Discover and read the best of Twitter Threads about #PhysioQuizzo

Most recents (4)

1/ It’s time for #PhysioQuizzo! You’re excited. We’re excited. It’s fun!

You’re on inpatient cardiology and your patient gets a right heart cath (RHC):

RA 29
PA 52/33 (mean 40)
PCWP 34
CO/CI
-Thermo: 2.9/1.2
-Fick: 5.3/2.0
SvO2 43

Q1: Does this pt have heart failure (HF)?
2/ #PhysioQuizzo

Question 2 (all answers at the end!): Does the patient have pulmonary hypertension?
3/ #PhysioQuizzo

Question 3: Does the patient have pulmonary arterial hypertension (PAH, or Group 1 PH)?
Read 18 tweets
It’s time for #PhysioQuizzo! And today, we got a really trippy puzzle for you. [thread]

1/x You’re still working in the ICU (1 week to go!), and you take care of a pt who overdosed. He was revived in the ER. Urine was obtained before naloxone was given.

Quiz on post 3/x.
2/x His UDS is shown below. His outpatient med list is also shown.

You’ll note his UDS is positive for everything...
3/x

Here’s the Quiz:
—Which of the following is the least he could have plausibly taken given his UDS? (Assume he’s taken all his home meds that day)

A. Each and every drug on the UDS
B. Home meds, ethanol
C. Home meds, EtOH, oxycodone, valium
D. Home meds, cocaine, oxy, heroin
Read 7 tweets
Get your thinking caps out! It’s time for #PhysioQuizzo!

You’re still working in the ICU. You get 2 patients back to back, comatose. Little history. Vented.

Patient 1: 22yo female. Found down at home. We don’t know her PMH or meds.
How many acid base disorders does she have? Use the poll below

What do you think she has? Say your opinion in the comments!
Patient #2: 25yo male. Past medical history not known.
Read 11 tweets
Put on your thinking caps for this week's #PhysioQuizzo!

After finishing ID consults two weeks ago, you find yourself on renal consults. Your attending gives you two new consults:

1) 30yoM, serum Na 121, SOsm 252
2) 30yoM, serum Na 120, SOsm 253

(Questions on the next page!!!)
2/ #PhysioQuizzo

Patient #1: Na 121, SOsm 252, asymptomatic.

The attending tells you his urine Osm is 70. She asks you how you want to cure the patient's hypoNa.

You say that, before you decide, you want to know more about the patient's... [You only get 1 choice]
3/ #PhysioQuizzo

Patient #2: Na 120, SOsm 253, asymptomatic.

Yesterday, Patient #2 got 1L of normal saline. His SNa yesterday was 119. Urine studies today: UOsm 506, UNa 170, UK 54.

The primary team wants guidance on how much normal saline to give and how fast. You say...
Read 12 tweets

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