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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