Re: Delayed antibiotic prescribing for respiratory tract infections: individual patient data meta-analysis - Authors & #039; response to Dr Bradley
(Source: BMJ Comments)
Source: BMJ Comments - May 28, 2021 Category: General Medicine Source Type: forums

Re: Delayed antibiotic prescribing for respiratory tract infections: individual patient data meta-analysis
(Source: BMJ Comments)
Source: BMJ Comments - May 5, 2021 Category: General Medicine Source Type: forums

Delayed antibiotic prescribing for respiratory tract infections with and without sepsis--a dilemma or not?t data meta-analysis
(Source: BMJ Comments)
Source: BMJ Comments - April 30, 2021 Category: General Medicine Source Type: forums

MCAT May 20 - Advice NEEDED!
I appreciate your time and tips, Briefly - I am a non-traditional pre-med and graduated with a bachelors in respiratory therapy in 2019. I have since been working weekends as a respiratory therapist. It has been several years since I have taken any of the prerequisites other than chemistry and organic, which I just took last fall. Due to several factors, I only have this short time between now and May 20 to get ready. I decided to take AAMC FL1 to determine where I stand, and my scores... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - March 31, 2021 Category: Universities & Medical Training Authors: GoodShepherd Tags: MCAT: Medical College Admissions Test Source Type: forums

FFP3 Reusable Respirators; the respiratory Personal Protective Equipment (PPE) that Health and Social Care Workers Need, Want and Deserve.
(Source: BMJ Comments)
Source: BMJ Comments - February 17, 2021 Category: General Medicine Source Type: forums

Re: Management of respiratory failure due to covid-19
(Source: BMJ Comments)
Source: BMJ Comments - January 14, 2021 Category: General Medicine Source Type: forums

Is a Nonrebreather a critical care action (COVID resp failure & critical care documentation)
Wondering if you guys bill critical care for COVID-19 acute hypoxemic respiratory failure patients that are admitted on non-rebreather The chief complaint of resp distress is worthy of CC The diagnostic workup is worthy of CC The final diagnosis is worthy of CC The intervention: most CC billing guides say that for resp issues, one should consider CC billing if the patient requires NiPPV/high flow or intubation. they do not mention NRB as a critical intervention. Then again, as simple as a... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 21, 2020 Category: Universities & Medical Training Authors: theWUbear Tags: Emergency Medicine Source Type: forums

When to Check a Lipase?
So I had a case recently which has me a little puzzled. EMS brings in a dude from local homeless shelter in respiratory distress - has a history of COPD + CHF, they’ve got him on cpap and his vitals are OK, low grade fever, but clearly sick. Mentating fine, no abdominal complaints. Did the usual stuff in the ED, abx, steroids, careful IVF because of the CHF...labs (including liver stuff) only remarkable for metabolic acidosis and a white count. Notably did not get a lipase. Admitted to... Read more (Source: Student Doctor Network)
Source: Student Doctor Network - December 5, 2020 Category: Universities & Medical Training Authors: The Knife & Gun Club Tags: Emergency Medicine Source Type: forums

Economics of having a McGrath in every OR
Some attendings push only using a McGrath. How feasible is it to have a Mcgrath in every OR cost-wise. Do you end up saving more money if there's an adverse respiratory event? (Source: Student Doctor Network)
Source: Student Doctor Network - December 3, 2020 Category: Universities & Medical Training Authors: ToKingdomCome Tags: Anesthesiology Source Type: forums

Re: Using antibiotics wisely for respiratory tract infection in the era of covid-19
(Source: BMJ Comments)
Source: BMJ Comments - December 2, 2020 Category: General Medicine Source Type: forums

High bicarb CRRT for respiratory acidosis
Hello everyone, first time on this subforum. Have an attending who uses a high bicarb bath (up to 45 meq/l) to help respiratory acidosis. Anyone else encounter this or have evidence for it? Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - November 25, 2020 Category: Universities & Medical Training Authors: Crash44 Tags: Critical Care Source Type: forums

Re: Management of respiratory failure due to covid-19
(Source: BMJ Comments)
Source: BMJ Comments - November 1, 2020 Category: General Medicine Source Type: forums

Masks on Double Duty: Wildfires during a Respiratory Pandemic
(Source: BMJ Comments)
Source: BMJ Comments - September 28, 2020 Category: General Medicine Source Type: forums

