a novel method for medical quizzing!
DESCRIPTION
A new method of testing medical knowledge using an interactive format developed keeping the MediQuizzing fraternity in mind!TRANSCRIPT
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 epilepticsC. Send for immediate Blood cultureD. Lumbar puncture E. Wait and watch + Careful Mannitol InfusionF. 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 Slides• Provisional Diagnosis• Next step + 10
More Slides
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