Jump to content
pahopeful

I am the Object of My Pimp's Affection

Recommended Posts

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!!

  • Upvote 1

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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??

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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

  • Upvote 1

Share this post


Link to post
Share on other sites

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...

Share this post


Link to post
Share on other sites

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!

Share this post


Link to post
Share on other sites

I'm game...

 

Triad of Normal Pressure Hydrocephalus is gait disturbance, incontinence, and dementia?

 

Anybody else have a pimpin' question??!

Share this post


Link to post
Share on other sites

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 :)

Share this post


Link to post
Share on other sites
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

Share this post


Link to post
Share on other sites

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. :)

Share this post


Link to post
Share on other sites

Name four indications for intubation......Chief of anesthesia asked me this one day while walking through the SICU....

 

:)

Mon

Share this post


Link to post
Share on other sites

epiglotitis (A true emergency!), coma, absence of ability to maintain a patent airway, severe airway edema,

 

maybe severe obstruction

 

How did i do?

Share this post


Link to post
Share on other sites

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 :)

Share this post


Link to post
Share on other sites

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!

Share this post


Link to post
Share on other sites

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??

Share this post


Link to post
Share on other sites

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.

  • Upvote 1

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.


×
×
  • Create New...

Important Information

Welcome to the Physician Assistant Forum! This website uses cookies to ensure you get the best experience on our website. Learn More