Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Cerebral Amyloid angiopathy.... or AV malformation.... Christie Hale ---- Alyssa Woods amwoods8644@...> wrote: > No, but you're definitely on the right track. Keep thinking along vasculature lines. > > What do we do to dialysis patients? > > Alyssa Woods, NREMT-B > > > > > > > > Cerebral Aneurysms? > > > > Barry Sharp, MSHP, MCHES > > Tobacco Prevention & Control Program Coordinator > > Substance Abuse Services Unit > > Mental Health and Substance Abuse Division > > > > > > > > Re: Mystery Diagnosis > > > >>>>>>> > > > >>>>>>> By which you mean metastatic cancer? No, but you're the > > closest > > > >> one so far. > > > >>>>>>> You're thinking along the right lines -- chronic, medical, and > > > >> focal. > > > >>>>>>> > > > >>>>>>> Alyssa Woods, NREMT-B > > > >>>>>>> (21) 842-6428 > > > >>>>>>> > > > >>>>>>> > > > >>>>>>> > > > >>>>>>>> Could be mets ca? Just a thought.. > > > >>>>>>>> > > > >>>>>>>> Excuse any errors. > > > >>>>>>>> Sent from my iPhone > > > >>>>>>>> > > > >>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods > > > >> amwoods8644@...> wrote: > > > >>>>>>>> > > > >>>>>>>>> No pets. No cat scratches. Pt is pristine except for one > > > >> swollen lymph node > > > >>>>>>> and one minor abrasion on her chin. > > > >>>>>>>>> > > > >>>>>>>>> Alyssa Woods, NREMT-B > > > >>>>>>>>> > > > >>>>>>>>> > > > >>>>>>>>> Sent from the itty bitty keyboard on my iPhone > > > >>>>>>>>> > > > >>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver > > > >> jeremydriver@...> wrote: > > > >>>>>>>>> > > > >>>>>>>>>> Cat-scratch encephalopathy? > > > >>>>>>>>>> > > > >>>>>>>>>> Sent from my iPhone > > > >>>>>>>>>> > > > >>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler > > > >> bradsattler@...> wrote: > > > >>>>>>>>>> > > > >>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check > > > >> anyway)? > > > >>>>>>>>>> > > > >>>>>>>>>> -Brad > > > >>>>>>>>>> > > > >>>>>>>>>> Sent from my iPhone > > > >>>>>>>>>> > > > >>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods > > > >> amwoods8644@...> wrote: > > > >>>>>>>>>> > > > >>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the > > > >> duration of the > > > >>>>>>> drip only, the node is visibly swollen. You don't see or feel > > any > > > >> other swollen > > > >>>>>>> lymph nodes. No s/s of anemia. > > > >>>>>>>>>>> > > > >>>>>>>>>>> Alyssa Woods, NREMT-B > > > >>>>>>>>>>> > > > >>>>>>>>>>> > > > >>>>>>>>>>> > > > >>>>>>>>>>> > > > >>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is > > the > > > >> node? > > > >>>>>>> Reasesses paying attention for nodules? > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> Sent from my iPhone > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods > > > >> amwoods8644@...> > > > >>>>>>> wrote: > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital > > stop > > > >> her seizures > > > >>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> Alyssa Woods, NREMT-B > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> Find out what plant she possibly ingested. Begin your > > normal > > > >> treatment > > > >>>>>>> for siezure until you know more. > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> Henry > > > >>>>>>>>>>>> Mystery Diagnosis > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> You're called out to a 5 year old girl who was playing in > > > >> the yard, > > > >>>>>>> when she suddenly had a seizure. When you arrive on scene her > > > >> parents instantly > > > >>>>>>> calm down and tell you she has no history, no medications, and > > no > > > >> known > > > >>>>>>> allergies. Your patient is having a grand mal seizure which > > has > > > >> been going on > > > >>>>>>> for at least 5 minutes. > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> What's your treatment and what's happening to her? > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> Alyssa Woods, NREMT-B > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> > > ---------------------------------------------------------- > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> No virus found in this incoming message. > > > >>>>>>>>>>>> Checked by AVG - www.avg.com > > > >>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > > > >> Date: > > > >>>>>>> 07/11/11 18:35:00 > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> ---------- > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> No virus found in this outgoing message. > > > >>>>>>>>>>>> Checked by AVG - www.avg.com > > > >>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > > > >> Date: > > > >>>>>>> 07/11/11 18:35:00 > > > >>>>>>>>>>>> > > > >>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Shapiro syndrome? Sent from myTouch 4G ----- Reply message ----- To: texasems-l > Subject: Mystery Diagnosis Date: Wed, Jul 13, 2011 11:13 Uuummm... dialyze them? Are you suggesting an AV malformation or fistula of some sort, that can be corrected with surgery? > No, but you're definitely on the right track. Keep thinking along vasculature lines. > > What do we do to dialysis patients? > > Alyssa Woods, NREMT-B > > > > > > >> Cerebral Aneurysms? >> >> Barry Sharp, MSHP, MCHES >> Tobacco Prevention& Control Program Coordinator >> Substance Abuse Services Unit >> Mental Health and Substance Abuse Division >> >> >> >> Re: Mystery Diagnosis >>>>>>>>>> >>>>>>>>>> By which you mean metastatic cancer? No, but you're the >> closest >>>>> one so far. >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and >>>>> focal. >>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>> (21) 842-6428 >>>>>>>>>> >>>>>>>>>> >>>>>>>>>> >>>>>>>>>>> Could be mets ca? Just a thought.. >>>>>>>>>>> >>>>>>>>>>> Excuse any errors. >>>>>>>>>>> Sent from my iPhone >>>>>>>>>>> >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods >>>>> amwoods8644@...> wrote: >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one >>>>> swollen lymph node >>>>>>>>>> and one minor abrasion on her chin. >>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone >>>>>>>>>>>> >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver >>>>> jeremydriver@...> wrote: >>>>>>>>>>>>> Cat-scratch encephalopathy? >>>>>>>>>>>>> >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler >>>>> bradsattler@...> wrote: >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check >>>>> anyway)? >>>>>>>>>>>>> -Brad >>>>>>>>>>>>> >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods >>>>> amwoods8644@...