Term
| Poisonous plants and mushroom ingestion |
|
Definition
| Patient presents with excessive salivation, lacrimation, diaphoresis, abdominal cramps, nausea and vomiting, diarrhea, decreasing levels of consciousness and eventual coma. What do you suspect is the cause? |
|
|
Term
Organophosphate Poisoning
Poisonous plant / mushroom ingestion |
|
Definition
| The acronym SLUDGE is used to recognize what two similar scenarios in the prehospital environment? |
|
|
Term
| SLUDGE: Salivation, Lacrimation, Urination, Defecation, Gastrointestinal distress, Emesis |
|
Definition
| What acronym helps the paramedic to recall the signs and symptoms of organophosphate poisoning? What do each of the letters stand for? |
|
|
Term
| Amanita Phalloides (Death Cap Mushroom) |
|
Definition
| What is the most common killer among mushrooms? |
|
|
Term
| Either by cholinergic poisoning - too much acetylcholine creating an exaggerated parasympathetic response or by blocking acetylcholinesterase which is an enzyme that destroys / inhibits acetylcholine, thus allowing a longer action. |
|
Definition
| By what mechanism do poisonous plants and mushrooms affect the body / nervous system? |
|
|
Term
| Pulmonary Contusion (bruised lung) |
|
Definition
| Patient involved in an MVA presents with blunt or penetrating chest trauma, increasing dyspnea, hypoxia, increasing crackles, hemoptysis, diminishing breath sounds and is showing signs / symptoms of shock. What do you suspect is the cause? |
|
|
Term
| blood leaking into the alveoli and causing a productive, bloody cough. |
|
Definition
| Patient suffering from pulmonary contusion presents with hemoptysis. What mechanism is responsible for this condition? |
|
|
Term
|
Definition
| Patient presents with sudden onset of severe unexplained dyspnea, possible pleuritic chest pain, cough, labored breathing, tachypnia and tachycardia. What are you thinking is the cause? |
|
|
Term
|
Definition
| 35 year old female smoker on birth control complains of sudden onset calf pain with shortness of breath. What is your first thought? |
|
|
Term
calf, knee or thigh pain with associated swellling
Lower leg and behind the knee |
|
Definition
| Other than breathing issues, what are the classic indicators of a pulmonary embolism? Which of these are the most common? |
|
|
Term
|
Definition
| What is most commonly responsible for the generation of the clot often found in Pulmonary Embolism? |
|
|
Term
| No. they are a risk factor, but varicose veins are superficial veins as opposed to deep veins which most commonly generate a clot. |
|
Definition
| Your patient complains of SOB. You note varicose veins upon examination. Are these a classic indicator that you may be dealing with a PE? |
|
|
Term
|
Definition
| What is the name for a stationary clot of blood? |
|
|
Term
|
Definition
| What is the name for a moving clot of blood (or anything moving through the blood stream such as a sheared IV catheter)? |
|
|
Term
Anyone immobilized for a long period of time such as travel, hospital stay, etc.
Knee or hip surgery |
|
Definition
| Name two risk factors that are key in identifying a Pulmonary embolism. |
|
|
Term
|
Definition
| What arrhythmia may a person suffering a PE show on the monitor? |
|
|
Term
Homens Test
No. Inaccurate and known to possibly dislodge clots. |
|
Definition
What is a classic test for PE in which a positive sign is painful response to dorsiflexion of the calf?
Is this test still considered valid? Why or why not? |
|
|
Term
High.
Compensating for the blockage. |
|
Definition
Do you expect to find respiration rates that are high or low in a person suffering from PE?
Why? |
|
|
Term
| No. Fast respirations are to compensate for the blockage. Even though you may find the patient in a state of respiratory alkalosis, the elevated respiratory rate is not psychogenic in origin (it is serving a purpose). |
|
Definition
Should you treat the respiration issues associated with PE? (Fast or Slow?)
