pahopeful Posted October 13, 2004 Share Posted October 13, 2004 Hey Everyone, I saw a thread on sdn with this title that I thought would be a great thread for our site as well. I loved reading all the posts on that thread and I learned a lot. The point is to post the best (or worst depending on how you think of it) questions you've been pimped on. I'll go ahead and post the first pimp question... What are the top 3 causes of croup? P.s. Even if rotations are in the distant past for you (MrBob, Emed, Bandit, etc) think back to those happy days of being put in your place and pimp all us young/inexperienced ones!! 1 Quote Link to comment Share on other sites More sharing options...
Monica Posted October 14, 2004 Share Posted October 14, 2004 Well, you've got viral croup..usually a parainfluenza virus serotype, epiglottitis usu. caused by Hib, and bacterial tracheitis most often cause by Staph. aureus. I'm eager to hear the answer. Good question! My 2nd year resident in Internal Medicine asked me today why I should always make it common practice to do Guaiac tests for occult blood on most newly admitted patients.....even patients being admitted for chest pain, SOB, etc. :) Mon Quote Link to comment Share on other sites More sharing options...
pahopeful Posted October 14, 2004 Author Share Posted October 14, 2004 Thanks for playing Monica...I'm glad someone's interested! According to the preceptor, the most common causes are: 1. parainfluenza 2. RSV 3. group A strep However I do know that staph aureus is the most common bacterial cause of croup. Your answer seems more correct b/c you so carefully distinguished the sub-types of what is collectively called "croup". Good job! As for your question I would guess that you would do the stool guiac because it is not painful, and it can screen for everything from GI bleeds to colon polyps or colon cancer. I'm curious to know the answer. Anyone else have a pimp question or a guess?? Quote Link to comment Share on other sites More sharing options...
Monica Posted October 14, 2004 Share Posted October 14, 2004 Right! Before you start to anticoagulate someone you want to make sure there are no underlying bleeds...thanks! hope this thread takes off...I love learning all these medical pearls :D Mon Quote Link to comment Share on other sites More sharing options...
merseur Posted October 14, 2004 Share Posted October 14, 2004 Croup common viral etiology P-parainflueza A-Adeno viruses I-Influenza virus R-RSV P and A=common during early spring I and R=common in winter and fall 2 Quote Link to comment Share on other sites More sharing options...
quarternote Posted October 14, 2004 Share Posted October 14, 2004 Although I am not in school yet, I have been shadowing 3 years. I had one PA who loved to pimp me in the OR just to see my reaction. Keep in mind this was before I took my first anatomy class and he knew that. Question: Name all of the muscles in the face... Quote Link to comment Share on other sites More sharing options...
Marlene G Posted October 14, 2004 Share Posted October 14, 2004 I heard some surgical residents mention that a patient needed a total gastrectomy. I had to ask: What are the implications of such a surgery upon a person's future health? Well, I was told to read the complications of gastrectomy and report back next Monday. No punishment to me! I really am curious! So, I looked it up and I am ready. LOL! If I ask, it means I want to know! Quote Link to comment Share on other sites More sharing options...
merseur Posted October 14, 2004 Share Posted October 14, 2004 What is the triad for normal pressure hydrocephalus? 1 Quote Link to comment Share on other sites More sharing options...
pahopeful Posted October 14, 2004 Author Share Posted October 14, 2004 I'm game... Triad of Normal Pressure Hydrocephalus is gait disturbance, incontinence, and dementia? Anybody else have a pimpin' question??! Quote Link to comment Share on other sites More sharing options...
merseur Posted October 15, 2004 Share Posted October 15, 2004 Pahopeful, what specific type of gait disturbance? Quote Link to comment Share on other sites More sharing options...
doboy Posted October 15, 2004 Share Posted October 15, 2004 the triad is: gait disturbance, dementia, and/or urinary incontinence without causative disorders, and ventricular enlargement due to disturbance of the cerebrospinal fluid (SF) circulation. found it at Neurol Med Chir (Tokyo) 2004 Apr;44(4):222-3 (ISSN: 0470-8105) Ishikawa M [Find other articles with this Author] Department of Neurosurgery, Kitano Hospital, The Tazuke Kofukai Medical Research Institute, 2-4-20 Oogi-machi, Kita-ku, Osaka 539-8480, Japan. mishika@kitano-hp.or.jp; Collective Name: Guideline Committe for Idiopathic Normal Pressure Hydrocephalus, Japanese Society of Normal Pressure Hydrocephalus. does this answer your question?? Now my question: name a (one of many) complication of portal hypertension :) Quote Link to comment Share on other sites More sharing options...
pahopeful Posted October 15, 2004 Author Share Posted October 15, 2004 Merseur, Is the gait disturbance ataxia?? pahopeful Quote Link to comment Share on other sites More sharing options...
merseur Posted October 15, 2004 Share Posted October 15, 2004 More like a "magnetic" gait. The patient feels like thier feet are stuck to the floor. Quote Link to comment Share on other sites More sharing options...
