Fever, Sore Throat & ENT [Case #1]

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Fever, Sore Throat & ENT [Case #1]

A 6 year old boy presents with 2 days of fever and vomiting. His parents are concerned as he has been very lethargic today.

Whilst in the waiting room he has become very sleepy although still rousable and they have noticed a rash on his legs.

Observations

A – self maintaining

B – RR 40, SpO2 96% in air

C – HR 158, CRT 3 secs, cool peripheries

D – V on AVPU

E – Petechial rash on torso, Temp 39.2°C.

QUESTIONS

Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:

  1. What is the diagnosis?

  2. What is your approach to treatment?

  3. Which antibiotic(s) will you administer and at what dose?

  4. Following a 40ml/kg fluid bolus and IV antibiotics, the heart rate is 146 and CRT 2-3 secs, what are the next management steps?

  5. Give 3 serious complications of this disease?

  6. Who should receive chemoprohylaxis in this case?

  7. What regimens for chemoprohylaxis are suitable for this disease?

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Rash, Wounds & Burns [Case #1]

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Rash, Wounds & Burns [Case #1]

"A 30 year old man is brought into Resus having had a fight with his partner, who boiled a kettle and threw the contents over his chest.The reg is busy and it is up to you to manage the case. You feel he has a 15% burn covering his chest and left arm."

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Weakness, Paralysis & Falls [Case #2]

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Weakness, Paralysis & Falls [Case #2]

"An 86 year old lady attends your ED for the fourth time this year, having fallen at home. She remembers getting up from her chair and ending up on the floor. She has not injured herself but was unable to get back up off of the floor"

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Weakness, Paralysis & Falls [Case #1]

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Weakness, Paralysis & Falls [Case #1]

"A 62 year old gentleman has come to your department. This morning his wife noticed he had slurring of his speech ad he reports his right arm feeling heavy and weak. This lasted for around an hour and has now completely resolved."

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Medical Ethics, Consent & Law [Case #1]

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Medical Ethics, Consent & Law [Case #1]

For each of the following conditions what are the requirements by law for informing the DVLA and refraining from driving?

Questions

Answer one question before attending the face-to-face teaching session. Add comments to answers already given if you think it's appropriate. The first part of teaching will be spent discussing this case:

  1. Seizure?

  2. MI?

  3. TIA?

  4. Faint?

  5. Diabetic hypo without awareness?

  6. Angina?

  7. Cardiac Arrhythmia?

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