> wrote: >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the >>>>> duration of the >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel >> any >>>>> other swollen >>>>>>>>>> lymph nodes. No s/s of anemia. >>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is >> the >>>>> node? >>>>>>>>>> Reasesses paying attention for nodules? >>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods >>>>> amwoods8644@...> >>>>>>>>>> wrote: >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital >> stop >>>>> her seizures >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your >> normal >>>>> treatment >>>>>>>>>> for siezure until you know more. >>>>>>>>>>>>>>> Henry >>>>>>>>>>>>>>> Mystery Diagnosis >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in >>>>> the yard, >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her >>>>> parents instantly >>>>>>>>>> calm down and tell you she has no history, no medications, and >> no >>>>> known >>>>>>>>>> allergies. Your patient is having a grand mal seizure which >> has >>>>> been going on >>>>>>>>>> for at least 5 minutes. >>>>>>>>>>>>>>> What's your treatment and what's happening to her? >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >> ---------------------------------------------------------- >>>>>>>>>>>>>>> No virus found in this incoming message. >>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>> Date: >>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>> ---------- >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> No virus found in this outgoing message. >>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>> Date: >>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Shapiro syndrome? Sent from myTouch 4G ----- Reply message ----- To: texasems-l > Subject: Mystery Diagnosis Date: Wed, Jul 13, 2011 11:13 Uuummm... dialyze them? Are you suggesting an AV malformation or fistula of some sort, that can be corrected with surgery? > No, but you're definitely on the right track. Keep thinking along vasculature lines. > > What do we do to dialysis patients? > > Alyssa Woods, NREMT-B > > > > > > >> Cerebral Aneurysms? >> >> Barry Sharp, MSHP, MCHES >> Tobacco Prevention& Control Program Coordinator >> Substance Abuse Services Unit >> Mental Health and Substance Abuse Division >> >> >> >> Re: Mystery Diagnosis >>>>>>>>>> >>>>>>>>>> By which you mean metastatic cancer? No, but you're the >> closest >>>>> one so far. >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and >>>>> focal. >>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>> (21) 842-6428 >>>>>>>>>> >>>>>>>>>> >>>>>>>>>> >>>>>>>>>>> Could be mets ca? Just a thought.. >>>>>>>>>>> >>>>>>>>>>> Excuse any errors. >>>>>>>>>>> Sent from my iPhone >>>>>>>>>>> >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods >>>>> amwoods8644@...> wrote: >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one >>>>> swollen lymph node >>>>>>>>>> and one minor abrasion on her chin. >>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone >>>>>>>>>>>> >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver >>>>> jeremydriver@...> wrote: >>>>>>>>>>>>> Cat-scratch encephalopathy? >>>>>>>>>>>>> >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler >>>>> bradsattler@...> wrote: >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check >>>>> anyway)? >>>>>>>>>>>>> -Brad >>>>>>>>>>>>> >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods >>>>> amwoods8644@...> wrote: >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the >>>>> duration of the >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel >> any >>>>> other swollen >>>>>>>>>> lymph nodes. No s/s of anemia. >>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is >> the >>>>> node? >>>>>>>>>> Reasesses paying attention for nodules? >>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods >>>>> amwoods8644@...> >>>>>>>>>> wrote: >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital >> stop >>>>> her seizures >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your >> normal >>>>> treatment >>>>>>>>>> for siezure until you know more. >>>>>>>>>>>>>>> Henry >>>>>>>>>>>>>>> Mystery Diagnosis >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in >>>>> the yard, >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her >>>>> parents instantly >>>>>>>>>> calm down and tell you she has no history, no medications, and >> no >>>>> known >>>>>>>>>> allergies. Your patient is having a grand mal seizure which >> has >>>>> been going on >>>>>>>>>> for at least 5 minutes. >>>>>>>>>>>>>>> What's your treatment and what's happening to her? >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >> ---------------------------------------------------------- >>>>>>>>>>>>>>> No virus found in this incoming message. >>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>> Date: >>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>> ---------- >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> No virus found in this outgoing message. >>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>> Date: >>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Congratulations, ! She had an Cerebral AV Malformation -- her arteries and veins had grown together to the point where it created an ischemic area in her brain (hence why I would've accepted ischemic stroke or CVA -- something I would expect in older patients). For some reason, it was this day that she became symptomatic. In actuality, she was taken to the closest facility, and immediately transported out (via ground ambulance, as air ambulances were unavailable), to a facility with pediatric neurosurgery capabilities. Way to go, ! You win the only thing better than getting a prize from me -- NOT getting a prize from me! Alyssa Woods, NREMT-B > Uuummm... dialyze them? > > Are you suggesting an AV malformation or fistula of some sort, that can > be corrected with surgery? > > > > No, but you're definitely on the right track. Keep thinking along vasculature lines. > > > > What do we do to dialysis patients? > > > > Alyssa Woods, NREMT-B > > > > > > > > > > > > > >> Cerebral Aneurysms? > >> > >> Barry Sharp, MSHP, MCHES > >> Tobacco Prevention& Control Program Coordinator > >> Substance Abuse Services Unit > >> Mental Health and Substance Abuse Division > >> > >> > >> > >> Re: Mystery Diagnosis > >>>>>>>>>> > >>>>>>>>>> By which you mean metastatic cancer? No, but you're the > >> closest > >>>>> one so far. > >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and > >>>>> focal. > >>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>> (21) 842-6428 > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>>> Could be mets ca? Just a thought.. > >>>>>>>>>>> > >>>>>>>>>>> Excuse any errors. > >>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>> > >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one > >>>>> swollen lymph node > >>>>>>>>>> and one minor abrasion on her chin. > >>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>> > >>>>>>>>>>>> > >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone > >>>>>>>>>>>> > >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver > >>>>> jeremydriver@...