How would you diagnose Hemorrhagic CVA? - answerLP and Head CT Which of the following lab results need to be monitored closely for efficiency? - answerd-dimer, troponin Which of the following tests would likely be immediately ordered for a Cardiac Workup in the ED? - answertroponin, EKG, CXR What procedure would be used to diagnose Meningitis? Expand the abbreviation. - answerlumbar puncture Which of the following would be ordered to investigate thyroid disease? - answerTSH, T4, T3 How would you diagnose AFIB? Use the abbreviation to answer the question. - answerEKG Which of the following diseases may be diagnosed using a CXR? - answerCHF, PTX, PE, Rib fracture, PNA How would you diagnose an AAA? - answerCT A/P with IV contrast How would you diagnose a pneumothorax? - answerCXR Consent should be documented any time a procedure is performed, but there maybe certain situations in which consent is unobtainable. In that case, consent is precluded by clinical urgency. During which of the following procedures would consent usually be unobtainable? - answerCPR Select the EKG interpretation documentation guidelines. - answer2 positive or negative findings, rate and rhythm Select terms you might find on an x-ray interpretation. - answerpneumothorax An ED technician informs the provider that they have just finished applying a splint and sling for the patient with the wrist fracture. What PE finding is important for your provider to assess and include in the procedure note before the patient can be discharged home? - answerCSMT Match the oxygen administration route to the corresponding definition. - answernonrebreather maska plastic mask fit over the nose and mouth RA- this means the patient is not on oxygen NC- a plastic tube placed into the patient's nostrils BVM- a large facial mask held in place by hand and attached to an Ambu-bag used to manually inflate the patient's lungs Intubation- an EET goes through the patient's mouth and down the trachea FM- a facial mask with a reservoir bag attached A 13 y/o male patient was riding his bike earlier today and accidentally fell off after traveling on an uneven patch of sidewalk. He landed onto his outstretched right hand and subsequently experienced localized pain and swelling to the his right wrist. An x-ray of the right wrist shows a distal radial fracture. Now that the results are back, the physician will be ready to discharge the patient home. Which of the following would need to go into this patient's disposition note? - answerF/U with specialist or PCP, Specific conditions for return to the ED, Condition at time of disposition, Time period for f/u, Timing of disposition, patient mental capacity What abbreviation describes the scenario in which a patient declines a hospital stay and decides to go home instead? - answerAMA Which of the following would need to go into a consult note for a patient that will be admitted to the hospital for treatment of bacterial meningitis? - answerlocation in the hospital, name of the accepting facility, consultation note, condition at time of admission, name of accepting physician, specific conditions for return to the ED, What term describes "the patient destination is home"? - answerdischarge LBBB - answerLeft bundle branch block CVA - answercostovertebral angle Match each critical care dx with its associated procedure. - answercardiac rest- CPR sepsis- central line placement respiratory failure- Intubation acute exacerbation- CPAP/BiPAP abnormal herat rhythm- Cardioversion PTX- Chest tube Which of these procedures qualify as critical care procedures and would indicate that critical care time must be documented on a patient? - answerCardioversion, Central line placement, CPAP/BiPAP, chest tube, CPR, intubation Among the following diseases listed, select the ones that qualify for CCT - answerACS, CVA, Afib, acute MI, DKA, PTX, PE, sepsis NOT pleuritis, stable angina, or costochondritis What condition correctly describes "fertilized egg develops outside the uterus? - answerectopic pregnancy A patient recently went on a boat trip 2 days ago and developed dizziness which has continued to persist since onset. She describes her dizziness as a room spinning and reports that it is accompanied by tinnitus, nausea, and vomiting. Physical exam is positive for Romberg's and Head CT is negative. Based on this information which is the most likely final diagnosis for the patient? - answerBPV Which of the following are not valid DDx for a patient with CC of HA? - answersyncope, vertigo, Bell's palsy Match the following Dx with it's patient presentation - answerCHF- SOB+wheezing on exam+Shx of 3 ppd Asthma- SOB +wheezing on exam PE- SOB _ unilateral pedal edema +pleuritic CP COPD- SOB+bilateral pedal edema+CP What condition correctly describes "A vascular change that temporarily deprives a part of the brain of oxygen but does not result in any long lasting deficits"? - answerTIA Certain words or phrases act as "red flags" to grab your provider's attention to let let them know that a patient may require timely and comprehensive medical action. Which of the following words or phrases are NOT considered a "red flag?" - answerchest pain in a 45 year old female, tearing pain in the central chest going straight through to the back in a 40 year old female Which section of the chart would you find AKA? - answerPMHx, PSHx, PE Which of the following would be documented in ED Course? - answerre-evals, disposition What FHx/SHx information is usually asked for pediatric patients? (Select all that apply.) - answerimmunization status, second hand smoke exposure A 45 year old male presents to the ED with a ripping, tearing pain to his central chest radiating straight to his back with associated nausea that began 1 hour ago. What emergency conditions (ideally from what you have learned in CRT) from the following list may explain the patient's symptoms? - answerAAA, aortic dissection, and MI What ROS system would include Dyspepsia, the medical term for indigestion? - answergastrointestinal