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Bugs (as on 30th Jan) #173

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aparnacoronasafe opened this issue Jan 30, 2024 · 0 comments
Open
2 tasks

Bugs (as on 30th Jan) #173

aparnacoronasafe opened this issue Jan 30, 2024 · 0 comments

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@aparnacoronasafe
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https://drive.google.com/file/d/1qnUYS_LeHi9ec7W2QWc1kOwTAqdDCJlC/view?usp=sharing

  • The audio playback is not working

  • The answers are very short and are missing ket action points.
    eg: Q: 65-yr old woman HIV+ve , is admitted to the emergency department with a fever of 103°F (39.4°C), altered mental status, and a urinary tract infection (UTI) diagnosed a day ago. On examination, she appears confused, her blood pressure is 90/60 mmHg, heart rate is 120 beats per minute, and respiratory rate is 24 breaths per minute. What could be the issue?
    Ideal Answer: Based on the provided information, the patient presents with symptoms that could be indicative of severe sepsis or septic shock, especially considering the history of HIV infection, fever (>101°F), altered mental status, hypotension (blood pressure less than 90/60 mm Hg), tachycardia (HR > 90 bpm), and tachypnea (respiratory rate > 22/min). The patient should be admitted to the ICU within 6 hours of admission/presentation as per the algorithm. Immediate management should include regular blood sugar testing, assessment of lactate levels, and administration of first intravenous systemic and empirical antibiotics. If the Mean Arterial Pressure (MAP) is <65 mm Hg, vasopressor therapy should be initiated to maintain MAP ≥65 mm Hg, and if there is acute kidney injury (oliguria <1ml/kg and high creatinine value >1.5 units), this should be addressed accordingly.
    The part of the answer highlighted in bold is missing.
    Same issue seen across questions

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