> wrote: > >>>>>>>>>>>>> Cat-scratch encephalopathy? > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler > >>>>> bradsattler@...> wrote: > >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check > >>>>> anyway)? > >>>>>>>>>>>>> -Brad > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the > >>>>> duration of the > >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel > >> any > >>>>> other swollen > >>>>>>>>>> lymph nodes. No s/s of anemia. > >>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is > >> the > >>>>> node? > >>>>>>>>>> Reasesses paying attention for nodules? > >>>>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods > >>>>> amwoods8644@...> > >>>>>>>>>> wrote: > >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital > >> stop > >>>>> her seizures > >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your > >> normal > >>>>> treatment > >>>>>>>>>> for siezure until you know more. > >>>>>>>>>>>>>>> Henry > >>>>>>>>>>>>>>> Mystery Diagnosis > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in > >>>>> the yard, > >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her > >>>>> parents instantly > >>>>>>>>>> calm down and tell you she has no history, no medications, and > >> no > >>>>> known > >>>>>>>>>> allergies. Your patient is having a grand mal seizure which > >> has > >>>>> been going on > >>>>>>>>>> for at least 5 minutes. > >>>>>>>>>>>>>>> What's your treatment and what's happening to her? > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >> ---------------------------------------------------------- > >>>>>>>>>>>>>>> No virus found in this incoming message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> ---------- > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> No virus found in this outgoing message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Congratulations, ! She had an Cerebral AV Malformation -- her arteries and veins had grown together to the point where it created an ischemic area in her brain (hence why I would've accepted ischemic stroke or CVA -- something I would expect in older patients). For some reason, it was this day that she became symptomatic. In actuality, she was taken to the closest facility, and immediately transported out (via ground ambulance, as air ambulances were unavailable), to a facility with pediatric neurosurgery capabilities. Way to go, ! You win the only thing better than getting a prize from me -- NOT getting a prize from me! Alyssa Woods, NREMT-B > Uuummm... dialyze them? > > Are you suggesting an AV malformation or fistula of some sort, that can > be corrected with surgery? > > > > No, but you're definitely on the right track. Keep thinking along vasculature lines. > > > > What do we do to dialysis patients? > > > > Alyssa Woods, NREMT-B > > > > > > > > > > > > > >> Cerebral Aneurysms? > >> > >> Barry Sharp, MSHP, MCHES > >> Tobacco Prevention& Control Program Coordinator > >> Substance Abuse Services Unit > >> Mental Health and Substance Abuse Division > >> > >> > >> > >> Re: Mystery Diagnosis > >>>>>>>>>> > >>>>>>>>>> By which you mean metastatic cancer? No, but you're the > >> closest > >>>>> one so far. > >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and > >>>>> focal. > >>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>> (21) 842-6428 > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>>> Could be mets ca? Just a thought.. > >>>>>>>>>>> > >>>>>>>>>>> Excuse any errors. > >>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>> > >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one > >>>>> swollen lymph node > >>>>>>>>>> and one minor abrasion on her chin. > >>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>> > >>>>>>>>>>>> > >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone > >>>>>>>>>>>> > >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver > >>>>> jeremydriver@...> wrote: > >>>>>>>>>>>>> Cat-scratch encephalopathy? > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler > >>>>> bradsattler@...> wrote: > >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check > >>>>> anyway)? > >>>>>>>>>>>>> -Brad > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the > >>>>> duration of the > >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel > >> any > >>>>> other swollen > >>>>>>>>>> lymph nodes. No s/s of anemia. > >>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is > >> the > >>>>> node? > >>>>>>>>>> Reasesses paying attention for nodules? > >>>>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods > >>>>> amwoods8644@...> > >>>>>>>>>> wrote: > >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital > >> stop > >>>>> her seizures > >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your > >> normal > >>>>> treatment > >>>>>>>>>> for siezure until you know more. > >>>>>>>>>>>>>>> Henry > >>>>>>>>>>>>>>> Mystery Diagnosis > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in > >>>>> the yard, > >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her > >>>>> parents instantly > >>>>>>>>>> calm down and tell you she has no history, no medications, and > >> no > >>>>> known > >>>>>>>>>> allergies. Your patient is having a grand mal seizure which > >> has > >>>>> been going on > >>>>>>>>>> for at least 5 minutes. > >>>>>>>>>>>>>>> What's your treatment and what's happening to her? > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >> ---------------------------------------------------------- > >>>>>>>>>>>>>>> No virus found in this incoming message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> ---------- > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> No virus found in this outgoing message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Congratulations, ! She had an Cerebral AV Malformation -- her arteries and veins had grown together to the point where it created an ischemic area in her brain (hence why I would've accepted ischemic stroke or CVA -- something I would expect in older patients). For some reason, it was this day that she became symptomatic. In actuality, she was taken to the closest facility, and immediately transported out (via ground ambulance, as air ambulances were unavailable), to a facility with pediatric neurosurgery capabilities. Way to go, ! You win the only thing better than getting a prize from me -- NOT getting a prize from me! Alyssa Woods, NREMT-B > Uuummm... dialyze them? > > Are you suggesting an AV malformation or fistula of some sort, that can > be corrected with surgery? > > > > No, but you're definitely on the right track. Keep thinking along vasculature lines. > > > > What do we do to dialysis patients? > > > > Alyssa Woods, NREMT-B > > > > > > > > > > > > > >> Cerebral Aneurysms? > >> > >> Barry Sharp, MSHP, MCHES > >> Tobacco Prevention& Control Program Coordinator > >> Substance Abuse Services Unit > >> Mental Health and Substance Abuse Division > >> > >> > >> > >> Re: Mystery Diagnosis > >>>>>>>>>> > >>>>>>>>>> By which you mean metastatic cancer? No, but you're the > >> closest > >>>>> one so far. > >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and > >>>>> focal. > >>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>> (21) 842-6428 > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>>> Could be mets ca? Just a thought.. > >>>>>>>>>>> > >>>>>>>>>>> Excuse any errors. > >>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>> > >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one > >>>>> swollen lymph node > >>>>>>>>>> and one minor abrasion on her chin. > >>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>> > >>>>>>>>>>>> > >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone > >>>>>>>>>>>> > >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver > >>>>> jeremydriver@...> wrote: > >>>>>>>>>>>>> Cat-scratch encephalopathy? > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler > >>>>> bradsattler@...> wrote: > >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check > >>>>> anyway)? > >>>>>>>>>>>>> -Brad > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the > >>>>> duration of the > >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel > >> any > >>>>> other swollen > >>>>>>>>>> lymph nodes. No s/s of anemia. > >>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is > >> the > >>>>> node? > >>>>>>>>>> Reasesses paying attention for nodules? > >>>>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods > >>>>> amwoods8644@...> > >>>>>>>>>> wrote: > >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital > >> stop > >>>>> her seizures > >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your > >> normal > >>>>> treatment > >>>>>>>>>> for siezure until you know more. > >>>>>>>>>>>>>>> Henry > >>>>>>>>>>>>>>> Mystery Diagnosis > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in > >>>>> the yard, > >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her > >>>>> parents instantly > >>>>>>>>>> calm down and tell you she has no history, no medications, and > >> no > >>>>> known > >>>>>>>>>> allergies. Your patient is having a grand mal seizure which > >> has > >>>>> been going on > >>>>>>>>>> for at least 5 minutes. > >>>>>>>>>>>>>>> What's your treatment and what's happening to her? > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >> ---------------------------------------------------------- > >>>>>>>>>>>>>>> No virus found in this incoming message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> ---------- > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> No virus found in this outgoing message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Darn good diagnosis challenge to the group Alyssa. Thanks for giving us something to scratch our heads about while trying to figure out what was going on in your patient's head. Barry Barry Sharp, MSHP, MCHES Tobacco Prevention & Control Program Coordinator Substance Abuse Services Unit Mental Health and Substance Abuse Division Re: Mystery Diagnosis > >>>>>>>>>> > >>>>>>>>>> By which you mean metastatic cancer? No, but you're the > >> closest > >>>>> one so far. > >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and > >>>>> focal. > >>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>> (21) 842-6428 > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>>> Could be mets ca? Just a thought.. > >>>>>>>>>>> > >>>>>>>>>>> Excuse any errors. > >>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>> > >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one > >>>>> swollen lymph node > >>>>>>>>>> and one minor abrasion on her chin. > >>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>> > >>>>>>>>>>>> > >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone > >>>>>>>>>>>> > >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver > >>>>> jeremydriver@...> wrote: > >>>>>>>>>>>>> Cat-scratch encephalopathy? > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler > >>>>> bradsattler@...> wrote: > >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check > >>>>> anyway)? > >>>>>>>>>>>>> -Brad > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the > >>>>> duration of the > >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel > >> any > >>>>> other swollen > >>>>>>>>>> lymph nodes. No s/s of anemia. > >>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is > >> the > >>>>> node? > >>>>>>>>>> Reasesses paying attention for nodules? > >>>>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods > >>>>> amwoods8644@...> > >>>>>>>>>> wrote: > >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital > >> stop > >>>>> her seizures > >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your > >> normal > >>>>> treatment > >>>>>>>>>> for siezure until you know more. > >>>>>>>>>>>>>>> Henry > >>>>>>>>>>>>>>> Mystery Diagnosis > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in > >>>>> the yard, > >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her > >>>>> parents instantly > >>>>>>>>>> calm down and tell you she has no history, no medications, and > >> no > >>>>> known > >>>>>>>>>> allergies. Your patient is having a grand mal seizure which > >> has > >>>>> been going on > >>>>>>>>>> for at least 5 minutes. > >>>>>>>>>>>>>>> What's your treatment and what's happening to her? > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >> ---------------------------------------------------------- > >>>>>>>>>>>>>>> No virus found in this incoming