Sterculia

You prescribe sterculia. An hour later, you are paged to see Andrew. The nurse informs you that Andrew seems to have slipped into a coma. The medical team is unable to do anything further for Andrew. You think it is best that you personally inform his mother of her son's death.  

You reflect on the events of the evening and realize that sterculia is a bulk laxative. It is indicated to treat constipation and you remember that it takes a few days to act. You realize that you have mixed up sterculia with another laxative that may be used to treat hepatic encephalopathy, and that this error contributed to Andrew's death. 

Since this is a tutorial, please go back and try again. 

N acetyl cysteine

Map: Andrew Hall (1102)
Node: 20959
Score:

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OpenLabyrinth
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Review your pathway

  • Furosemide and spironolactone
  • Request permission to record without explaining privacy
  • N acetyl cysteine
  • Allow the family member to stay on screen without clarifying their role
  • Start the consultation without verification
  • Activated charcoal
  • Ignore the wound complaint and focus solely on blood glucose
  • Give an immediate diagnosis without exploring the patient’s narrative
  • Propranolol
  • Aluminum hydroxide, magnesium carbonate, sodium alginate
  • Verify patient identity and obtain e-consent before starting.
  • Fluticasone (glucocorticoid)
  • Request permission to record without explaining privacy
  • Terbutaline (SABA)
  • Montelukast
  • Presentation
  • Insist on continuing with poor video quality
  • Switch to audio + chat mode and promise a PDF summary afterward
  • Tell the patient to change devices without giving proper guidance.
  • Reschedule without offering alternative solutions
  • Methionine
  • Salmeterol (LABA)
  • Ipratropium (SAMA, anticholinergic))
  • Reschedule with alternative (e.g., WhatsApp call) if needed
  • Ask rapid questions using medical jargon (ischemia, necrotic tissue, perfusion).
  • Ursodeoxycholic acid
  • Hyoscine
  • Sterculia

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