Pick a number, get a disease

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Monday_: Feb 18, 2006; Worked-up silent dork without sex ability seeks oblivion and demise.; The Great Twist

646

# ? Apr 26, 2016 01:42

Adbot: ADBOT LOVES YOU

# ? Apr 26, 2024 20:21

Tendai: Mar 16, 2007; "When the eagles are silent, the parrots begin to jabber."; Grimey Drawer

953

# ? Apr 26, 2016 01:46

ChrisHansen: Oct 28, 2014; Suck my damn balls.; Lipstick Apathy

ChaseSP posted:

1399

School Avoidance

you're in the behavioral part of the kids section

# ? Apr 26, 2016 01:56

ChrisHansen: Oct 28, 2014; Suck my damn balls.; Lipstick Apathy

Monday_ posted:

646

Esophageal Laceration

sounds like you got your throat cut!

# ? Apr 26, 2016 01:57

ChrisHansen: Oct 28, 2014; Suck my damn balls.; Lipstick Apathy

Tendai posted:

953

Macrophages

something something white blood cells something something

# ? Apr 26, 2016 01:59

hey welcome to the show!: Jan 22, 2014; nobody loves me

Has anyone said 420 yet :420:

# ? Apr 26, 2016 02:06

Nadir: Apr 12, 2003; It's only up from here

Cooommmmeee onnnnnn 386

# ? Apr 26, 2016 02:19

ChrisHansen: Oct 28, 2014; Suck my damn balls.; Lipstick Apathy

ScorpioMajesty posted:

Has anyone said 420 yet

yes

# ? Apr 26, 2016 02:21

ChrisHansen: Oct 28, 2014; Suck my damn balls.; Lipstick Apathy

Nadir posted:

Cooommmmeee onnnnnn 386

You almost scored the winning strike in that game of wii bowling, but then you go a Hamstring Strain!

# ? Apr 26, 2016 02:22

Wki: Dec 12, 2012; Emily's sassy lime.
Cigar? Toss it in a can. It is so tragic.
Pull up, Eva, we're here! Wave! Pull up!

777

# ? Apr 26, 2016 03:16

Shifty gimbal: Dec 28, 2008; Hey you... I got something to tell ya; Biscuit Hider

I'm lucky number 1000

# ? Apr 26, 2016 03:28

gbaby: Feb 6, 2015

333

# ? Apr 26, 2016 03:40

gbaby: Feb 6, 2015

give me a disease rear end in a top hat

# ? Apr 26, 2016 03:42

ChrisHansen: Oct 28, 2014; Suck my damn balls.; Lipstick Apathy

gbaby posted:

give me a disease rear end in a top hat

I'm not at work anymore. I'll get you tomorrow

# ? Apr 26, 2016 03:44

RolandTower: Nov 19, 2003; Guns n' Roses n' Deus Ex Machina; Bleak Gremlin

Sheep-Goats posted:

So in other words it's all correct except for the narrow pulse pressure, gee I wonder how I could check to see if that had been misremembered or not oh wait

Or are you ignorant of the fact that jabbing a needle into the heart often causes dysthymia? Is that your little point of objection?

Or maybe you're really mad that I said diastolic pressure is unimportant in a cast majority of emergency medical conditions which is also obviously true.

Or maybe you're being a pedant about my description of the pericardial sclerosis procedure in one way or another?

In any case quit being a goon.

No I'm a cardiology fellow you loving idiot. I deal with tamponade assessment daily, you know, as a job. If you want to kill someone then loving wait until their pulse pressure flattens out and they code, and ask me to give them constrictive pericarditis by injecting sclerosing agents into the pericardium which is not a thing that is ever done because it would kill a person. Meanwhile don't call me about the guy with cold limbs and a blood pressure of 85/66, he's probably septic and needs a couple boluses because diastolic blood pressures are for IM nerds. If you are involved in emergency medicine then at least read uptodate if you're too lazy to look up aha/ACC guidelines instead of loving googling how to kill a dude and acting a fool.

If you are not actually involved in medicine then whatever it's not a bad understanding of tamponade for a layman but you were talking as if you were someone in emergency medicine who legitimately had a potentially dangerous misunderstanding of how to clinically assess for and treat tamponade.

And before you get your panties in a wad yes, as a palliative procedure in someone with terminal cancer and recurrent tamponade you might, under incredibly rare circumstances, at an institution without access to thoracic surgery, consider pericardial sclerotherapy. In someone you knew was going to be dead within a few months anyway. Because the procedure will ultimately give them constrictive pericarditis, which I will leave you to look up on Wikipedia.

RolandTower fucked around with this message at 04:27 on Apr 26, 2016

# ? Apr 26, 2016 04:08

RolandTower: Nov 19, 2003; Guns n' Roses n' Deus Ex Machina; Bleak Gremlin

846, or whichever page has "stress ulcer from suppressing reactions to dumb questions from ED interns."

# ? Apr 26, 2016 04:10

Egbert Souse: Nov 6, 2008

237

# ? Apr 26, 2016 04:57

raton: Jul 28, 2003; by FactsAreUseless

RolandTower posted:

No I'm a cardiology fellow you loving idiot. I deal with tamponade assessment daily, you know, as a job. If you want to kill someone then loving wait until their pulse pressure flattens out and they code, and ask me to give them constrictive pericarditis by injecting sclerosing agents into the pericardium which is not a thing that is ever done because it would kill a person. Meanwhile don't call me about the guy with cold limbs and a blood pressure of 85/66, he's probably septic and needs a couple boluses because diastolic blood pressures are for IM nerds. If you are involved in emergency medicine then at least read uptodate if you're too lazy to look up aha/ACC guidelines instead of loving googling how to kill a dude and acting a fool.

If you are not actually involved in medicine then whatever it's not a bad understanding of tamponade for a layman but you were talking as if you were someone in emergency medicine who legitimately had a potentially dangerous misunderstanding of how to clinically assess for and treat tamponade.

And before you get your panties in a wad yes, as a palliative procedure in someone with terminal cancer and recurrent tamponade you might, under incredibly rare circumstances, at an institution without access to thoracic surgery, consider pericardial sclerotherapy. In someone you knew was going to be dead within a few months anyway. Because the procedure will ultimately give them constrictive pericarditis, which I will leave you to look up on Wikipedia.

Let me summarize all of this for everyone else:

"I want to pick and whine about the timing/utility of one treatment you mentioned while on a tangent and pretend like everything else you said was absolutely incorrect because I got into medicine for ego purposes."

My scope did not involve treating tamponade ever so forgive me if I'm not 100% up to date on the post pericardiocentesis flowchart you read a few months ago. I would, however, have no issue separating it from loving sepsis.

I really appreciate the barrage of high and mighty insulting language over an increasingly small part of my post that you found to pick at (before issuing a disclamer stating that oh yeah actually it does happen like that sometimes a hurr a hurrr BUT NEVERMIND THAT). Must be a real pleasure to work with you.

E: Lol I got promoted to intern

raton fucked around with this message at 08:13 on Apr 26, 2016

# ? Apr 26, 2016 08:02