message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> ---------- > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> No virus found in this outgoing message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Darn good diagnosis challenge to the group Alyssa. Thanks for giving us something to scratch our heads about while trying to figure out what was going on in your patient's head. Barry Barry Sharp, MSHP, MCHES Tobacco Prevention & Control Program Coordinator Substance Abuse Services Unit Mental Health and Substance Abuse Division Re: Mystery Diagnosis > >>>>>>>>>> > >>>>>>>>>> By which you mean metastatic cancer? No, but you're the > >> closest > >>>>> one so far. > >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and > >>>>> focal. > >>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>> (21) 842-6428 > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>>> Could be mets ca? Just a thought.. > >>>>>>>>>>> > >>>>>>>>>>> Excuse any errors. > >>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>> > >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one > >>>>> swollen lymph node > >>>>>>>>>> and one minor abrasion on her chin. > >>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>> > >>>>>>>>>>>> > >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone > >>>>>>>>>>>> > >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver > >>>>> jeremydriver@...> wrote: > >>>>>>>>>>>>> Cat-scratch encephalopathy? > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler > >>>>> bradsattler@...> wrote: > >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check > >>>>> anyway)? > >>>>>>>>>>>>> -Brad > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the > >>>>> duration of the > >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel > >> any > >>>>> other swollen > >>>>>>>>>> lymph nodes. No s/s of anemia. > >>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is > >> the > >>>>> node? > >>>>>>>>>> Reasesses paying attention for nodules? > >>>>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods > >>>>> amwoods8644@...> > >>>>>>>>>> wrote: > >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital > >> stop > >>>>> her seizures > >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your > >> normal > >>>>> treatment > >>>>>>>>>> for siezure until you know more. > >>>>>>>>>>>>>>> Henry > >>>>>>>>>>>>>>> Mystery Diagnosis > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in > >>>>> the yard, > >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her > >>>>> parents instantly > >>>>>>>>>> calm down and tell you she has no history, no medications, and > >> no > >>>>> known > >>>>>>>>>> allergies. Your patient is having a grand mal seizure which > >> has > >>>>> been going on > >>>>>>>>>> for at least 5 minutes. > >>>>>>>>>>>>>>> What's your treatment and what's happening to her? > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >> ---------------------------------------------------------- > >>>>>>>>>>>>>>> No virus found in this incoming message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> ---------- > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> No virus found in this outgoing message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Wait until everyone else has guessed wrong and you've provided several hints, and then swoop in and take the prize. Yep, that's me. > Congratulations, ! > > She had an Cerebral AV Malformation -- her arteries and veins had grown together to the point where it created an ischemic area in her brain (hence why I would've accepted ischemic stroke or CVA -- something I would expect in older patients). For some reason, it was this day that she became symptomatic. > > In actuality, she was taken to the closest facility, and immediately transported out (via ground ambulance, as air ambulances were unavailable), to a facility with pediatric neurosurgery capabilities. > > > Way to go, ! You win the only thing better than getting a prize from me -- NOT getting a prize from me! > > > > Alyssa Woods, NREMT-B > > > > > >> Uuummm... dialyze them? >> >> Are you suggesting an AV malformation or fistula of some sort, that can >> be corrected with surgery? >> >> >>> No, but you're definitely on the right track. Keep thinking along vasculature lines. >>> >>> What do we do to dialysis patients? >>> >>> Alyssa Woods, NREMT-B >>> >>> >>> >>> >>> >>> >>>> Cerebral Aneurysms? >>>> >>>> Barry Sharp, MSHP, MCHES >>>> Tobacco Prevention& Control Program Coordinator >>>> Substance Abuse Services Unit >>>> Mental Health and Substance Abuse Division >>>> >>>> >>>> >>>> Re: Mystery Diagnosis >>>>>>>>>>>> >>>>>>>>>>>> By which you mean metastatic cancer? No, but you're the >>>> closest >>>>>>> one so far. >>>>>>>>>>>> You're thinking along the right lines -- chronic, medical, and >>>>>>> focal. >>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>> (21) 842-6428 >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>>> Could be mets ca? Just a thought.. >>>>>>>>>>>>> >>>>>>>>>>>>> Excuse any errors. >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods >>>>>>> amwoods8644@...> wrote: >>>>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one >>>>>>> swollen lymph node >>>>>>>>>>>> and one minor abrasion on her chin. >>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone >>>>>>>>>>>>>> >>>>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver >>>>>>> jeremydriver@...> wrote: >>>>>>>>>>>>>>> Cat-scratch encephalopathy? >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler >>>>>>> bradsattler@...> wrote: >>>>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check >>>>>>> anyway)? >>>>>>>>>>>>>>> -Brad >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods >>>>>>> amwoods8644@...> wrote: >>>>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the >>>>>>> duration of the >>>>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel >>>> any >>>>>>> other swollen >>>>>>>>>>>> lymph nodes. No s/s of anemia. >>>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is >>>> the >>>>>>> node? >>>>>>>>>>>> Reasesses paying attention for nodules? >>>>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods >>>>>>> amwoods8644@...