Presentation

You are a final year medical student on an Emergency Medicine clinical attachment. 

It has been a long night at the Emergency Department, with the Christmas holidays fast-approaching. You are getting ready to call it a night when an ambulance pulls in. 

Andrew is brought in, accompanied by his mother, who is besides herself. You ask Andrew what has happened. However, his speech is slurry and you cannot make out what he is saying. He also appears lethargic and jaundiced. Purpura and profound ascites are also apparent. 

After an initial assessment, you realize Andrew is very unwell and you need to act quickly. 

You turn to the mother, who explains that Andrew has been battling with his 'condition', she whispers 'schizophrenia'. He has previously attempted suicide, using some headache pills. She is not sure whether he has attempted suicide again. 

You order some blood tests, including paracetamol levels, as you suspect that this is related to toxicity with this drug. 

Which drug should you administer at this point? 

  • N acetyl cysteine
  • Furosemide and spironolactone
  • Propranolol
  • Terlipressin
  • Activated charcoal

Map: Andrew Hall (1102)
Node: 20950
Score:

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  • CELL STRUCTURE AND FUNCTION
  • Start
  • new node
  • Root Node
  • Usar solo la probabilidad mendeliana
  • go to espresso house
  • Discutir com a Callie.
  • Chief complaint
  • Screening and diagnosing glucose intolerance in pregnancy
  • Node 4: Move to the benefits of telemonitoring
  • A Thursday morning
  • Tele-Physical Examination
  • Start
  • Vital Sign
  • new node
  • Insulin
  • Give an immediate diagnosis without exploring the patient’s narrative.
  • History
  • Calcium: Increased; Potassium: Decreased; Sodium: Increased
  • Calcium: Decreased; Potassium: Decreased; Sodium: Decreased
  • Key Symptoms
  • Παραλείπει κάποιες ημέρες τη φαρμακευτική αγωγή
  • History of Allergies
  • Criminal Laboratory Internship
  • Υπολογιστικός Τομογράφος Διπλής Πηγής - Διπλής Ενέργειας
  • Solicitar un cariotipo
  • Μοριακή κλωνοποίηση
  • Physical Examination and Lab Tests
  • Επίσκεψη στο ιατρείο
  • Επιστροφή στο σπίτι
  • >Ο θόρυβος της εικόνας θα μειωθεί κατά 40%
  • Osmosis
  • new node
  • ΕΙΣΑΓΩΓΗ
  • The patient colapses
  • Dobutamine
  • Metabolism and Enzymes
  • The Telemedicine Dilemma
  • >Ο θόρυβος της εικόνας θα αυξηθεί
  • DNA Amplification
  • Methimazole
  • Empagliflozin
  • Metformin
  • Request permission to record without explaining privacy
  • Send him for f CT coron
  • Відмовитися від ліків, оскільки я вже почуваюся краще.
  • Past Medical History (PMH)
  • Jonah is 30 years old and lives with his mother in Thessaloniki.
  • Перевірити стан свого здоров'я без направлення лікаря.
  • Start
  • MICROBIAL CULTURE AND GROWTH
  • Παρουσίαση περιστατικού
  • Η κυρία A.Π. είναι μια γυναίκα 60 ετών με οστεοαρθρίτιδα στο χέρι.
  • Option 2: Only B is correct
  • Ігнорувати симптоми.
  • Όχι. Προσπάθησε ξανά!
  • Root Node
  • ΑΠΟΜΟΝΩΣΗ DNA ΚΑΙ ΑΛΥΣΙΔΩΤΗ ΑΝΤΙΔΡΑΣΗ ΠΟΛΥΜΕΡΑΣΗΣ (PCR)
  • lung auscultation
  • CELL CULTURE
  • Option 3
  • Δεν ακολουθεί τη συμβουλή της φίλης της
  • Presentation
  • Salbutamol
  • Building Trust and Teamwork in Digital Health Communication
  • Verify patient identity and obtain e-consent before starting.
  • Όχι. Προσπάθησε ξανά!
  • Ακολουθεί τη συμβουλή της φίλης της
  • visit the hospital
  • rewrerwe
  • Diffusion
  • 3 Fatima spends all day standing, so she doesn’t really need any kind of exercise
  • ΚΑΡΔΙΟΛΟΓΙΚΗ ΚΑΙ ΝΕΥΡΟΛΟΓΙΚΗ ΕΚΤΙΜΗΣΗ
  • Η Μαρία έχει πονόδοντο.
  • Εκτιμάτε το ανεπαρκώς σιτιζόμενο βρέφος
  • Option 2
  • Facem cunoștință cu laboratorul și cu ceilalți studenți
  • Επιχειρείτε να εισάγετε φλεβοκαθετήρα
  • Зачекати, коли настане черговий приступ симптомів та звернутися за медичною допомогою.
  • new node
  • Root Node
  • Assess the safety of the scene
  • ΜΕΝΔΕΛΙΚΗ ΓΕΝΕΤΙΚΗ ΚΑΙ ΠΡΟΒΛΗΜΑΤΑ
  • Σωστά! Προτεραιότητα και κύριος σύμμαχος σε κάθε διάγνωση αποτελεί μια ολοκληρωμένη λήψη ιστορικού από τον ασθενή.
  • Secvențierea genomului
  • B, C, E
  • Trăsături
  • Start
  • Omnom!
  • Definiția 1
  • Start
  • Permanently stop taking metformin
  • Genetica mendeliană și problemele genetice
  • Root Node
  • Getting worse
  • Pioglitazone
  • MĂSURI DE SIGURANȚĂ ÎN LABORATOR
  • DNA Isolation: Experimental reagents
  • Εκτιμάτε το βρέφος που έχει ίκτερο
  • Root Node
  • CELL DIVISION
  • Lysis buffers
  • Tamponul de liză
  • O pai diz ao filho.
  • Διερεύνηση
  • Option 3
  • Proteinase K
  • Wash buffer
  • Verify patient identity and obtain e-consent before starting.
  • ΑΣΦΑΛΕΙΑ ΣΤΟ ΕΡΓΑΣΤΗΡΙΟ
  • CULTIVO Y CRECIMIENTO MICROBIANO
  • Presentation

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