NoClinic4Me Posted October 15, 2004 Share Posted October 15, 2004 the triad is: gait disturbance, dementia, and/or urinary incontinence without causative disorders, and ventricular enlargement due to disturbance of the cerebrospinal fluid (SF) circulation. found it at Neurol Med Chir (Tokyo) 2004 Apr;44(4):222-3 (ISSN: 0470-8105) Ishikawa M [Find other articles with this Author] Department of Neurosurgery, Kitano Hospital, The Tazuke Kofukai Medical Research Institute, 2-4-20 Oogi-machi, Kita-ku, Osaka 539-8480, Japan. mishika@kitano-hp.or.jp; Collective Name: Guideline Committe for Idiopathic Normal Pressure Hydrocephalus, Japanese Society of Normal Pressure Hydrocephalus. does this answer your question?? Now my question: name a (one of many) complication of portal hypertension :) Esophageal Varices Quote Link to comment Share on other sites More sharing options...
pahopeful Posted October 16, 2004 Author Share Posted October 16, 2004 Splenomegaly and Ascites?? Quote Link to comment Share on other sites More sharing options...
merseur Posted October 16, 2004 Share Posted October 16, 2004 encephalopathy Quote Link to comment Share on other sites More sharing options...
doboy Posted October 16, 2004 Share Posted October 16, 2004 wow You all are really on your toes.. great job... I was looking for ascites, but also splenomegaly, encephalopathy, and varices. Great job... time to get back to studing. Take care, have a good weekend. :) Quote Link to comment Share on other sites More sharing options...
Monica Posted October 16, 2004 Share Posted October 16, 2004 Name four indications for intubation......Chief of anesthesia asked me this one day while walking through the SICU.... :) Mon Quote Link to comment Share on other sites More sharing options...
merseur Posted October 16, 2004 Share Posted October 16, 2004 epiglotitis (A true emergency!), coma, absence of ability to maintain a patent airway, severe airway edema, maybe severe obstruction How did i do? Quote Link to comment Share on other sites More sharing options...
Monica Posted October 16, 2004 Share Posted October 16, 2004 Ding Ding Ding! Good call..all definite indicators for intubation. Inability to adequately ventilate (ex: airway obstruction, like you said) Inability to adequately oxygenate (ex: pulmonary edema) Excessive work of breathing (ex: bronchospasm, obstruction) Airway protection (ex: coma, AMS, facial or head trauma) Mon :) Quote Link to comment Share on other sites More sharing options...
pahopeful Posted October 18, 2004 Author Share Posted October 18, 2004 Ok, here's a new one. What is the most common cyanotic pediatric congenital heart abnormality, and what are the 4 structural abnormalities associated with it? This was part of my pediatric lecture this morning! Quote Link to comment Share on other sites More sharing options...
merseur Posted October 18, 2004 Share Posted October 18, 2004 Tetrology of Fallot VSD, Pulmonic stenosis, RVH, Over riding of the aorta How did I do? Quote Link to comment Share on other sites More sharing options...
pahopeful Posted October 18, 2004 Author Share Posted October 18, 2004 Good Job Merseur! Just a note for those who aren't familiar with this defect: The overriding of the aorta is such that the opening leads directly into the ventricular septal defect (VSD) so that the blood is shunted almost immediately into the right ventricle! Here is a pic for clarity: Pic of Tetralogy of Fallot Just click on the pic for an larger version. I really found this interesting...hope you enjoy! (I know, I'm a big dork!) Anybody else have an pimp question to share?? Quote Link to comment Share on other sites More sharing options...
merseur Posted October 18, 2004 Share Posted October 18, 2004 We just finished our PEDS module, so its still kinda fresh for me. Ask me in a month. I wouldn't remeber it. Quote Link to comment Share on other sites More sharing options...
SurgPA05 Posted October 19, 2004 Share Posted October 19, 2004 The overriding of the aorta is such that the opening leads directly into the ventricular septal defect (VSD) so that the blood is shunted almost immediately into the right ventricle! Actually because the aorta overrides the ventricular defect and there's pulmonary stenosis, blood from both ventricles (oxygen-rich and oxygen-poor) is pumped into the body through the aorta.....the shunt is right to left which is why the surgical repair involves repair of the VSD and placement of an artificial aortopulmonay shunt so that blood from the aorta reaches the lungs. 1 Quote Link to comment Share on other sites More sharing options...
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