Why or why not? |
|
|
Term
|
Definition
| If a patient presents with pregnancy, long bone fracture, has just endured a long flight or period of inactivity and is now exhibiting shortness of breath you should be thinking of what as the cause? |
|
|
Term
|
Definition
| Patient presents with all or some of the following signs and symptoms: Sudden onset of sharp pleuritic chest or shoulder pain, decreased breath sounds on involved side, hyperresonance, tachypnea, diaphoresis and pale skin; you suspect? |
|
|
Term
|
Definition
| Signs and Symptoms include burning and tingling sensation, numbness, slurred speech, restlessness, muscular twitching, salivation, abdominal cramping, nausea and vomiting and possibly seizures; what do you suspect is the cause? |
|
|
Term
|
Definition
| What is the only type of scorpion with enough venom to kill a person and where is it found? |
|
|
Term
| Severe Acute Respiratory Syndrome (SARS) |
|
Definition
| Patient presents with sore throat, rhinorrhea, chills or rigors, myalgias (muscle aches), headache, diarrhea that develop into more severe signs such as cough, sputum production, respiratory distress and eventually respiratory failure. What is one possible cause that should be ruled out? |
|
|
Term
Viral
Upper respiratory system |
|
Definition
What is the pathogenesis of SARS? (viral or bacterial)
What part of the body does it attack? |
|
|
Term
| Stroke / Intracranial hemorrhage |
|
Definition
| What condition presents with signs and symptoms that include facial droop, headache, confusion and agitation, dysphasia, aphasia, dysarthria (motor speech disorder), vision problems, hemiparesis, hemiplegia (half the body is paralyzed), inability to recognize touch, gait disturbance or uncoordinated fine motor movements, dizziness, incontinence and possible coma? |
|
|
Term
| Diffuse ischemia to the cerebrum secondary to emboli from the left atrium from A Fib. |
|
Definition
| What is the most common cause of Stroke / Intracranial Hemorrhage? |
|
|
Term
|
Definition
| What are the two categories of stroke? |
|
|
Term
|
Definition
| Which category of stroke generally has a window of 3 - 4 1/2 hours for treatment? |
|
|
Term
|
Definition
| Which type of stroke results from a thrombosis in the brain, has a gradual onset and has the key finding that it may appear after a period of rest? |
|
|
Term
|
Definition
| Which type of stroke is typically described as "The worst headache of my life"? |
|
|
Term
|
Definition
| Which type of stroke is described as a bleed in the brain? |
|
|
Term
|
Definition
| Which type of stroke is commonly misdiagnosed as a migraine (meaning that migraines can be a predisposing factor)? |
|
|
Term
Awareness of the location of your body parts
Stroke Patients |
|
Definition
| What is Proprioception? What patients do you expect to lack proprioception? |
|
|
Term
| Malignant stroke affecting the hypothalamus |
|
Definition
| You encounter a stroke patient who is hyperthermic. What do you suspect is the cause? |
|
|
Term
fatal
(malignant stroke affecting the hypothalamus) |
|
Definition
| What is the prognosis for a stroke patient who presents as hyperthermic? |
|
|
Term
| Half of the esophagus will also exhibit deficit and anything introduced orally will get stuck. |
|
Definition
| Why is it contraindicated to give anything orally to a stroke patient? |
|
|
Term
| Get the Pt to the hospital, avoid giving anything orally. |
|
Definition
| What is the standard treatment of teh stroke patient in the prehospital environment? |
|
|
Term
|
Definition
| Patient presents with some or all of the following signs and symptoms: chest trauma, severe dyspnea, ventilation / perfusion mismatch, hypoxemia, hyperinflation of affected side of the chest, diminished then absent breath sounds, cyanosis, diaphoresis, altered mental status, JVD, hypotension, hypovolemia and narrowing pulse pressure. What do you suspect? |
|
|
Term
Needle Decompression and High Flow O2
(Needle Thoracentesis with flutter valve) |
|
Definition
| What is the prehospital treatment for relief of a tension pneumothorax? |
|
|
Term
| Thyrotoxic Crisis (Thyroid Storm) |
|
Definition
| What is the term for excess production of thyroid, specifically T3 and T4? |
|
|
Term
|
Definition
| You encounter a patient exhibiting some or all of the following signs and symptoms: Recent dramatic weight loss, profuse sweating and subsequent dehydration, Fever (100 to 106), irritability, weakness or fatigue, palpitations or chest pain, SOB, tachycardia (up to 200 bpm), hypertension, nausea and vomiting, diarrhea, confusion, delirium or coma. What do you suspect as the cause? |
|
|
Term
|
Definition
| What condition is described as a dramatic rise in metabolism resulting in respiratory increase and temperature spike (excessive Heat, water, and hydrogen ions are the products of this increased metabolism)? |
|
|
Term
Ingestion of a large amount of thyroid product
Illness
Trauma |
|
Definition
| Give the top three causes of thyrotoxic crisis from the notes handed out in class? |
|
|
Term
|
Definition
| What is the danger of Thyrotoxic Crisis? |
|
|