Interstitial Lung disease SBRT vs Cryo?
Older guy with small, peripheral lesion. Respiratory status up and down with interstitial lung disease with obvious scarring on CT. Not operable. You doing SBRT or referring for cryo? (Source: Student Doctor Network)
Source: Student Doctor Network - September 23, 2020 Category: Universities & Medical Training Authors: Mandelin Rain Tags: Radiation Oncology Source Type: forums

Why does emphysema cause respiratory ALKALOSIS?
I get that in chronic bronchitis, the mucus plugs up the bronchioles and makes it hard for CO2 to get out, so PCO2 goes up and pH goes down. Since emphysema is also an obstructive lung disease, why does PCO2 not go up there as well? (Goljan pg 304) (Source: Student Doctor Network)
Source: Student Doctor Network - September 18, 2020 Category: Universities & Medical Training Authors: Hemichordate Tags: Step I Source Type: forums

Board topic breakdown
Scheduled to take boards this November and I’m using the AAFP board review guide but I realize that the module section has been replaced. The AAFP board review lists the top question categories as Respiratory Cardiovascular Musculoskeletal Module But now that the module has been removed what is the 4th category that is high yield Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - August 17, 2020 Category: Universities & Medical Training Authors: Slevin Tags: Family Medicine Source Type: forums

TEE case - Is this tamponade?
I'm going to keep the details purposefully light until we get some responses. Let's see what everyone thinks just based on: 24yo M trauma pt No significant PMH Inciting incident happened about 12 hours ago. Pt drove himself to an OSH about 3-4 hrs ago. He's now been transferred to us. PE: NAD. Ox3 but a little drowsy HR 82 BP 155/73 by a-line. A bit of respiratory variation is seen SpO2 99 on RA Hgb borderline low, potassium is a little elevated GETA is induced by one of your... TEE case - Is this tamponade? (Source: Student Doctor Network)
Source: Student Doctor Network - August 2, 2020 Category: Universities & Medical Training Authors: vector2 Tags: Anesthesiology Source Type: forums

Re: Evidence does not support vitamin D for reducing respiratory infections, reviews conclude
(Source: BMJ Comments)
Source: BMJ Comments - July 20, 2020 Category: General Medicine Source Type: forums

Re: Respiratory failure and non-invasive respiratory support during the covid-19 pandemic: an update for re-deployed hospital doctors and primary care physicians
(Source: BMJ Comments)
Source: BMJ Comments - July 16, 2020 Category: General Medicine Source Type: forums

Respiratory failure and non-invasive respiratory support during the covid-19 pandemic: vitamin D should be considered
(Source: BMJ Comments)
Source: BMJ Comments - July 2, 2020 Category: General Medicine Source Type: forums

UWorld Q 7601 Respiratory physiology
Pt evaluated for worsening SOB on exertion, 40-pack-year smoking hit. Lung are hyperresonant on percussion and there is diffuse wheezing on auscultation. CXR reveals a flattened diaphragm with a narrow mediastinum, there are decreased bronchovascular markings in the peripheral lung region. Why this is COPD? how to tell it is not restrictive lung diseases ? (Source: Student Doctor Network)
Source: Student Doctor Network - May 26, 2020 Category: Universities & Medical Training Authors: maggiesilverchow Tags: Step I Source Type: forums

Tee
hey guys, just a quick case just wondering what you guys think.. pt is scheduled for TEE/RHC by the cardiologist and you are asked to provide anesthesia. 37 yo F with coronary artery vasospasm: s/p LHC on 5/13 with 90% narrowing of the LAD. staged PCI revealed normal coronaries. acute systolic CHF: Patient in respiratory distress with bilateral crackles on exam. chest x-ray on 05/18 revealed new interstitial pulmonary edema. chest x-ray on 5/20 shows worsening infiltrates and/or edema... TEE (Source: Student Doctor Network)
Source: Student Doctor Network - May 22, 2020 Category: Universities & Medical Training Authors: jeesapeesa Tags: Anesthesiology Source Type: forums