> >>>>>>>>>>>> wrote: >>>>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital >>>> stop >>>>>>> her seizures >>>>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. >>>>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your >>>> normal >>>>>>> treatment >>>>>>>>>>>> for siezure until you know more. >>>>>>>>>>>>>>>>> Henry >>>>>>>>>>>>>>>>> Mystery Diagnosis >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in >>>>>>> the yard, >>>>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her >>>>>>> parents instantly >>>>>>>>>>>> calm down and tell you she has no history, no medications, and >>>> no >>>>>>> known >>>>>>>>>>>> allergies. Your patient is having a grand mal seizure which >>>> has >>>>>>> been going on >>>>>>>>>>>> for at least 5 minutes. >>>>>>>>>>>>>>>>> What's your treatment and what's happening to her? >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> >>>> ---------------------------------------------------------- >>>>>>>>>>>>>>>>> No virus found in this incoming message. >>>>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>>>> Date: >>>>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>>>> ---------- >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> No virus found in this outgoing message. >>>>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>>>> Date: >>>>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Wait until everyone else has guessed wrong and you've provided several hints, and then swoop in and take the prize. Yep, that's me. > Congratulations, ! > > She had an Cerebral AV Malformation -- her arteries and veins had grown together to the point where it created an ischemic area in her brain (hence why I would've accepted ischemic stroke or CVA -- something I would expect in older patients). For some reason, it was this day that she became symptomatic. > > In actuality, she was taken to the closest facility, and immediately transported out (via ground ambulance, as air ambulances were unavailable), to a facility with pediatric neurosurgery capabilities. > > > Way to go, ! You win the only thing better than getting a prize from me -- NOT getting a prize from me! > > > > Alyssa Woods, NREMT-B > > > > > >> Uuummm... dialyze them? >> >> Are you suggesting an AV malformation or fistula of some sort, that can >> be corrected with surgery? >> >> >>> No, but you're definitely on the right track. Keep thinking along vasculature lines. >>> >>> What do we do to dialysis patients? >>> >>> Alyssa Woods, NREMT-B >>> >>> >>> >>> >>> >>> >>>> Cerebral Aneurysms? >>>> >>>> Barry Sharp, MSHP, MCHES >>>> Tobacco Prevention& Control Program Coordinator >>>> Substance Abuse Services Unit >>>> Mental Health and Substance Abuse Division >>>> >>>> >>>> >>>> Re: Mystery Diagnosis >>>>>>>>>>>> >>>>>>>>>>>> By which you mean metastatic cancer? No, but you're the >>>> closest >>>>>>> one so far. >>>>>>>>>>>> You're thinking along the right lines -- chronic, medical, and >>>>>>> focal. >>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>> (21) 842-6428 >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>>> Could be mets ca? Just a thought.. >>>>>>>>>>>>> >>>>>>>>>>>>> Excuse any errors. >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods >>>>>>> amwoods8644@...> wrote: >>>>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one >>>>>>> swollen lymph node >>>>>>>>>>>> and one minor abrasion on her chin. >>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone >>>>>>>>>>>>>> >>>>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver >>>>>>> jeremydriver@...> wrote: >>>>>>>>>>>>>>> Cat-scratch encephalopathy? >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler >>>>>>> bradsattler@...> wrote: >>>>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check >>>>>>> anyway)? >>>>>>>>>>>>>>> -Brad >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods >>>>>>> amwoods8644@...> wrote: >>>>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the >>>>>>> duration of the >>>>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel >>>> any >>>>>>> other swollen >>>>>>>>>>>> lymph nodes. No s/s of anemia. >>>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is >>>> the >>>>>>> node? >>>>>>>>>>>> Reasesses paying attention for nodules? >>>>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods >>>>>>> amwoods8644@...> >>>>>>>>>>>> wrote: >>>>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital >>>> stop >>>>>>> her seizures >>>>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. >>>>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your >>>> normal >>>>>>> treatment >>>>>>>>>>>> for siezure until you know more. >>>>>>>>>>>>>>>>> Henry >>>>>>>>>>>>>>>>> Mystery Diagnosis >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in >>>>>>> the yard, >>>>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her >>>>>>> parents instantly >>>>>>>>>>>> calm down and tell you she has no history, no medications, and >>>> no >>>>>>> known >>>>>>>>>>>> allergies. Your patient is having a grand mal seizure which >>>> has >>>>>>> been going on >>>>>>>>>>>> for at least 5 minutes. >>>>>>>>>>>>>>>>> What's your treatment and what's happening to her? >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> >>>> ---------------------------------------------------------- >>>>>>>>>>>>>>>>> No virus found in this incoming message. >>>>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>>>> Date: >>>>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>>>> ---------- >>>>>>>>>>>>>>>>> >>>>>>>>>>>>>>>>> No virus found in this outgoing message. >>>>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>>>> Date: >>>>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Agreed!! Do another one. That was fun! Christie Hale ---- " Sharp wrote: > Darn good diagnosis challenge to the group Alyssa. Thanks for giving us > something to scratch our heads about while trying to figure out what was > going on in your patient's head. > > Barry > > Barry Sharp, MSHP, MCHES > Tobacco Prevention & Control Program Coordinator > Substance Abuse Services Unit > Mental Health and Substance Abuse Division > > > > Re: Mystery Diagnosis > > >>>>>>>>>> > > >>>>>>>>>> By which you mean metastatic cancer? No, but you're the > > >> closest > > >>>>> one so far. > > >>>>>>>>>> You're thinking along the right lines -- chronic, medical, > and > > >>>>> focal. > > >>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>> (21) 842-6428 > > >>>>>>>>>> > > >>>>>>>>>> > > >>>>>>>>>> > > >>>>>>>>>>> Could be mets ca? Just a thought.. > > >>>>>>>>>>> > > >>>>>>>>>>> Excuse any errors. > > >>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>> > > >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods > > >>>>> amwoods8644@...