Pimp Questions

[JPINFV]

Stroke their face if I remember correctly! Taking a BP can also do it if they have muscle spasms.

Trousseau sign.

Surgery on what organ, if not performed carefully, can cause hypocalcemia for life? Why?

 

[medicsb]

All your benzos have been stolen and you have a patient seizing, which ACLS drug can you give to try and terminate the seizure?

 

[NYMedic828]

All your benzos have been stolen and you have a patient seizing, which ACLS drug can you give to try and terminate the seizure?

Mag sulfate?

Or, all of them. Can't seize if they are dead...

 

[Brandon O]

Surgery on what organ, if not performed carefully, can cause hypocalcemia for life? Why?

Parathyroids, I'd imagine.

 

[NYMedic828]

Parathyroids, I'd imagine.

For the second half.

Parathyroids release PTH which increases osteoclast activity to break down bone calcium increasing levels in the blood.

No PTH, no calcium release to the bloodstream.


Calcitonin would just run unopposed from the thyroid, taking up calcium from the blood.

 

[JPINFV]

Parathyroids, I'd imagine.

Close, but how often is surgery performed on the parathyroid glands themselves?

 

[NYMedic828]

Close, but how often is surgery performed on the parathyroid glands themselves?

thyroid then?

 

[JPINFV]

thyroid then?

Yep... if the surgeon isn't careful during a total thyroidectomy, they can remove the parathyroid glands as well, which leads to hypocalcemia.

 

[NYMedic828]

Yep... if the surgeon isn't careful during a total thyroidectomy, they can remove the parathyroid glands as well, which leads to hypocalcemia.

So technically the answer is still parathyroid, but it happens by accident during thyroid surgery?

Was my mechanism accurate or am I out in left field?

 

[JPINFV]

So technically the answer is still parathyroid, but it happens by accident during thyroid surgery?

Was my mechanism accurate or am I out in left field?

Technically, surgery is on the thyroid, which the parathyroid is attached to. Removing all of the parathyroids during a total thyroidectomy is an error that is known to happen. Think of the parathyroids as collateral damage.

The mechanism of PTH is 1/3 right. It also increases renal reabsorption of Ca, and increases renal 1, 25 Vitamin D production which in turn increases gut absorption of Ca.

A common treatment for parathyroid removal is to simply have the person carry around a package of Tums (Calcium Carbonate) and take one when they start to feel their face become twitchy (aforementioned Chvostek's sign).

 

[Brandon O]

The real question is, if they remove the thyroid, where do they stick the parathyroids?

 

[JPINFV]

The real question is, if they remove the thyroid, where do they stick the parathyroids?

If they can leave one in the neck, they do so.

If they need to be able to access it in case it needs to be resected further they stick it in the arm.

 

[CANDawg]

Inspired by a recent post in the 100% Directionless Thread...

Identify the medical term for the flab of skin that hangs below the belly button in obese individuals. (Reference: http://i758.photobucket.com/albums/...0-B124-4C86AF39DD4D-1335-000000D4CDDC6430.jpg)

Double points if you can name both the medical term and the closely related generalized term!

 

[Anjel]

Inspired by a recent post in the 100% Directionless Thread...

Identify the medical term for the flab of skin that hangs below the belly button in obese individuals. (Reference: http://i758.photobucket.com/albums/...0-B124-4C86AF39DD4D-1335-000000D4CDDC6430.jpg)

Double points if you can name both the medical term and the closely related generalized term!

Actually learned this in class.

Pannus.

And I don't know the generalized term. I call it FUPA. Fat upper pubic area.

 

[STXmedic]

FUPA.

Now give me my cookie.

Dang it, Anjel!!!

 

[Anjel]

FUPA.

Now give me my cookie.

Dang it, Anjel!!!

I'll share my cookie.

 

[JPINFV]

I'll share my cookie.

 

[CANDawg]

Actually learned this in class.

Pannus.

And I don't know the generalized term. I call it FUPA. Fat upper pubic area.

Actually, pannus IS the generalized term, although I'm not entirely sure that 'generalized' is the right word. Popularly adopted perhaps.

In the strictest sense, the flap is not a pannus but a panniculus adiposus, because it is hanging. (Pannus refers only to an abnormal layer of tissue.)

 

[VFlutter]

Great job guys...and girls.

What are the signs/symptoms of Grave's disease?

 

[VFlutter]

2. Assess deep tendon reflexes?

Mag sulfate?

We check deep tendon reflexes with Mag sulfate infusions