beiwen
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| | 11/04/07 - 03:43 AM
2 of 2 forum leaders found this post helpful
| #51 |
FEVER as a post op complication
In OR, under anesthetics: malignant hyperthermia, of course!! Main cause: succinylcholine, halothane. Immediate Therapy: IV dantrolene, supportive measures 100% O2, correction of acidosis, cooling blankets, watch for myoblobinuria since may cause renal failure)
If fever a few minutes after invasive procedure, like catheterization: bacteremia.
Afterwards, mnemonics for sequency of probably causes of post op fever: (all "Ws")
1st day. "Wind": atelectasis, which might be followed by pneumonia on 3rd day if no treated.
3rd day. "Water": UTI.
5th day: "Walk" DVT
7th day: "Wound infection"
10th day: "Wonder where" -absecess(es) - and/or "Wonder why" (drugs).
It's like a sequence of events during a storm: first the wind, then the water (rain), then you walk to take cover, you can get hurt (wound), and finally you wonder where to go and why it all happened!!! LOL!!
Edited by beiwen on 11/15/07 - 03:50 AM
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| Ivonne
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Thanks BW, now i wont forget the PO complications for sure, It just reminds me a storm when i was in Florida. Good job!!! keep it up
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| njcjzy
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Hi beiwen, that is nice to see part of your study notes here. Yes, we have to do active study by absorbing the knowledges to our own. GL and enjoy.
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| Ivonne
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How is everything BW. i wish i can stay away of this forum but i can't. It is an addiction
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| beiwen
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Thanks Ivonne and njcjzy for your support!!!
I'm finally done with surgery!!... a little earlier than expected. Qbook: 76% and 74%.
I'm getting ready for the first round of Psychiatry/Epidemiology/Ethics. I should be done by November 25th. Let's see... After that, FA and then 2nd round reading (no videos needed) in Dec/Jan. However, as I have my CS test scheduled for Feb 1st -cannot change it, since my elegibility period ends a few days after that-, by Jan 10th I will have to start preparing for CS. In Feb I'll recatch CK with qbanks, hopefully taking the exam by late Feb or early March... All in all, I find CK prep very useful for CS and viceversa...
Edited by beiwen on 11/08/07 - 04:51 PM
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| njcjzy
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Hi Beiwen, that will be a busy schedule for CK and CS. I believe you can do a great job for both in this time frame. Work hard for that, friend. Best of luck.
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| nany
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yes ....really busy schedule ....but you're very organized BW and this is great 
wish you all the best of luck
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| Ivonne
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Nice schedule BW, specially because CS report takes 2 months, the only part that I didn't like was the waiting time ( 2 months) for CS and believe every single day I had a flashback of the mistakes I made during the exam. It is just not worth it to worry about it. I think that 20 days is enough for CS BTW where are you at...here in the states? All the best and keep it up!!!!
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| njcjzy
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beiwen, how is your study? Wish you fulfill your goal everyday! Enjoy and GL.
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| beiwen
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Thanks njcyzy, nany and Ivonne for your support! really appreciated and much needed!!
Finally, I'm done with psychiatry and ethics/epidemiology. It turned out to be faster and easier than what I had planned. It was all in all very similar to step 1 contents, which I happened to study a few months ago. Qbook tests: #1= 82%, #2= 86%. I found these quesionnaires too easy, though. I read somewhere on this forum that this qbook is worthless. Nevertheless, I found it useful as a revision tool. Besides, there's always some new explanation and unexpected relations described between topics in there. I found, thus, the qbook useful.
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| beiwen
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today I started reading FA. It's a good revision tool. I'll be also scanning any info not seen in KN. I expect to finish FA about Nov 30th.
First topic: Cardiovascular.
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| Ivonne
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BW great!!!!!!!!! Agree with the Qbook. I will taste it after I am done with OBGYN. i am loving FA. All the best, man you are going fast!!!!
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| njcjzy
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hi beiwen, you are making amazing progress. Keep it up, friend.
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| beiwen
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thanks Ivonne and njcjzy!! you're the best!!!
sunday: reading FA. On endocrinology right now...
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| Ivonne
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beiwen wrote:
I read somewhere on this forum that this qbook is worthless. Nevertheless, I found it useful as a revision tool. Besides, there's always some new explanation and unexpected relations described between topics in there. I found, thus, the qbook useful.
Agree with you BW, that book is not that bad Keep going, you are an inspiration of organization.
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| beiwen
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thanks Ivonne!
Wed: Obs and Gyn on FA.
Happy Thanksgiving Day, everyone!!
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| mytime
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Hey BW when's the test. Wish u loads of finishing strength. Good luck!
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| beiwen
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Thanks, mytime. I expect to take the test in Feb/Marchང.
I couldn't study from Thursday to Saturday, at all... Socializing and brain resting... However, today I finished my first reading of FA already. Useful revision.
GLuck everyone!
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| beiwen
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Nov 27th: beginning second round reading. Starting with KN notes, this time w/out videos, since I wrote down notes from video lectures on KN books. I, thus, expect this second round to be faster than first one. To begin with: IM, gastroenterology... ready, set, go!!
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| Ivonne
Going for step 3/99
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Great going. keep it up!!!
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| mytime
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WOW!!!!!!!! VERY GOOD!!!!!! I second IV>!
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| Ivonne
Going for step 3/99
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long time without posting. Got bored of p4usmle? GL
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| Feyza
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dit you eat FA or did it eat you ?? where are you best best best luck
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O my Lord! Open my chest for me ( grant me self-confidence ) and ease my task for me.Ta-Ha 25-26.
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| ShweHope99.9998
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May b BW's tarvelling since it is X'mas time , u desreve it mate .
Just like to wish ahve a great winter & Merry X'mas soon
GL
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| mytime
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Helloooooooo
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