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All posts with tag: "psych"

PEM Questions

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You are seeing a 16-year-old boy who was walking home from school when he experienced sudden onset of intense dread, racing heartbeat, dizziness, difficulty breathing, tingling in his fingertips, and trembling. His friend called 911 and he was brought in by ambulance. Although many of his symptoms have improved, he remains nervous-appearing and mildly tremulous. He denies any drug intake or intake of other substances, supplements. He does not recall thinking about anything stressful prior to his symptom onset. Vital signs are temp 37.6, HR 90, RR 20, BP 110/60, O2 sat 99% on room air. His physical and neurologic exams are normal.

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You are evaluating a 15 year old girl brought in from a foster home for symptoms of psychosis. 

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You are seeing a 15 year old who took a handful of aspirin in a suicide attempt. The salicylate level at 3 hours post-ingestion is 20 mg/dL. Toxicity generally begins at levels of 30 mg/dL and higher. You are certain there were no co-ingestants and the patient’s vital signs, physical exam, metabolic panel, and EKG are normal. 

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(Click the link to comment and to vote - voting not working through email, sorry!) A 14 year old girl is brought in by her parents because of concerns that she is “too thin.” The girl feels that she is not too thin (and, if anything, is a little “chubby”), and that she eats plenty, but says she tries to eat “healthy.” Per her parents, she exercises 2 hours per day. Vital signs in the ED are: temperature 95.8 oral, HR 55, RR 18, BP 88/40. Her BMI is 15, and her weight is 73% of her ideal body weight. Her mental status is normal. Her capillary refill is < 2 seconds. An ECG is performed and is normal. [yop_poll id="93"]

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