> wrote: > > >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one > > >>>>> swollen lymph node > > >>>>>>>>>> and one minor abrasion on her chin. > > >>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>> > > >>>>>>>>>>>> > > >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone > > >>>>>>>>>>>> > > >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver > > >>>>> jeremydriver@...> wrote: > > >>>>>>>>>>>>> Cat-scratch encephalopathy? > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler > > >>>>> bradsattler@...> wrote: > > >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check > > >>>>> anyway)? > > >>>>>>>>>>>>> -Brad > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods > > >>>>> amwoods8644@...> wrote: > > >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the > > >>>>> duration of the > > >>>>>>>>>> drip only, the node is visibly swollen. You don't see or > feel > > >> any > > >>>>> other swollen > > >>>>>>>>>> lymph nodes. No s/s of anemia. > > >>>>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big > is > > >> the > > >>>>> node? > > >>>>>>>>>> Reasesses paying attention for nodules? > > >>>>>>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods > > >>>>> amwoods8644@...> > > >>>>>>>>>> wrote: > > >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital > > >> stop > > >>>>> her seizures > > >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. > > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your > > >> normal > > >>>>> treatment > > >>>>>>>>>> for siezure until you know more. > > >>>>>>>>>>>>>>> Henry > > >>>>>>>>>>>>>>> Mystery Diagnosis > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing > in > > >>>>> the yard, > > >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene > her > > >>>>> parents instantly > > >>>>>>>>>> calm down and tell you she has no history, no medications, > and > > >> no > > >>>>> known > > >>>>>>>>>> allergies. Your patient is having a grand mal seizure which > > >> has > > >>>>> been going on > > >>>>>>>>>> for at least 5 minutes. > > >>>>>>>>>>>>>>> What's your treatment and what's happening to her? > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >> ---------------------------------------------------------- > > >>>>>>>>>>>>>>> No virus found in this incoming message. > > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - > Release > > >>>>> Date: > > >>>>>>>>>> 07/11/11 18:35:00 > > >>>>>>>>>>>>>>> ---------- > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> No virus found in this outgoing message. > > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - > Release > > >>>>> Date: > > >>>>>>>>>> 07/11/11 18:35:00 > > >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Agreed!! Do another one. That was fun! Christie Hale ---- " Sharp wrote: > Darn good diagnosis challenge to the group Alyssa. Thanks for giving us > something to scratch our heads about while trying to figure out what was > going on in your patient's head. > > Barry > > Barry Sharp, MSHP, MCHES > Tobacco Prevention & Control Program Coordinator > Substance Abuse Services Unit > Mental Health and Substance Abuse Division > > > > Re: Mystery Diagnosis > > >>>>>>>>>> > > >>>>>>>>>> By which you mean metastatic cancer? No, but you're the > > >> closest > > >>>>> one so far. > > >>>>>>>>>> You're thinking along the right lines -- chronic, medical, > and > > >>>>> focal. > > >>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>> (21) 842-6428 > > >>>>>>>>>> > > >>>>>>>>>> > > >>>>>>>>>> > > >>>>>>>>>>> Could be mets ca? Just a thought.. > > >>>>>>>>>>> > > >>>>>>>>>>> Excuse any errors. > > >>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>> > > >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods > > >>>>> amwoods8644@...> wrote: > > >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one > > >>>>> swollen lymph node > > >>>>>>>>>> and one minor abrasion on her chin. > > >>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>> > > >>>>>>>>>>>> > > >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone > > >>>>>>>>>>>> > > >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver > > >>>>> jeremydriver@...> wrote: > > >>>>>>>>>>>>> Cat-scratch encephalopathy? > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler > > >>>>> bradsattler@...> wrote: > > >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check > > >>>>> anyway)? > > >>>>>>>>>>>>> -Brad > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods > > >>>>> amwoods8644@...> wrote: > > >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the > > >>>>> duration of the > > >>>>>>>>>> drip only, the node is visibly swollen. You don't see or > feel > > >> any > > >>>>> other swollen > > >>>>>>>>>> lymph nodes. No s/s of anemia. > > >>>>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big > is > > >> the > > >>>>> node? > > >>>>>>>>>> Reasesses paying attention for nodules? > > >>>>>>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods > > >>>>> amwoods8644@...> > > >>>>>>>>>> wrote: > > >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital > > >> stop > > >>>>> her seizures > > >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. > > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your > > >> normal > > >>>>> treatment > > >>>>>>>>>> for siezure until you know more. > > >>>>>>>>>>>>>>> Henry > > >>>>>>>>>>>>>>> Mystery Diagnosis > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing > in > > >>>>> the yard, > > >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene > her > > >>>>> parents instantly > > >>>>>>>>>> calm down and tell you she has no history, no medications, > and > > >> no > > >>>>> known > > >>>>>>>>>> allergies. Your patient is having a grand mal seizure which > > >> has > > >>>>> been going on > > >>>>>>>>>> for at least 5 minutes. > > >>>>>>>>>>>>>>> What's your treatment and what's happening to her? > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >> ---------------------------------------------------------- > > >>>>>>>>>>>>>>> No virus found in this incoming message. > > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - > Release > > >>>>> Date: > > >>>>>>>>>> 07/11/11 18:35:00 > > >>>>>>>>>>>>>>> ---------- > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> No virus found in this outgoing message. > > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - > Release > > >>>>> Date: > > >>>>>>>>>> 07/11/11 18:35:00 > > >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Agreed!! Do another one. That was fun! Christie Hale ---- " Sharp wrote: > Darn good diagnosis challenge to the group Alyssa. Thanks for giving us > something to scratch our heads about while trying to figure out what was > going on in your patient's head. > > Barry > > Barry Sharp, MSHP, MCHES > Tobacco Prevention & Control Program Coordinator > Substance Abuse Services Unit > Mental Health and Substance Abuse Division > > > > Re: Mystery Diagnosis > > >>>>>>>>>> > > >>>>>>>>>> By which you mean metastatic cancer? No, but you're the > > >> closest > > >>>>> one so far. > > >>>>>>>>>> You're thinking along the right lines -- chronic, medical, > and > > >>>>> focal. > > >>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>> (21) 842-6428 > > >>>>>>>>>> > > >>>>>>>>>> > > >>>>>>>>>> > > >>>>>>>>>>> Could be mets ca? Just a thought.. > > >>>>>>>>>>> > > >>>>>>>>>>> Excuse any errors. > > >>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>> > > >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods > > >>>>> amwoods8644@...