Seized

Nervous System & Special Senses


0

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M19_F1.jpg"}},{"insert":"\n\nIt\u0027s 2:00 AM at the remote medical center you work in. You feel your eyes getting heavy, but a lingering uneasiness prevents you from falling asleep\u2014it\u0027s just been too quiet for comfort tonight.\n"}]}

1

{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M19_F2.jpg"}},{"insert":"\n\nThe roar of an engine snaps you out of your reverie. You see a man on the driver\u0027s side and a slumped figure in the passenger seat. \n\n\u201cQuick, help! Get her out!!\u201d \n\nYou rush towards the car, reflexively running through the BLS and ACLS protocols in your head. You see a young girl, likely in her early 20s, having what seems to be a generalized tonic-clonic seizure.\n\nYou ask the man, \u201cHow long has she been like this?\u201d\n\n\u201cAbout 15 minutes, maybe more!\u201d You hear the fear in his voice.\n"}]}

2

{"ops":[{"insert":"You swing the passenger door open and shout for help. You position the patient so as to protect her cervical spine and airway, while two orderlies rush out with a gurney. Once inside, your team swings into action\u2014they start oxygen via a face mask, connect the bedside monitor, perform finger-prick glucose testing, and insert a wide-bore cannula and obtain a blood sample for basic investigations, all in parallel. The patient\u0027s capillary blood sugar is 110 mg\/dL.\n"}]}

3

{"ops":[{"insert":"The team looks at you, awaiting instructions.\n\nWhich of the following will you do now?\n"}]}
1. Administer levetiracetam
2. Administer lorazepam
3. Observe her for now

8

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9

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5

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4

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7

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