Clinical Case Game SD

Check vital signs

Order bloodwork

Start IV fluids

Ask about medical history

Gastroesophageal reflux disease

Acute myocardial infarction

Panic attack/Anxiety

Asthma Attack

Obtain a detailed medical history

Perform a primary survey (Airway, Breathing, Circulation)

Order a head CT scan immediately

Start antibiotics

Unconscious, unequal pupils

Weak pulse, BP 80/50

Decreased breath sounds right side

Open left femur fracture

Appears thin, somewhat dehydrated

Blood pressure standing: 88/55

Heart rate standing: 110 bpm

Drinks mostly diet sodas, skips meals

Provide IV fluids, and encourage her to hydrate

Tell her to exercise more often

See a therapist

Continue skipping meals

Sees 'zigzag lines' before headache starts

Pain is throbbing, usually on one side

Nausea and vomiting during episodes

Headaches last 4-6 hours