A few pulmonary physiology questions...
Hopefully someone can help a rising fellow with a few topics (some basic) that have come up and I haven't been able to get a good explanation for: - How exactly does a CHF exacerbation cause hypercapneic respiratory failure? Pulmonary edema seems to be mainly a VQ mismatch issue and not increased dead space? - How exactly does ARDS cause increased dead space? Again, it seems like blood is still flowing through the pulmonary vasculature and it's more of shunt physiology developing with... A few pulmonary physiology questions... (Source: Student Doctor Network)
Source: Student Doctor Network - May 14, 2020 Category: Universities & Medical Training Authors: cavitarynodule Tags: Pulmonary / Critical Care Medicine Source Type: forums

COVID-19 associated thrombosis complicates respiratory failure
(Source: BMJ Comments)
Source: BMJ Comments - May 12, 2020 Category: General Medicine Source Type: forums

Re: Management of respiratory failure due to covid-19
(Source: BMJ Comments)
Source: BMJ Comments - May 10, 2020 Category: General Medicine Source Type: forums

Widening the drug trial net has the potential to reduce respiratory failure
(Source: BMJ Comments)
Source: BMJ Comments - May 9, 2020 Category: General Medicine Source Type: forums

Re: Management of respiratory failure due to covid-19
(Source: BMJ Comments)
Source: BMJ Comments - May 5, 2020 Category: General Medicine Source Type: forums

Respiratory Therapy (Pre-Med track) Good path for cards/pulm?
Hi guys, So I am a pre-med who is about to finish their undergraduate degree this May (BS in Psychology) with a 3.0gpa. I am greatly interested in non-interventionist cardiology and pulmonology so I think becoming an RT would be helpful to that cause. I one day hope to apply for medical school but I am well aware of the insane competition and that a gpa that low will have serious difficulty getting accepted. My plan was to do a post-bacc and work on the side as a scribe like everyone else... Respiratory Therapy (Pre-Med track) Good path for cards/pulm? (Source: Student Doctor Network)
Source: Student Doctor Network - April 19, 2020 Category: Universities & Medical Training Authors: PsychPop Tags: Cardiology Source Type: forums

House Physician a myth or a reality?
Hi everyone, I am a non-US IMG and I completed all my steps and I am currently enrolled in clinical research at Mt Sinai in NYC. I graduated in 2012 ,but was working as a full-time respiratory therapist until recently (June 2019). I tried the residency match 2 times already and did not receive any interview. I had a couple of red flags ( year graduation and 2nd attempts on step 2s), but I still have the drive to pursue this dream of mine. I would like to apply again next year and I think... House Physician a myth or a reality? (Source: Student Doctor Network)
Source: Student Doctor Network - April 11, 2020 Category: Universities & Medical Training Authors: Geeky MD Tags: Internship, Residency and Fellowship Positions Source Type: forums

Difficult Airway - Covid, Angioedema, ETT Exchange
Thoughts on the following case: Morbidly obese patient in ICU, thick neck+Covid, respiratory failure, high vent settings (20 PEEP, 70% FiO2). Called by ICU attending to exchange ETT because it becomes kinked when turning the patient prone, and randomly when turning the patient's head in certain directions when supine. Patient also with severe angioedema of the tongue, which is protruding several centimeters from the mouth, firm, immobile, making access to the oropharynx impossible. Patient... Difficult Airway - Covid, Angioedema, ETT Exchange (Source: Student Doctor Network)
Source: Student Doctor Network - April 9, 2020 Category: Universities & Medical Training Authors: inflamesdjk02 Tags: Anesthesiology Source Type: forums

Nutritional Recommendations for Covid-19
Hello everyone. I am deeply concerned about the covid-19 pandemic. I have maintained an interest in nutrition for over a decade and probably contracted covid-19 myself about 16 days ago in Durham, NC. My case was mild, with about 25% respiratory impairment at its worst on the seventh day of the illness. Due to lack of availability of testing kits for non-severe cases I can't confirm whether it was actually c-19 however I did suffer at 75% loss of smell plus the repiratory impairment so... Nutritional Recommendations for Covid-19 (Source: Student Doctor Network)
Source: Student Doctor Network - April 6, 2020 Category: Universities & Medical Training Authors: cdmguy Tags: Family Medicine Source Type: forums

California Health Corps asking for medical students
Governor Newsom Announces California Health Corps, a Major Initiative to Expand Health Care Workforce to Fight COVID-19 | California Governor Governor signs executive order to expand health care workforce and staff at least an additional 50,000 hospital beds needed for the COVID-19 surge Medical doctors, nurses, respiratory therapists… www.gov.ca.gov Any idea on what the role will be ? (Source: Student Doctor Network)
Source: Student Doctor Network - March 31, 2020 Category: Universities & Medical Training Authors: libertyyne Tags: Medical Students - MD Source Type: forums

