Seizures, Eye and ENT

Question 1

What is the drug of choice in the ER for a seizure?

Answer 1

Ativan (benzo)

field gives Versed IM

Question 2

What type of seizure does the 18 month old age group tend to get? What lab test should be ordered?

Answer 2

-febrile seizure

• order a urine analysis and check blood sugar (and treat the fever)
• do NOT order a CBC*

Question 3

Simple febrile seizure is defined as all of the following except:
A. General seizure
B. 6 months - 5 years (should grow out of it)
C.

Answer 3

D. Normal complete blood count

(this is according to Bryan’s notes….I thought you didn’t have to order a CBC, just urine but I am probably wrong. The CBC would be just to find the source of infection)

Question 4

If a patient has more than one suspected febrile seizures in 24 hours, should they be discharged home?

Answer 4

NO! it is now considered complex

Question 5

If a patient cannot see anything, what should be documented rather than writing “blind”?

Answer 5

No light perception

Question 6

What lab test will always be positive in a pulmonary embolism?

Answer 6

D-dimer (not very specific though)

Question 7

What is “subtle status”?

Answer 7

a pt that is still seizing but appears to be in a post-ictal state

(he gave a case of a guy who came in by ambulance snoring but his eyes were up and to the left)

Question 8

A 20 year-old something is brought in by ambulance w/ mental status changes. Something was given w/o effect. On arrival he is noted to be minimally responsive to painful stimuli. Glucose check is normal. While the patient is being something, the skin is noted to be warm and covered w/ a petechial rash.

What is the most likely diagnosis?

Answer 8

Meningococcal Meningitis (Bryan’s notes)

Question 9

If a patient presents with a 100% subconjuntival hemorrhage after an eye trauma, what should be ordered?

Answer 9

an opthamology consult

experienced a lot of force