Louis Argentine MD

Board Review: Thyroid Storm

A 25 y/o female presents to your emergency department with heart palpitations for past 4 days.  Her vital signs are blood pressure of 180/90, heart rate of 120 beats per minute, respiratory rate of 22 breaths per minute, and temperature of 102°F.  After thorough examination and workup you make the diagnosis of thyroid storm.  What is the correct sequence of medications to treat thyroid storm? 

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Board Review: Neurology

A 26 year old male presents to your Emergency Department with bilateral lower extremity weakness.  He states he recently had a “stomach bug” following a camping trip.  You suspect Guillain-Barre Syndrome.  Which of the following is most consistent with GBS?

A) CSF with elevated protein 

B) Hyperreflexia

C) Facial droop 

D) Sterile pyuria 

E) Vesicular rash 

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Board Review: TTP

Which of the following lab results are consistent with Thrombotic Thrombocytopenic Purpura?

(scroll down for answer) 

A) Decreased Platelets, Normal PT/INR, Normal Fibrinogen 

B) Increased Platelets, Decreased PT/INR, Increased Fibrinogen 

C) Decreased Platelets, Decreased PT/INR, Decreased Fibrinogen 

D) Normal Platelets, Normal PT/INR, Increased Fibrinogen 

E) Decreased Platelets, Increased PT/INR, Decreased Fibrinogen 

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Advanced Practice: Lemierre Syndrome

Lemierre Syndrome is thrombophlebitis with infectious involvement of the carotid sheath vessels and bacteremia.  It is an extremely rare condition also known as jugular vein suppurative thrombophlebitis, postanginal sepsis and necrobacillosis, which usually affects previously healthy / young adults (approx. 20 y/o).  

 

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