MedBugs: SAQ #504

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Case: Seizure at a music festival

A 19 year old woman has been brought to ED after having a seizure at a music festival. On arrival she is agitated, and her vital signs are as follow:

GCS 10 (E3V3M4)
HR 125
BP 130/80
RR 28

T 41 It is deemed most likely that the presentation is due to sympathomimetic toxicity.

1. Apart from agitated delirium and seizure, list (4) other complications that this patient is at risk of. 4 marks

2. Excluding sympathomimetics, list (3) other possible toxicological and (3) possible non-toxicological causes for her presentation. 6 marks

The patient is increasingly agitated. Vitals remain unchanged.

3. Outline (4) management prioritise in this patient and briefly describe how each will be achieved, including end points and doses for any interventions provided. 8 marks

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Case: Seizure at a music festival

1. Apart from agitated delirium and seizure, list (4) other complications that this patient is at risk of. 4 marks

2. Excluding sympathomimetics, list (3) other possible toxicological and (3) possible non-toxicological causes for her presentation. 6 marks

3. Outline (4) management prioritise in this patient and briefly describe how each will be achieved, including end points and doses for any interventions provided. 8 marks

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