Guest lisnek Posted April 1, 2006 Share Posted April 1, 2006 how about the 5 w's of post-op fevers? Quote Link to comment Share on other sites More sharing options...
merseur Posted April 2, 2006 Share Posted April 2, 2006 wind, water, wound, wonder drugs, walking Quote Link to comment Share on other sites More sharing options...
Guest lisnek Posted April 2, 2006 Share Posted April 2, 2006 do most PA student know what each W stands for? we may want to summarize...let's see if someone else wants to fill in! nice job! Quote Link to comment Share on other sites More sharing options...
andersenpa Posted April 2, 2006 Share Posted April 2, 2006 There are some interesting papers on the (alleged) link between atelectasis and fever....I will find the citations...... Quote Link to comment Share on other sites More sharing options...
merseur Posted April 3, 2006 Share Posted April 3, 2006 atelectasis, UTI, wound infection, drugs, dvt Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted April 25, 2006 Share Posted April 25, 2006 Q: What are the 3 most common causes of vaginitis in premenopausal women? Quote Link to comment Share on other sites More sharing options...
Guest pac4hire Posted April 25, 2006 Share Posted April 25, 2006 1 candida 2.Gardinella 3 Pregnancy? ( it causes swelling! what is the name of that eponym?) Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted April 25, 2006 Share Posted April 25, 2006 1 candida2.Gardinella 3 Pregnancy? ( it causes swelling! what is the name of that eponym?) 1. Candida 2. Gardnerella/BV 3. ?? I'm not sure about an eponym... anyone else know which one that is? Pregnancy increases the risk of candidiasis & BV, but the third one is associated with unprotected sex.... well, I guess pregnancy is too, sometimes :p ... the third is an STD. Quote Link to comment Share on other sites More sharing options...
andersenpa Posted April 25, 2006 Share Posted April 25, 2006 atelectasis, UTI, wound infection, drugs, dvt Chest, Vol 107, 81-84, Copyright © 1995 by American College of Chest Physicians ARTICLES Lack of association between atelectasis and fever M Engoren Department of Anesthesiology, Saint Vincent Medical Center, Toledo, Ohio. Postoperative fever occurs in many patients. If no infection is found, atelectasis, if present, may be blamed. This study of 100 postoperative cardiac surgery patients followed up from day of surgery through the second postoperative day with daily portable chest radiographs and continuous bladder thermometry was designed to look for an association between atelectasis and fever. The daily incidence of atelectasis increased from 43 to 69 to 79%. However, the incidence of fever, defined as temperature > or = 38.0 degrees C fell from 37 to 21 to 17%. When defined as temperature > or = 38.5 degrees C, the daily incidence of fever fell daily from 14 to 3 to 1%. Using chi 2 analysis, no association could be found between fever and amount of atelectasis. This contradicts common textbook dogma but agrees with previous human study and animal experiments. ------------------------------------------------------------------ Fever in the ICU Paul E. Marik MD, FCCP Chest Volume 117 • Number 3 • March 2000 Copyright © 2000 The American College of Chest Physicians Atelectasis is commonly implicated as a cause of fever. Standard ICU texts list atelectasis as a cause of fever, although they provide no primary source. Indeed a major surgery text states that "fever is almost always present [in patients with atelectasis]." However, Engeron studied 100 postoperative cardiac surgery patients and was unable to demonstrate a relationship between atelectasis and fever. Furthermore, when atelectasis is induced in experimental animals by ligation of a mainstem bronchus, fever does not occur. However, Kisala and coworkers demonstrated that IL-1 and TNF-alpha levels of macrophage cultures from atelectatic lungs were significantly increased compared with the control lungs. The role of atelectasis as a cause of fever is unclear; however, atelectasis probably does not cause fever in the absence of pulmonary infection. Quote Link to comment Share on other sites More sharing options...
pahopeful Posted April 25, 2006 Author Share Posted April 25, 2006 1. Candida2. Gardnerella/BV 3. ?? I'm not sure about an eponym... anyone else know which one that is? Pregnancy increases the risk of candidiasis & BV, but the third one is associated with unprotected sex.... well, I guess pregnancy is too, sometimes :p ... the third is an STD. Trich?? pahopeful Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted April 25, 2006 Share Posted April 25, 2006 Yep, pahopeful.... Trichomonas is number 3. Quote Link to comment Share on other sites More sharing options...
merseur Posted April 26, 2006 Share Posted April 26, 2006 I was going to say... (in no particular order) poor hygeine, deucing (sp?), wearing nylon underwear. Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted April 26, 2006 Share Posted April 26, 2006 I was going to say... (in no particular order)poor hygeine, deucing (sp?), wearing nylon underwear. Those all contribute to vaginitis, but what I was looking for was the top three organisms... sorry to not be very specific. 1. Candida 2. Gardnerella/BV 3. Trichomonas Quote Link to comment Share on other sites More sharing options...
