Neurogenic Shock Triad https://twitter.com/DrATEFAHMED/status/1653802091029180432?s=20 https://www.youtube.com/watch?v=z31up5SnjD0 #Neurogenic_Shock_Triad #shorts #shock #triad,#medical_triad,#pediatric,#medicine,#mrcpch,#mbbs,#plab,#amc,#usmle,#doctor /#Medical_Triads/#Medical #Mnemonics /#shorts/#Medical #students/#Frcs/#Usmle/ #mrcs ,#mnemonic #shortsvideo #shortsfeed #shortsyoutube #shortsbeta #shortsviral #shorts_ #shortsindia #shorts #no1doctor #Medical_students #Dratef #triad,#medical_triad,#pediatric,#medicine,#mrcpch,#mbbs,#plab,#amc,#usmle,#doctor,#mnemonic #Medical_Triads #Tetrads #Pentads #No1doctor #Medical_students #Dratef #Mrcs #Frcs #Usmle #syndrome #shorts #trauma #injury #shorts #Abdminal_trauma #trauma #surgery #syndrome #shorts #Surgical_problem #surgery #MCQS #Mrcs #Medical #Medical_Student_Exam #No1doctor #dratef #usmle #frcs #exam #student #lecture #ukrian #russia #russian #war #news #trend #movie…

A 65-year-old woman with well controlled type 2 diabetes mellitus presents with perforated appendicitis. She is taken to the operating room for exploration, drainage of intraabdominal abscess, and ileocecectomy. She is admitted to the surgical intensive care unit postoperatively in septic shock. Overnight, she is resuscitated with 9 L crystalloid. She is now on norepinephrine and vasopressin infusions to keep her mean arterial pressure above 65 mm Hg. On postoperative day 1, she is hypoxic with pulmonary edema on chest x-ray. Her serum potassium is 5.9 mmol/L, her serum creatinine increased from 1.5 to 5.4 mg/dL (0.4-1.3 mg/dL), her serum blood urea nitrogen is 60 mg/dL (7-20 mg/dL), her serum bicarbonate is 13 mmol/L (20-29 mmol/L), and her pH is 7.21. Her urine output is 0.3 mL/kg/hour for the last 12 hours. What is the next step in managing her renal failure? A. Continuous renal replacement therapy B. Intermittent hemodialysis C. Furosemide 80 mg intravenously D. Dopamine infusion E. Sodium bicarbonate infusion ANSWER: A Acute kidney injury in the postoperative period is associated with increased morbidity and mortality. Two classification systems were proposed in the early 2000s: the RIFLE criteria and the Acute Kidney Injury Network (AKIN) staging system. These systems provide concise definitions of the extent of injury and prognosis. Both systems consider increases in serum creatinine, either an absolute number or an increase from baseline, and urine output criteria. This patient had a marked increase in serum creatinine and has oliguria. According to the RIFLE criteria, she has Failure; she is in AKIN stage III. Additionally, she is acidemic, with a serum pH of 7.21 and bicarbonate of 13 mmol/L (20-29 mmol/L), and hyperkalemic. She also shows evidence of volume overload with hypoxemia and radiographic evidence of pulmonary edema. This patient has several indications for renal replacement therapy. Data regarding the optimal modality and timing of renal replacement therapy are conflicting. However, when patients are hemodynamically abnormal and require vasopressor support, a continuous mode of renal replacement therapy is preferred. Continuous modes require smaller volumes of blood to be removed at a time compared with intermittent hemodialysis and are better tolerated in hypotensive patients. A sodium bicarbonate infusion is used for patients with acidosis; however, starting a sodium bicarbonate infusion is generally not recommended until the serum pH is less than 7.15. Also, there are no data confirming any reduction in morbidity and mortality for its use in renal failure. Aggressive diuretic therapy used in the early stages of AKI to treat volume overload and hyperkalemia is possible. However, once a patient advances to renal failure, renal replacement therapy is the preferred modality of management. Low-dose dopamine infusions were once erroneously thought to be renal protective via a mechanism of increased renal blood flow. There are currently no data to support the use of a dopamine infusion as prevention or treatment of AKI.

A surgeon at a certified bariatric center of excellence performs a laparoscopic sleeve gastrectomy on a 42-year-old woman with a BMI of 42 and associated hypertension. On postoperative day 1, she is doing fine and is discharged to home, which is 90 miles away. On postoperative day 2, she calls her surgeon's office with a complaint of abdominal pain and gets the answering service. She does not receive a call back from the covering bariatric surgeon. She calls the office on postoperative day 3, and a triage nurse responds telling her that the covering surgeon will call her back, but no one does. On postoperative day 5, the patient presents to her local emergency department in septic shock. CT scan shows evidence of a leak. The local emergency department does not have a bariatric sturgeon, and the on-call surgeon is not comfortable taking care of this patient. The patient is transferred back to the operating surgeon's hospital after discussion with the covering bariatric surgeon. The patient makes it to the emergency department but then dies shortly thereafter. The patient's family decides to sue. In deposition, the bariatric surgeon claims no calls were made to the covering bariatric surgeon. Who is mostly at fault for this outcome? A. The operative bariatric surgeon B. The answering service C. The covering bariatric surgeon D. The local emergency department E. The local general surgeon The Correct Answer will be at first Comment .login to see or add comments and answers

Toxic Shock Syndrome - Share https://twitter.com/DrATEFAHMED/status/1647672651593183232?s=20 #Toxic_Shock_Syndrome #shock #toxic #syndrome #shorts

