Another part of my role as a junior resident, rather than an intern, is to handle consults from the medical ICUs. There is always a constant stream of these: mesenteric ischemia in patients who’ve been hypotensive for too long for whatever reason (MI, sepsis); toxic C diff ; upper and lower GI bleeds which elude medical management. The consults themselves are not so bad. The patients are usually intubated, which means one simply examines them, and then collects data from the chart, and calls
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some pet peeves
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