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