Medical Triads Playlist Please Like and share https://www.youtube.com/playlist?list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM Kartagener’s Syndrome Triad https://www.youtube.com/watch?v=O-sIp87o43I&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=1 Cushing’s Triad https://www.youtube.com/watch?v=dvROqOkACP8&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=2 Charcot's Neurologic Triad https://www.youtube.com/watch?v=LvtcuBVH0j0&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=3 Charcot’s Triad https://www.youtube.com/watch?v=aeYupWih5Cg&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=4 Cauda Equina Triad https://www.youtube.com/watch?v=q_8bFzao0EI&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=5 Beck’s Triad https://www.youtube.com/watch?v=1gMQgO9jLaI&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=6 Austrian Triad https://www.youtube.com/watch?v=ubQBpegpCOY&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=7 Aspirin Triad https://www.youtube.com/watch?v=xIsmKSHd1ZI&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=8 Anderson Triad https://www.youtube.com/watch?v=3C_G2CnqRtg&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=9 Amyand's Triad https://www.youtube.com/watch?v=Amxz4PJ60p8&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=10 Achalasia Triad https://www.youtube.com/watch?v=Jj2F1XPQsu4&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=11 Felty’s Triad https://www.youtube.com/watch?v=-EJxoN_jHao&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=12 Female athlete Triad https://www.youtube.com/watch?v=Cs_XIR225V0&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=13 Gradenigos Triad https://www.youtube.com/watch?v=gvSWTwf4_Tc&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=14 Graves Triad https://www.youtube.com/watch?v=cCcj4VXVq5U&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=15 Hakims Triad https://www.youtube.com/watch?v=GrWKt0NvQUI&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=16 Hemobilia Triad https://www.youtube.com/watch?v=mZN95zqOeuc&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=17 DKA preciptants https://www.youtube.com/watch?v=UaH4TV5g8EQ&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=18 Hemolytic Uremic Syndrome Triad https://www.youtube.com/watch?v=wSEKUKIjK-o&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=19 Henoch Schonlein Triad https://www.youtube.com/watch?v=jsrZ354gFW0&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=20 Horner’s Syndrome Triad https://www.youtube.com/watch?v=8BABX7i1qXM&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=21 Hutchinson’s Triad https://www.youtube.com/watch?v=FdaveWFohSY&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=22 Dietl's Crisis Triad https://www.youtube.com/watch?v=WrlcuBdp7zw&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=23 Dieulafoy's Triad https://www.youtube.com/watch?v=uA6z48DqGo4&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=24 Triple Tests https://www.youtube.com/watch?v=MakWSTgZOEw&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=25 Triad of Ruptured Abdominal Aortic Aneurysm https://www.youtube.com/watch?v=Ydq4Qqn2Bs0&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=26 Triad of Reactive Arthritis https://www.youtube.com/watch?v=iEWtK8YleHY&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=27 Triad of Kwashiorkar https://www.youtube.com/watch?v=e3PRhK1N7S8&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=28 Triad of Opioid Overdose https://www.youtube.com/watch?v=Qu-xl5EPrZA&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=29 Triad of Hypernephroma https://www.youtube.com/watch?v=-X72ARBOaHA&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=30 Triad Of Congenital Toxoplasmosis https://www.youtube.com/watch?v=vhyvS96RKb0&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=31 Triad Of Congenital Rubella https://www.youtube.com/watch?v=eWTL3Jwt4Ug&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=32 Triad of Causes of Biotin Deficiency https://www.youtube.com/watch?v=mVLSgE60jdg&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=33 Triad of Behcet's Syndrome https://www.youtube.com/watch?v=r4vj17fTB0c&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=34 Triad of Alports Syndrome https://www.youtube.com/watch?v=i3dUyOpRkHg&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=35 Triad of Albinism https://www.youtube.com/watch?v=0hm7yDhmvtc&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=36 Tetany Triad https://www.youtube.com/watch?v=iESjvpANnjI&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=37 Saint's Triad https://www.youtube.com/watch?v=Y3X47p-0VOY&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=38 Rigler’s Triad https://www.youtube.com/watch?v=GXUkTNuEKOo&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=39 Reynolds Pentad https://www.youtube.com/watch?v=Kbri8HtSg_k&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=40 Pheochromocytoma Triad https://www.youtube.com/watch?v=1TuZZmTj6Q0&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=41 Pentalogy of Fallot https://www.youtube.com/watch?v=2rqOvqv5Le4&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=42 Pentalogy of Cantrell https://www.youtube.com/watch?v=hAC2w-ySYko&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=43 Pentad of TTP https://www.youtube.com/watch?v=yzZG1Aj9OlA&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=44 Pentad of Primary Hyperparathyroidsim https://www.youtube.com/watch?v=z95QF7K42ZU&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=45 Neurogenic Shock Triad https://www.youtube.com/watch?v=z31up5SnjD0&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=46 Meningitis Triad https://www.youtube.com/watch?v=xvvLmBJF4YE&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=47 Meniere’s Disease Triad https://www.youtube.com/watch?v=4TMRYVBgP8Y&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=48 Meigs Syndrome Triad https://www.youtube.com/watch?v=0OMMUXQ4XsQ&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=49 Mackler’s Triad https://www.youtube.com/watch?v=25DLhJVVQso&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=50 Lethal Triad/Medical Triads https://www.youtube.com/watch?v=oScUhSA-7A8&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=51 Leriche Syndrome Triad https://www.youtube.com/watch?v=mw_1ZFLPSXw&list=PL0BL2oEK0s6AFsjWSWez_ZB9DUCvdMGOM&index=52