Guest javdecali Posted April 26, 2006 Share Posted April 26, 2006 i'm thinking hepatic encephalopathy? whoa, ic this thread is faster than I thought Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted April 28, 2006 Share Posted April 28, 2006 This one really stumped me... had to dig pretty deep to find the answer. Q: When intraocular pressures are increased, carbonic anhydrase inhibitors should be avoided in which patients? Why? Quote Link to comment Share on other sites More sharing options...
merseur Posted April 29, 2006 Share Posted April 29, 2006 DM patients? Can cause hyperglycemia. Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted April 29, 2006 Share Posted April 29, 2006 DM patients? Can cause hyperglycemia. Nope.... since I know everyone is dying to know the answer :rolleyes: and it's a toughie, here it is: A: In Sickle Cell Disease CAIs, lower the aqueous pH in anterior chamber and promotes further sickling. Sickled RBCs block outflow track and increase the IOP further. Tintinalli 5th ed., Sec.18, Ch.230, p.1511 I didn't make these last two up, btw. I get a question-a-day from www.open-er.com. Well, it's supposed to be one a day; I get a few per week. Great site full of EM board-prep questions. I was happy to see how many of them cover info we've learned in PA school, though :) Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted May 31, 2006 Share Posted May 31, 2006 Here's another QAD from open-er: Q: The higher the Salter-Harris fractureclassification number the greater risk of what? Quote Link to comment Share on other sites More sharing options...
quarternote Posted May 31, 2006 Share Posted May 31, 2006 Physeal arrest.... The effects of nicotine on sperm are???? or the way it was put to me... Did you realize that nicotine makes the tails fall off sperm... :)?? Quote Link to comment Share on other sites More sharing options...
Guest lisnek Posted June 1, 2006 Share Posted June 1, 2006 avascular necrosis - i have no clue Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted June 1, 2006 Share Posted June 1, 2006 Physeal arrest.... That's one of three effects listed in the answer: The greater chance of physeal arrest and joint incongruity. The higher S-H fractures (III, IV, V) are much more likely to injure the vascular supply on the physis. The effects of nicotine on sperm are???? or the way it was put to me... Did you realize that nicotine makes the tails fall off sperm... :)?? Nope, didn'tknow that one... butI'm unlikely to forget it now! Quote Link to comment Share on other sites More sharing options...
v_chicky Posted June 1, 2006 Share Posted June 1, 2006 here's one my attending asked me. why does cardiac tamponade cause a pt to "code"? (as in explain the physiology) Quote Link to comment Share on other sites More sharing options...
JenGintheED Posted June 2, 2006 Share Posted June 2, 2006 here's one my attending asked me. why does cardiac tamponade cause a pt to "code"? (as in explain the physiology) what, no takers? there are so many em/trauma afficionados here i'm surprised! "code" being the cessation of myocardial contraction, i'd say that it is caused by a rapid-onset pericardial effusion in which the pericardial pressure becomes greater than the chamber pressures, mechanically preventing the heart from expanding/relaxing. the prolonged (artificial) systole would prevent the coronaries from filling, since they fill during diastole - creating an ischemic state that would complicate the mechanical compresion. :confused: Quote Link to comment Share on other sites More sharing options...
v_chicky Posted June 2, 2006 Share Posted June 2, 2006 right of course angel. now how does a tension ptx cause a pt to code? i had a 20 minute pimping session with my attending on these and related topics, good stuff. Quote Link to comment Share on other sites More sharing options...
merseur Posted June 2, 2006 Share Posted June 2, 2006 tension pneumo increases intrathoracic pressure. if the pneumothorax is large enough it will cause midline shift to the contralateral side, which can obstruct breathing and decrease blood oxygenation. Quote Link to comment Share on other sites More sharing options...
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