Endocrinology
An example of a BGL level for a patient in Hyperglycemic Hyperosmolar Non-ketotic Syndrome.
What is any value > 600?
The poison control number.
What is 1 (800) 222-1222?
These are two anticholinergic drugs.
What are DuoDote and ipratropium bromide?
A positive CPSS score is likely found in this type of assessment.
What is the secondary assessment?
This highly vascular solid organ helps filter blood, and is located in the LUQ region of the abdomen.
What is the spleen?
The three Ps of a gradual onset of a diabetic emergency.
What are: polydipsia, polyphagia, and polyuria?
This poisonous gas is yellow and is a strong oxidizing agent that can cause pulmonary edema.
What is chlorine gas?
These are the two requirements for the administration of oral glucose.
What are: i). presence of a gag reflex ii). ability to follow commands
This type of blood is required for prehospital blood glucose analysis.
What is capillary blood?
Hyperactive bowel sounds could likely indicate...
I'll accept any of the following: gastroenteritis, food poisoning, or malabsorption secondary to dietary intolerance.
You would likely stop an insulin pump for a patient who is experiencing this.
What is Hypoglycemia?
This odorless, colorless, sweet-tasting and toxic viscous liquid can be found in hydraulic brake fluids, some stamp pad inks, and ballpoint pens.
What is ethylene glycol? (Also known as antifreeze)
You are an EMT responding to a suspected anaphylactic reaction of an 32 kg 10 year old in good ol' Barre. What is the drug, dosage, route, and concentration you'd administer?
What is 0.3 mg Epinephrine IM 1:1,000 (1 mg/1 mL)? (Must get drug, dose, route, and concentration all right).
The Markle Test is helpful in suspecting this phenomenon.
What is acute abdomen? (Markle Test is the Heel Drop Test)
This type of abdominal pain is also likely to affect the shoulder region.
What is cholecystitis?
When the thyroid gland becomes enlarged secondary to pathology.
What is goiter?
The increased likelihood of developing peptic ulcer disease is usually attributed to the overuse of this.
What are NSAIDs?
Clearly match the correct NSAID with the associated organ toxicity.
What is:
Acetaminophen/Tylenol --> Liver
Ibuprofen/Motrin --> Kidney
This is what DCAP-BTLS stands for.
Deformities/Discoloartions, Contusions/Crepitus, Abrasions, Punctures/Penetrations, Bruising/Burns, Tenderness, Lacerations, Swelling. (At least one word per letter is OK).
Violent coughing and/or vomiting could result in this condition that could later result in an acute GI bleed.
What is a mallory-weiss tear?
Glucose enters the cell through this process (explain the cell physiology, or draw it)
Insulin attaches to a receptor, which modulates / opens a distant channel protein, and allows for gllucose to enter the intermembrane space.
When this type of acetylcholine receptor is excessively stimulated, you get salivation, lacrimation, urination, defecation, GI cramps, and emesis.
What is the muscarinic receptor? (I'll also take: metabotropic G-couple protein receptors).
Also, recall that nicotinic overstimulation results in hypertension and tachycardia.
You would likely suspect the consumption of this drug, in a patient who is actively seizing, tachycardic, diaphoretic, with a hx of drug use.
What is cocaína? (English: cocaine)
This is what SAMPLE and OPQRST stand for.
What is:
Signs & Symptoms, Allergies, Medications, Past Medical Hx, Last Oral Intake, Events
Onset, Provocation, Quality, Radiation, Severity, Time
DR. GERM spelt out....
Distention, Rigidity, Guarding, Eviscerations, Rebound tenderness, Masses