Diagnostics
What 2 scans to order?
CT head, CXR
What prescribed medication does the pt take in this category?
Setraline
What are 3 symptoms the pt experience in this category?
Runny nose, sore throat, cough, fever
What symptom did the patient experience in this category?
Constipation
What 2 substances does this pt take daily?
Benzo-containing fentanyl, methadone
What are 2 differentials for this category?
PNA, COVID-19
Name 3 substances this pt uses.
Alcohol, crack cocaine, benzodiazepine-containing fentanyl
What are 3 things you would order besides bloodwork and scans?
Lumbar puncture, Udip & Utox, viral swabs
Alcohol W/D, opioid W/D, benzo W/D, cocaine use
What are 3 differentials for this category?
Meningitis, NMS, psychosis, TBI
What are 7 things you would order for bloodwork?
CBC, basic metabolic panel, coagulation, blood culture, lactate, VBG, liver function tests, alcohol, toxicology, CRP*, TSH*
Throughout the assessment, the patient would hold out one arm and resist motion. What is this called?
Catatonia ("waxy flexibility")
What are two differentials for this category?
Uremia/liver dysfunction -> encephalopathy
Fecal loading secondary to opioid use
SBO
Thyroid issues