Internal Medicine

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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Advanced Practice: Acute Febrile Neutrophilic Dermatosis

A 50 year old male with a recent lung mass resection presents with chills and diffuse burning rash.  Patient was well appearing and afebrile. There were no mucosal lesions. Initial lab testing was significant for a leukocytosis of 19 with 89% neutrophils. Patient was started on steroids and observed in the hospital. 

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Board Review: Yellow Fever

A 45 year old male presents to your emergency department with 1 day of headache, body aches, nausea and vomiting?  On further history you learn that the patient recently returned from a trip to Africa and you suspect Yellow Fever.  Which of the following below would increase your suspicion for Yellow Fever? (scroll down for the answer) 

A) Low pulse relative to fever  

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