HEAD TRAUMA Background •  Leading cause of traumatic death in pts <25 •  80% mild (GCS 14–15), 10% mod (GCS 9–13), 10% severe (GCS <9) injuries •  CPP = MAP…

History •  Timing, quantity of ingestion/exposure, access to household chemicals/other meds, coingestions, enteric-coated/extended-release substances Physical Exam •  VS, pupils, skin, neuro findings (AMS, nystagmus, myoclonus, tremor), peristalsis, smell Evaluation •…

History •  Excessive fluid loss (V/D, sweating, polyuria, diuretic/laxatives, bowel regimen), inadequate intake (debilitated, institutionalized, NM d/o, H&N pathology), altered thirst mechanism (intoxication, systemic illness, malignancy, antipsychotic use) Findings •…

ENDOCARDITIS (Arch Intern Med 2009;169(5):463) History •  RFs: IVDU, congenital or acquired valvular dz, prosthetic valves, structural heart dz, HD, indwelling venous catheters, cardiac surgery, bacteremia, chronic alcoholism, previous endocarditis…

Delirium Definition •  Acute state of temporary or fluctuating disturbance of consciousness (eg, impaired cognition, perception disturbances, reduced attention, hypo- or hyperactivity) that is caused by an organic medical condition…

RIGHT UPPER QUADRANT PAIN Cholelithiasis Presentation •  Acute, severe, intermittent RUQ pain, +N/V, a/w fatty meals •  In biliary colic, sxs generally resolve completely in b/w episodes •  Mild RUQ…

Otitis Externa (Swimmer’s Ear) Definition •  Infection (Pseudomonas, S. aureus) of the outer ear due to breakdown of natural barriers History •  Summer, water exposure, cotton swab trauma, hearing aids,…

Definition •  Anaphylaxis – acute onset skin, mucosal or GI involvement w/ at least 1 of the following: Respiratory distress, hypotension, end-organ Dysfxn History •  Exposures: Nuts, shellfish, medication (abx,…

PERIPHERAL VASCULAR DISEASE Claudication History •  Ischemic muscle pain reproducible w/ exertion, improves w/ rest •  Pts often place legs in dependent position to improve flow •  1–2% have chronic…

•  Anticipated need for airway management in pts at risk for deterioration •  Assess difficulty of intubation early •  In pts w/ acute respiratory failure, BVM ventilation or noninvasive positive…