Internal Medicine

Critical Cases - Hyperkalemia Emergency!

A 56 year old male presents to the ED with confusion and abdominal pain. You notice a fistula in his upper extremity. A tech hands you his triage ECG and you scrutinize it for the tell-tale signs of a common, life-threatening diagnosis in hemodialysis patients, while wondering what the initial steps in management are....

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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: 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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