
7
Quinsy is the inflammation of what body organ due to an abscess?
Tonsils