High
Respiratory System
0
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M12_F1.jpg"}},{"insert":"\n\nFollowing a truly brutal stretch in the ER, you\u0027ve decided to take some time off to trek in the mountain range nearby. You\u0027re accompanied by a group of people you met on a website dedicated to exploring locations off the beaten path.\n\nA few hours of driving brings you from almost sea-level to the foot of the mountains. As you draw into the small town which acts as a de-facto base camp for climbers, you notice a dilapidated sign saying \u0022ALTITUDE: 8,000 FEET\u0022.\n\nThe single European member of your group asks, \u0022That\u0027s around two and a half thousand meters, right?\u0022 Another member replies in the affirmative.\n"}]}
1
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M12_F2.jpg"}},{"insert":"\n\nThe following morning, you and the rest of the party gather your gear and start the trek. While the trail is steep and quite tricky in certain places, you find yourself more than up to the challenge. After a short break for lunch, the trek continues, and you are soon close to the waystation where you plan to spend the night. \n\nAs you stop for a moment to take in the scenery, you notice that one person looks rather distressed. A few moments later, he suddenly starts to vomit.\n\n\u0022Doctor! Please help him!!\u0022 a young woman in your group starts to shout. Asking everyone to calm down, you proceed to take a look at the man.\n"}]}
2
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M12_F3.jpg"}},{"insert":"\n\nFifty-two year old Gerard complains of a generalized headache that started around 3 hours ago, and which has gradually increased in intensity over time. He also feels nauseous and fatigued. His medical history is only significant for allergic rhinitis. He is not on any medications currently.\n\nYou realize that, just like you, Gerard has skipped acclimatization, because he was unable to take leave from work until the very last minute. A quick examination reveals a pulse of 88 bpm and respiratory rate of 20\/min. There is no wheezing or cough. Nor are there neurological or visual deficits.\n\nAs you complete the evaluation you thank your foresight in packing a few important medications into your bag beforehand. Sometimes, there are definite advantages to being a doctor.\n"}]}
3
{"ops":[{"insert":"What will you tell Gerard?\n"}]}
1. "Take this Ibuprofen tablet, and make sure you are well hydrated. Once you've taken a short rest, we can continue the climb"
2. "You seem to have acute mountain sickness. You'll need to stop the climb and slowly descend back to town"
3. "This is the first sign of acute mountain sickness. Rest here, while we contact emergency services and arrange a medevac"
7
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6
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5
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4
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