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?
Louis Argentine MD
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
C) Facial droop
D) Sterile pyuria
E) Vesicular rash
Von Willebrand Disease is the most common of the inherited bleeding disorders. Do you remember that there is more than one "type" of Von Willebrand Disease? Remember which type you should NOT use DDVAVP on? Read on for a quick overview.
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
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).