Three weeks into clerkship I have learned more than I could have imagined. I have also learned that a method known as “pimping” is a common way to test medical student knowledge and can be a very good jumping off point for teaching and learning.
I am making a habit of keeping track of these teaching moments. As you will see from this series, some questions are extremely relevant (and fall under the Socratic Method of teaching umbrella) and some are, well… a bit random. I will try to provide some resources around each question. Occasionally, I will dive into a topic to understanding the evidence behind answers I have received instead of simply accepting the dogma. Get excited for future article on tactile fremitus, after all… I did just spend 3 weeks on respirology.
1. What is the dose of oral ceftriaxone?
2. What are Light’s criteria for evaluation of pleural effusions?
1. Pleural Protein/Serum Protein > 0.6
2. Pleural LDH/ Serum LDH > 0.5
3. Pleural LDH > 2/3 the upper limit of normal serum LDH
Check out this nice diagnostic approach to pleural effusions from the AAFP and this article outlining ways to improve the predictive accuracy in the context of CHF using sequential application of LDH, albumin and protein gradients.
3. What is the only use of PO vancomycin?
4. What is a useful blood test when considering the diagnosis of temporal arteritis?
5. DDx for an irregularly irregular heartbeat.
1. Atrial fibrillation
2. Atrial flutter with variable conduction
3. Multifocal atrial tachycardia
4. Premature Ventricular Contractions (may be regularly irregular?)
5. Premature Atrial Contractions (may be regularly irregular?)
I’d appreciate some input on PVCs and PACs as irregularly irregular vs regularly irregular rhythms. I’m having difficulty sorting out the category they might fall under.
This post was reviewed by Heather Johnson. Tune in next time to find out the causes of unilateral jaundice. Do you have thoughts on this type of learning or interesting factoids learned through this method that you want to share? Please feel free to comment below!
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