COVID-19 and Medical Decision Making
Just had a string of night shifts at my ER in Northern California. It was thankfully quiet. Saw 1/hr. Each shift there were a few patients wondering if they had COVID-19. The purpose of this post is to ask how all of you guys are thinking about medical decision making in this new world. Because how I'm handling respiratory complaints now is much different than how I did 6 months ago or even 3 months ago. Here is one of my cases: 69 yo woman, healthy, remote history of follicular... COVID-19 and Medical Decision Making (Source: Student Doctor Network)
Source: Student Doctor Network - March 21, 2020 Category: Universities & Medical Training Authors: thegenius Tags: Emergency Medicine Source Type: forums

Plaquenil for corona?
I'm hearing reports that Plaquenil with antibiotic help with treating coronavirus? Correct me if i'm wrong... but... what? lol we are using anti-malarial/RA and anti-bacterial drugs to treat viral infections now? In Vitro Antiviral Activity and Projection of Optimized Dosing Design of Hydroxychloroquine for the Treatment of Severe Acute Respiratory Syndrome ... - PubMed - NCBI (Source: Student Doctor Network)
Source: Student Doctor Network - March 20, 2020 Category: Universities & Medical Training Authors: VictorOfHungerGames Tags: Pharmacy Source Type: forums

Covid-19
Can we start a COVID-19 discussion? There is one case at my hospital so far. He got sick initially with a prodrome of cough, malaise... presented two weeks later to ED with severe respiratory symptoms. Got admitted, bilateral infiltrates more in the peripheries. WBC normal with lymphopenia. Flu, RSV and general viral panel negative. Tested two days after admission for COVID-19 which came back positive. Community infection with no travel or sick contact. His hypoxia escalated quickly... COVID-19 (Source: Student Doctor Network)
Source: Student Doctor Network - March 14, 2020 Category: Universities & Medical Training Authors: GluteusMaximus90 Tags: Critical Care Source Type: forums

ACE-inhibitors may facilitate COVID-19 related respiratory distress syndrome beside increasing the risk of infection
(Source: BMJ Comments)
Source: BMJ Comments - March 12, 2020 Category: General Medicine Source Type: forums

Preventing severe respiratory distress
(Source: BMJ Comments)
Source: BMJ Comments - March 9, 2020 Category: General Medicine Source Type: forums

Autopsy for pneumonia (COVID-19, SARS-CoV-2)
How are you handling autopsies (especially for pneumonia), in the context of COVID-19 / SARS-CoV-2? I worry about infected patients without a diagnosis of COVID-19. Of note, here are CDC's guidelines: Coronavirus Disease 2019 (COVID-19) Coronavirus disease 2019 (COVID-19) is a virus (more specifically, a coronavirus) identified as the cause of an outbreak of respiratory illness first detected in Wuhan, China. www.cdc.gov Postmortem activities should be conducted with a focus on a...
Source: Student Doctor Network - February 28, 2020 Category: Universities & Medical Training Authors: Path of Most Resistance Tags: Pathology Source Type: forums

how to study respiratory physiology
What resources do people use for understanding resp physiology? (Source: Student Doctor Network)
Source: Student Doctor Network - January 23, 2020 Category: Universities & Medical Training Authors: e2468 Tags: Medical Students - MD Source Type: forums

Enlisted Medical Chalk Talks
What are some short 10-15 minute lessons y'all do for your enlisted medical (Corpsmen/Medics)? I'm looking for things that they'll find either interesting, useful in their job, or both. This is separate from skills training. Stuff like acute pain control, back pain red flags and what they mean, the approach to a red eye, upper respiratory/sinus complaints, "it burns when I pee," etc. (Source: Student Doctor Network)
Source: Student Doctor Network - January 11, 2020 Category: Universities & Medical Training Authors: flightdoc09 Tags: Military Medicine Source Type: forums

