A 25-year-old man riding his motorcycle struck a stopped ca…
A 25-year-old man riding his motorcycle struck a stopped car from behind at a speed of about 30 mph. He was thrown up and over the handlebars of the motorcycle, struck the back window of the car, and fell back to the pavement. You arrive within three minutes to find a pale, shivering patient with cold skin and mottled lips despite the 75-degree Fahrenheit temperatures and the patient’s motorcycle jacket and jeans. The patient is awake but has difficulty answering you because he is trembling and his teeth are chattering. You immediately see that his pupils are dilated, and he has deformity and swelling of both thighs. There is no major external bleeding. The patient’s radial pulse is weak, thready, and rapid. Which assessment and management plan provides the best sequence of care for this patient?
Read DetailsA 55-year old-woman presents with aphasia and ataxia. She i…
A 55-year old-woman presents with aphasia and ataxia. She is awake and seems to understand what you are saying. Her daughter says the patient is a diabetic and has a history of high blood pressure. The patient took her insulin as usual and had just finished eating when the signs and symptoms occurred. Vital signs and test results are heart rate, 84 beats per minute; blood pressure, 148/90 mmHg; respiratory rate, 16 breaths per minute; SpO2 97 percent on room air; and BGL, 114 mg/dL. Which of the following should be highest on your list of differential diagnoses?
Read DetailsA 50-year-old woman fell backward from a kitchen step stoo…
A 50-year-old woman fell backward from a kitchen step stool, striking her head on the tile floor. She opens her eyes to voice command, but her words are garbled and do not make sense. She does not follow commands but is able to localize painful stimuli. Her skin is warm and moist with normal color. There is a hematoma on the occipital area of the head. The right pupil is about 3 mm larger in diameter than the left and reacts more slowly to light. Vital signs are heart rate, 72 beats per minute; blood pressure, 132/82 mmHg; respiratory rate, 12 breaths per minute; and SpO2 97 percent on room air. Which treatment plan is most appropriate for this patient?
Read DetailsYour patient who has been involved in a flash fire tells you…
Your patient who has been involved in a flash fire tells you he was working on a small engine when volatile chemicals ignited and burned him. He has dry red skin without blistering. Considering their depth, you would classify his burns as:
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