Signs
Area in the right lower quadrant used to assess for appendicitis.
McBurney's point
The type of medication that increases the contraction of the heart.
Positive Inotrope
Your homeless 55 year old patient tells you for the past six months that they have been falling due to a loss of balance. You observe the patient's hands are lightly shaking, which the patient advises that this started about the same time as the loss of balance and some days are much worse.
Parkinson's Disease
A patient presents with swelling in the face and upper extremities. When you palpate the edema, the edema is non-pitting. The patient's only medical history is hypothyroidism.
Myxedema
You are on scene with a patient that is vomiting & states that it started 6 hours ago. Patient is complaining of severe right upper quadrant pain that is radiating to their right shoulder. The patients abdomen is rigid and slightly distended.
Acute cholecystitis (bile duct obstruction)
Clinched fist over the sternum when experiencing chest pain.
Levine's sign
A common over the counter medication that causes black stool.
Pepto Bismol
A patients friends is giving you the patient's medical history, but can't think of the name of the condition. They describe it to you as an autoimmune disorder that causes blindness, muscle weakness and poor memory.
Multiple Sclerosis
Your patient is unresponsive and appears severely dehydrated. Vital signs are 116/84, P114, R18, FSBS (HI)
Hyperosmolar Hyperglycemic State
You are treating a dehydrated patient complaining of upper abdominal pain with nausea and vomiting for an entire day. The patient states that they have a fever of 101.2. The patients abdomen appears distended and the patient states that they feel bloated. The patients states that they last ate 8 hours prior to getting sick and feels weak.
Gastroenteritis
Sudden pain in the top of the left shoulder after splenic rupture.
Kehr's Sign
Used for bronchospasm and classified as an anticholinergic.
Ipatropium Bromide
You have just completed the Cincinnati stroke scale on a 74 year old and found left sided weakness. During additional assessments you observe the patient cannot raise his eyebrow when requested.
Bell's Palsy
Your patient is a slender frame female with bulging eyes and an enlarged neck. The patient's medications consists of Synthroid and sertraline.
Graves' disease
You are treating a patient with copious amounts of blood in their airway. Bystanders advise that the patient is an alcoholic and has cirrhosis. Bystanders describe the patient as vomiting forcefully and spitting up large amounts of blood prior to passing out. (What caused the blood?)
Mallory Weiss Tear
JVD, Hypotension, Muffled Heart Tones
Beck's Triad
Generic Ketorolac, Trade name:
Toradol
You are on scene with a patient that fell. The patient is reported to be unable to keep their balance. The patient has a history of alcohol abuse. While assessing the patient you determine they have an altered mental status, cold to the touch, & hypotensive.
Wernicke-Korsakoff Encephalopathy
You are rapidly administering normal saline to a patient with a blood pressure of 78/50. The patient has a history of asthma, and is prescribed prednisone. The patient advises that they have been on prednisone for 18 months, but ran out of the medication last week. After 500 ml of fluid the patient's blood pressure has not significantly increased.
Adrenal Crisis (Addisonian Crisis)
Your patient is vomiting small amounts of fresh blood. The patient states that he has not been to a doctor but has regular burning pain in the upper abdomen. The patients states the pain almost feels like its tearing at times. The patients states that he can get some relief with Famotidine.
Peptic Ulcer
Wide pulse pressure with a rising systolic, bradycardia, and slow irregular respirations.
Cushing's Triad
Indicated for altered mental status and delirium tremens.
Thiamine
You are on scene with a schizophrenic patient that began taking a new medication for schizophrenia. The patient presents with constant lip smacking, which she states that she is unable to control.
Tardive Dyskinesia
You are on scene with an unresponsive diabetic patient that has a "moon face appearance", and appears to have a large trunk with thin extremities.
Cushing's Syndrome
Your patient is very lethargic. The patient stated that they started getting pain in the middle of their abdomen yesterday. The pain got severe and felt like it was boring into their back. The patient has a medical history of gall stones and has a history of ETOH abuse. Your assessment reveals a rigid, distended abdomen with Grey Turners sign. The patient has R20, P124, BP 86/40, Spo2 91%
Pancreatitis