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...
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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...
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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
