Toxidromes
Hot as a hare, Mad as a hatter, Blind as a bat
What is Anticholinergic
Anticholinergic
What is physostigmine
Head injury. Initially unconscious followed by a lucid period and then declining mental status
What is Epidural Hematoma
Hypertension, confusion, tachycardia, agitation. Proptosis on exam
Fell while alone. Found down. Confusion, bit tongue, lost control of bowel or bladder.
What is post-ictal state (Seizure)
Salivation, Lacrimation, Urination, Defacation, GI upset, Emesis
Cholinergic
What is Atropine or what is 2-PAM
Head injury. Confusion, vomiting, headache. Normal Head CT.
What is Concussion
Anion Gap Acidosis. History of type 1 diabetes. Confusion, Tachycardia.
What is DKA
Passed out while watching med students dissect cadaver. Pale, lightheaded, confused.
What is vasovagal syncope
Hyporeflexia, cardiorespiratory depression
What are sedatives
Hallucinogens
What is time &\or benzos
Blow to right flank. Hypotension, confusion, gross hematuria.
Hypotension, confusion, refractory to fluids. History of chronic steroid use. Hyponatremia, Hyperkalemia on labs.
Slipped on the ice three weeks ago. Comes in altered with headache and visual changes.
Hyperthermia, Tachycardia, HTN, Clonus, hyperreflexia
Tylenol
MVC. Airbag did not deploy. Patient altered, but no head trauma. Hypotension. First rib fracture on CXR.
What is Aortic injury
Jaundice, RUQ pain, Fever, Altered mental status.
Thunderclap headache. Worst headache of life. Confused. May have neurologic findings
What is SAH
Rotary Nystagmus, Agitation
What are hallucinogens. (Will also accept what is PCP)
Tri-cyclic antidepressants
What is Sodium Bicarb
GSW to chest. Hypotension, confusion, pulsus paradoxus.
What is pericardial tamponade
Hypotension, confusion, hyponatremia, hypothermia. History of medication noncompliance.
What is Myxedema Coma
Lower extremity weakness. Fever. Cannot walk. Urinary retention. Overflow incontinence. Confused and mumbling.
What is epidural abscess.