際際滷

際際滷Share a Scribd company logo

A Novel Method for Medical Quizzing!

Download as PPTX, PDF
Pranab Chatterjee
Pranab Chatterjee

A new method of testing medical knowledge using an interactive format developed keeping the MediQuizzing fraternity in mind!

1 of 19
Case 1
Case Background A 7 year old healthy child went camping with his scouting team at a lake, where he swam for a long time. 7 days later, he developed a severe headache, high fever, nausea, vomiting, photophobia and meningismus.
What will be your next step? A. Empiric broad spectrum antibiotics + Anti epileptics B. Acyclovir + Anti epileptics C. Send for immediate Blood culture D. Lumbar puncture E. Wait and watch + Careful Mannitol Infusion F. Order CT Scan
A. No response after days 2 and 3, patient becomes comatose, has seizures, needs airway protection: Continue Antibiotic therapy for days 4 and 5 Go back to do list and restart! + 5
B. No Response after days 2 and 3, patient becomes comatose, has seizures, needs airway protection : Continue Anti Virals for Days 4 and 5 Go back to first step and restart! - 5
C. Methicillin Resistant, Coagulase Negative Staphylococcus cultured. Start: IV Cefepime IV Quinupristine/Dalfopristine IV Vancomycin IV Linezolid Resend blood for culture - 5
Resend Culture No growth Go back to starting list +5
IV Drugs. No response after days 2 and 3: Continue Antibiotic therapy for days 4 and 5 Go back to do list and restart! - 5
D. High intracranial pressure observed during LP WBC = 15,000/microlit Protein = (very high) Glucose = (very low) More 際際滷s Provisional Diagnosis Next step + 10
More 際際滷s
Next step Start: Amphotericin B Fluconazole Anti TB drugs Albendazole + Ivermectin Piperacillin/Tazobactam Meropenem or Imipenem/Cilastatin
Amphotericin B. CORRECT drug choice Patient becomes comatose Respiratory failure Intubated and put on ventilator No response to empirical antibiotic/antiviral/antifungal therapy Death on day 3! Provisional diagnosis? + 10
Other Drugs. INCORRECT drug choice Patient becomes comatose Respiratory failure Intubated and put on ventilator No response to empirical antibiotic/antiviral/antifungal therapy Death on day 3! Provisional diagnosis? - 5
E. Patient becomes comatose Respiratory failure Intubated and put on ventilator No response to empirical antibiotic/antiviral/antifungal therapy Death on day 5! Provisional diagnosis? - 5
F. Back to List of options +5
Continuing Drugs On Day 6 patient has severe seizures, becomes comatose. Transferred to ICU. Further deterioration Death! - 5
Provisional Diagnosis Correct Incorrect Back to work up
Incorrect Incorrect Diagnosis: You missed, he hit! - 10
Correct Early Diagnosis! Patient may have a chance if properly treated! Choose treatment + 15

More Related Content

A Novel Method for Medical Quizzing!

  • 2. Case Background A 7 year old healthy child went camping with his scouting team at a lake, where he swam for a long time. 7 days later, he developed a severe headache, high fever, nausea, vomiting, photophobia and meningismus.
  • 3. What will be your next step? A. Empiric broad spectrum antibiotics + Anti epileptics B. Acyclovir + Anti epileptics C. Send for immediate Blood culture D. Lumbar puncture E. Wait and watch + Careful Mannitol Infusion F. Order CT Scan
  • 4. A. No response after days 2 and 3, patient becomes comatose, has seizures, needs airway protection: Continue Antibiotic therapy for days 4 and 5 Go back to do list and restart! + 5
  • 5. B. No Response after days 2 and 3, patient becomes comatose, has seizures, needs airway protection : Continue Anti Virals for Days 4 and 5 Go back to first step and restart! - 5
  • 6. C. Methicillin Resistant, Coagulase Negative Staphylococcus cultured. Start: IV Cefepime IV Quinupristine/Dalfopristine IV Vancomycin IV Linezolid Resend blood for culture - 5
  • 7. Resend Culture No growth Go back to starting list +5
  • 8. IV Drugs. No response after days 2 and 3: Continue Antibiotic therapy for days 4 and 5 Go back to do list and restart! - 5
  • 9. D. High intracranial pressure observed during LP WBC = 15,000/microlit Protein = (very high) Glucose = (very low) More 際際滷s Provisional Diagnosis Next step + 10
  • 11. Next step Start: Amphotericin B Fluconazole Anti TB drugs Albendazole + Ivermectin Piperacillin/Tazobactam Meropenem or Imipenem/Cilastatin
  • 12. Amphotericin B. CORRECT drug choice Patient becomes comatose Respiratory failure Intubated and put on ventilator No response to empirical antibiotic/antiviral/antifungal therapy Death on day 3! Provisional diagnosis? + 10
  • 13. Other Drugs. INCORRECT drug choice Patient becomes comatose Respiratory failure Intubated and put on ventilator No response to empirical antibiotic/antiviral/antifungal therapy Death on day 3! Provisional diagnosis? - 5
  • 14. E. Patient becomes comatose Respiratory failure Intubated and put on ventilator No response to empirical antibiotic/antiviral/antifungal therapy Death on day 5! Provisional diagnosis? - 5
  • 15. F. Back to List of options +5
  • 16. Continuing Drugs On Day 6 patient has severe seizures, becomes comatose. Transferred to ICU. Further deterioration Death! - 5
  • 17. Provisional Diagnosis Correct Incorrect Back to work up
  • 18. Incorrect Incorrect Diagnosis: You missed, he hit! - 10
  • 19. Correct Early Diagnosis! Patient may have a chance if properly treated! Choose treatment + 15