Comment on Intern Report 7.8 by Luda Khait
1. It looks like there are 2 primary acid base disorders going on – an anion gap metabolic acidosis plus respiratory acidosis. If he was fully compensated for his metabolic acidosis, his PaCO2 should...
View ArticleComment on Intern Report 7.8 by Dan Hutchens
1) primary anion gap metabolic acidosis, secondary respiratory alkalosis 2) atrial fibrillation ***I don’t think there is a correct answer to this question as all findings listed are found in...
View ArticleComment on Senior Report 7.3 by Luda Khait
1. 2. – I think this pt has Guillan-Barre Syndrome, and a lumbar puncture about 75% of the time would show no white cells but a high protein level 3. – You would definitely give IVIG for GBS, but you...
View ArticleComment on Senior Repor 7.5 by Eric Malone
1. Although… technically there is a concurrent respiratory acidosis (based on Winter’s formula the expected PaCO2 is 24-28 for an HCO3 of 12 and this PaCO2 is 29) and no evidence of a concurrent...
View ArticleComment on Senior Repor 7.5 by Eric Malone
I have a few issues with the answers and discussion posted here: 1. The primary disorder is a metabolic acidosis with partial compensatory alkalosis. There is also a concurrent respiratory acidosis...
View ArticleComment on Intern Report 7.10 by Eric Malone
Toxic Dig level and Hyperkalemia? 1. 2. 3. Clonidine is an alpha agonist. In overdose, it decreases sympathetic stimulation, classically leading to lethargy, hypotension, bradycardia, and miotic...
View ArticleComment on Intern Report 7.11 by Kevin
1. C 2. D 3. C Does this win count even though I wrote the case?
View ArticleComment on Intern Report 7.11 by Sean Michael
1 2 3 Was this a guy Levy and I saw in the ED and you had later on surgery?
View ArticleComment on Senior Report 7.8 by Heather
1. Though I like D as well, he should not be admitted with tele, if anything he needs the CCU so final answer of A. 2. Cardiovert with AICD. However I like none of these answers, you would defibrilate...
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