Unstable
Nervous System & Special Senses
0
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M27_F1.jpg"}},{"insert":"\n\n"},{"insert":"\u0022What a great day to be at the beach,\u0022 you think to yourself, staring wistfully out the window. \r\n\r\n\u0022Wake up from that daydream, doctor,\u0022 says a business-like voice that belongs to the ER nurse, cutting short your reverie. We need to prep for the next patient.\u0022\n"}]}
1
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M27_F2.jpg"}},{"insert":"\n\n"},{"insert":"Your patient is wheeled in at speed. \u0022Fever and a seizure coming through. She needs a lumbar puncture!\u0022\r\n \r\nThe bustle in the ER lulls for a split second at the EMT\u0027s urgent proclamation, during which your team has seamlessly surrounded the patient.\n\n\u0022Mrs. Grayson, 45 years old, had a seizure on her front lawn. Neighbours called emergency services, say she\u0027s been acting odd lately.\u0022\r\n \r\n\u0022Separated from her husband, unemployed. Suffers from depression and chronic pain due to spinal stenosis,\u0022 finishes the EMT at a brisk clip.\n"}]}
2
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M27_F3.jpg"}},{"insert":"\n\n"},{"insert":"You also learn that Mrs. Grayson had seemed agitated and sweaty when they got to her.\r\n \r\nA temperature of 102 \u00b0F (38,8 \u00b0C) was noted in the ambulance, although she was hemodynamically stable, with a blood glucose of 85mg\/dL.\n"}]}
3
{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M27_F4.jpg"}},{"insert":"\n\n"},{"insert":"Her vitals are now as follows: Temperature 102\u00b0F (38.8\u00b0C), respiratory rate 22 cycles per minute, heart rate 118 bpm, blood pressure 172\/98 mmHg.\n"}]}
4
{"ops":[{"insert":"What do you do now?\n"}]}
1. Perform a lumbar puncture stat
2. Administer Tylenol PO
3. Obtain a detailed history and physical
6
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8
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5
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