Archer CCS Strategies discussion - iara2

[ArchivalUser]

@kein..go over this thread, it is extremely helpful

[ArchivalUser]

20 month old boy/ Iron Deficiency Anemia
20 month old african american boy brought for fatigue and lethargy to office (initial orders – CBC reveals anemia, MICROCYTIC TYPE – do iron studies ( serum iron, ferritin and TIBC), blood lead levels, reticulocyte count, LFTs, haptoglobin, sickle screen and LDH – ferritin low. No evidence of hemolysis ( r/o sickle cell at this time), do stool guaic ( rectal exam in the beginning itself r/o blood loss as a cause of fe def ) –> Fe defeciency diagnosed which is most common in children during growth spurts if nutrition is not adequate ( remember you already ruled out other causes of Fe deficiency i.e; lead poisoning, GI blood loss, ongoing hemolysis) . Order iron rich diet ( very important to order this diet since lack of balanced diet is the reason for Fe def in children during growth spurts) , iron oral pills ( FERROUS SULFATE)- check cbc in 1 month/ schedule follow up visit – usually blood counts return to normal in 2 months –> so, schedule follow up CBC and Ferritin level for “LATER” date i.e; 2 months later on 2 minute screen ( continue ferrous sulfate for at least 6 months even when blood count normalized)

[ArchivalUser]

Can't thank you all enough for posting these tips. This is honestly a fabulous attempt. Are these all from Archer course?

[ArchivalUser]

should i do the rapid prep or intense prep? please recommend the right method

[ArchivalUser]

any good people here, can you tell me if we lose score if we don't fill; in "reason for consult" box?

[ArchivalUser]

a key point is Never intubate on CCS. Try non invasive measures before intubation like BIPAP/ CPAP which can be chosen on software

[ArchivalUser]

What a nice collection. Can't thank you enough!!! Where is Archer ccs?

[ArchivalUser]

@momosa, it is https://archerreview.com/ccs-cases/

[ArchivalUser]

hi musicalhorse ---- seriously! thank you for this. I completed archer and can't tell you how much more confident i feel about this whole darn thing!

[ArchivalUser]

@momosa .. did you do full 80 cases?