What is going on?

Signs and Symptoms

100

This ailment causes protruding eyes 

What is Graves Disease

200

A buffalo hump, increased facial hair, and supraclavicular fat pads are all signs of what?

What is Cushings Syndrome

300

This leads to thickening of the skin such as lips, nose, and throat

What is Myxedema

400

This disease leads to hyperpigmentation of the skin, progressive weight loss, and hyperkalemia. 

What is Addisons Disease 

500

This patient will have a history of Graves disease and complain of tachycardia, dysrhythmias, agitation, restlessness, hyperthermic

What is Thyrotoxicosis 

How will we ever manage?

100

Addisons disease crisis management includes?

What is fluid replacement for dehydration and hypotension

200

Cushings syndrome will sometimes produce a new onset of diabetes mellitus, how shall we manage? 

What is obtain a BGL and treat according to protocols for hypo or hyperglycemia

300

What is a myxedema coma?

What is Myxedema coma is a rare life-threatening clinical condition in patients with longstanding severe untreated hypothyroidism, in whom adaptive mechanisms fail to maintain homeostasis

400

How to treat thyrotoxicosis

What is supportive care and rapid transport for hormone blocking care 

500

Myxedema comas may be precipitated by? Name 3 

What is 

• Stroke

• Internal hemorrhage

• Hypoxia 

• Hypercapnia

• Hyponatremia

• Hypoglycemia

The shakes

100

Name three causes of a seizure 

What is  

Stroke                Vascular    

Head Injury            Eclampsia

Toxins                Epilepsy

Hypoxia                Hypoglycemia

Infections                Brain tumors

200

How many types of seizures are there?

What is 5

• Grand Mal (generalized)

• Focal Motor (partial)

• Psychomotor

• Petit Mal

• Hysterical

300

What is the definition of status epilepticus?

What is 

• Two or more seizures without an intervening period of consciousness or lucidity.

400

What vital signs do you need to obtain in seizure patients?

What is 

Blood pressure, Spo2, EKG, HR, BGL

500

Diazepam dosage for seizures?

What is 

• Adults:        2-10mg IV slow push

• Infants:        0.25 mg/Kg IV up to 5mg

                Rectal: 0.5 mg/Kg up to 10mg

                Repeat rectal dose in 1mg increments

Fits

100

What do patients who experience Grand Mal Seizures often report seeing prior to an occurance?

What is an aura 

200

What type of seizure is often limited to certain muscle groups or one side of the body?

What is a partial seizure

300

What is a temporal lobe seizure?

What is a psychomotor seizure characterized by altered personality state

400

Describe a Peti Mal seizure 

what is a seizure where a patient stares into space for seconds without other frank motor symptoms 

500

Type of seizure stemming from psychological issues 

What is a hysterical seizure

Fakers

100

What can be confused as a seizure?

What is a syncopal episode or neurological disorders such as Parkinson's

200

What is an important pertinent negative to rule out when a seizure is reported?

What is a stroke exam

300

What are two questions that are vital when asking for patients to describe the event 

What is seizure history and length of event

400

Treating status epilepticus looks like?

What is 

• ABC’s

• Maintain patent airway

• Oxygen and support ventilations

• IV TKO

• Check blood sugar

• Diazepam or Ativan IVP

500

What are 3 causes  of status epilepticus

What is 

• Withdrawal from Meds

• Toxemia

• Kidney Failure

• Meningitis

• Encephalitis