M1 QBanks in Traditional Curriculum
Happy New Years! I just had a question about doing QBanks in a traditional curriculum. I find that it’s tough for me to answer a lot of the questions in USMLE RX and Amboss because even their non path questions have a lot of path in them. What do you think of the strategy of doing Pathoma chapters 1-4 and then the relevant Pathoma chapter for a given block (say respiratory), doing a bunch of questions in that unit? I am going to be done with most of Costanzo, Sketchy Micro and Sketchy Pharm... M1 QBanks in Traditional Curriculum (Source: Student Doctor Network)
Source: Student Doctor Network - January 1, 2020 Category: Universities & Medical Training Authors: greentealeaves Tags: Medical Students - MD Source Type: forums

FDA warning on Gabapentin.
in case you didn't see this last Thursday... Gabapentin and Pregabalin: Drug Safety Communication - Due to Serious FDA is warning that serious breathing difficulties may occur in patients using gabapentin or pregabalin who have respiratory risk factors. www.fda.gov Neurontin, Gralise, Horizant (gabapentin) and Lyrica, Lyrica CR (pregabalin): Drug Safety Communication - Serious Breathing Problems Click to expand... ... Click to expand....
Source: Student Doctor Network - December 23, 2019 Category: Universities & Medical Training Authors: Ducttape Tags: Pain Medicine Source Type: forums

Re: E-cigarettes are independent risk factor for respiratory disease, study finds
(Source: BMJ Comments)
Source: BMJ Comments - December 18, 2019 Category: General Medicine Source Type: forums

Re: The impact on respiratory health of e-cigarettes
(Source: BMJ Comments)
Source: BMJ Comments - November 22, 2019 Category: General Medicine Source Type: forums

Re: What are the respiratory effects of e-cigarettes?.. Even less if you don & #039;t inhale or use Nicotine Salts
(Source: BMJ Comments)
Source: BMJ Comments - November 22, 2019 Category: General Medicine Source Type: forums

Re: What are the respiratory effects of e-cigarettes?
(Source: BMJ Comments)
Source: BMJ Comments - November 18, 2019 Category: General Medicine Source Type: forums

Bicarb in ketoacidosis
I don't personally use bicarb for metabolic acidosis from dka or aka... but the intensivists and culture at my hospital is to do it for just about any acidosis. Thoughts? Case example: Had a pt with AKA with pH 6.9 pCO2 30 something +kussmaul respirations.. I pushed D5LR as she had a metabolic and respiratory acidosis I didn't feel comfortable giving bicarb. Obviously when she arrived to the ICU it was immediately given without a second thought. (Source: Student Doctor Network)
Source: Student Doctor Network - November 17, 2019 Category: Universities & Medical Training Authors: migm Tags: Emergency Medicine Source Type: forums

Case discussion
Another case discussion for the experts here on this forum. 75 year old with atrial fibrillation on Eliquis, brought in with fractured hip. Orthopedic surgery books the procedure 3 days later (unclear why delayed) for hemiarthroplasty. Labs are fairly OK, nothing absurd. Hct 28, On TTE 1 day ago, there is large pericardial effusion (unknown etiology) with evidence of right atrial collapse, right ventricle inversion, respiratory variations. Diffuse hypokinesis, with LVEF 35%. However... Case discussion (Source: Student Doctor Network)
Source: Student Doctor Network - November 3, 2019 Category: Universities & Medical Training Authors: waterbottle10 Tags: Anesthesiology Source Type: forums

RRT TO DO? Need advice.
I am in need of some advice. I graduated with my degree in biomedical sciences in 2017, original goal was to become a PA which led me to receive my respiratory therapy license to gain some patient experience. I currently work in a level 1 trauma center where I work in ER and Trauma and have really contemplated on switching career paths to possibly applying to medical school instead of PA programs. I unfortunately can’t score well on the mcat, first time I took the exam I studied for 3 months... RRT TO DO? Need advice. (Source: Student Doctor Network)
Source: Student Doctor Network - November 2, 2019 Category: Universities & Medical Training Authors: RRT95 Tags: Pre-Medical - DO Source Type: forums

Why do you want to be a doctor and not a nurse?
Thread Starter Why do you want to be a doctor and not a nurse? Follow 34 minutes ago 34m ago Quote: Originally Posted by Ldeb1403 Emergency medicine pretty much guarantees that you will see patients of all ages -- in fact the ACCS training pathway requires both adul...
Source: The Student Room - October 17, 2019 Category: Universities & Medical Training Authors: ForestCat Tags: Medicine Source Type: forums