> wrote: > > >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one > > >>>>> swollen lymph node > > >>>>>>>>>> and one minor abrasion on her chin. > > >>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>> > > >>>>>>>>>>>> > > >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone > > >>>>>>>>>>>> > > >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver > > >>>>> jeremydriver@...> wrote: > > >>>>>>>>>>>>> Cat-scratch encephalopathy? > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler > > >>>>> bradsattler@...> wrote: > > >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check > > >>>>> anyway)? > > >>>>>>>>>>>>> -Brad > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>>>> > > >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods > > >>>>> amwoods8644@...> wrote: > > >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the > > >>>>> duration of the > > >>>>>>>>>> drip only, the node is visibly swollen. You don't see or > feel > > >> any > > >>>>> other swollen > > >>>>>>>>>> lymph nodes. No s/s of anemia. > > >>>>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big > is > > >> the > > >>>>> node? > > >>>>>>>>>> Reasesses paying attention for nodules? > > >>>>>>>>>>>>>>> Sent from my iPhone > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods > > >>>>> amwoods8644@...> > > >>>>>>>>>> wrote: > > >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital > > >> stop > > >>>>> her seizures > > >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. > > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your > > >> normal > > >>>>> treatment > > >>>>>>>>>> for siezure until you know more. > > >>>>>>>>>>>>>>> Henry > > >>>>>>>>>>>>>>> Mystery Diagnosis > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing > in > > >>>>> the yard, > > >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene > her > > >>>>> parents instantly > > >>>>>>>>>> calm down and tell you she has no history, no medications, > and > > >> no > > >>>>> known > > >>>>>>>>>> allergies. Your patient is having a grand mal seizure which > > >> has > > >>>>> been going on > > >>>>>>>>>> for at least 5 minutes. > > >>>>>>>>>>>>>>> What's your treatment and what's happening to her? > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> > > >> ---------------------------------------------------------- > > >>>>>>>>>>>>>>> No virus found in this incoming message. > > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - > Release > > >>>>> Date: > > >>>>>>>>>> 07/11/11 18:35:00 > > >>>>>>>>>>>>>>> ---------- > > >>>>>>>>>>>>>>> > > >>>>>>>>>>>>>>> No virus found in this outgoing message. > > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - > Release > > >>>>> Date: > > >>>>>>>>>> 07/11/11 18:35:00 > > >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Henry: generally those folks are a: older, and b: sicker to start with....I don't think I've seen a decent peridontal abscess in a patient under age 15 in my 35 year career....even in the teens with a meth problem. Since I was one of the few docs willing to work with the dentists to clear kids with 'milk teeth' (multiple caries due to a combination of bottle propping, poor diet and worse hygiene) for multiple extractions back when I was in the clinic, I suspect I would have noticed something like that. ck In a message dated 07/13/11 13:29:03 Central Daylight Time, hbarber@... writes: Did we cover brain abcess do to bad tooth henry Mystery Diagnosis >> > >>>>>>>>> >> > >>>>>>>>> You're called out to a 5 year old girl who was playing in >> the yard, >> > >>>> when she suddenly had a seizure. When you arrive on scene her >> parents instantly >> > >>>> calm down and tell you she has no history, no medications, and no >> known >> > >>>> allergies. Your patient is having a grand mal seizure which has >> been going on >> > >>>> for at least 5 minutes. >> > >>>>>>>>> >> > >>>>>>>>> What's your treatment and what's happening to her? >> > >>>>>>>>> >> > >>>>>>>>> Alyssa Woods, NREMT-B >> > >>>>>>>>> >> > >>>>>>>>> >> > >>>>>>>>> ---------------------------------------------------------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this incoming message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> ---------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this outgoing message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> [Non-text portions of this message have been removed] >> > >>>>>>>>> >> > >>>>>>>>> [Non-text portions of this message have been removed] >> > >>>>>>>>> >> > >>>>>>>>> ------------------------------------ >> > >>>>>>>>> >> > >>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Henry: generally those folks are a: older, and b: sicker to start with....I don't think I've seen a decent peridontal abscess in a patient under age 15 in my 35 year career....even in the teens with a meth problem. Since I was one of the few docs willing to work with the dentists to clear kids with 'milk teeth' (multiple caries due to a combination of bottle propping, poor diet and worse hygiene) for multiple extractions back when I was in the clinic, I suspect I would have noticed something like that. ck In a message dated 07/13/11 13:29:03 Central Daylight Time, hbarber@... writes: Did we cover brain abcess do to bad tooth henry Mystery Diagnosis >> > >>>>>>>>> >> > >>>>>>>>> You're called out to a 5 year old girl who was playing in >> the yard, >> > >>>> when she suddenly had a seizure. When you arrive on scene her >> parents instantly >> > >>>> calm down and tell you she has no history, no medications, and no >> known >> > >>>> allergies. Your patient is having a grand mal seizure which has >> been going on >> > >>>> for at least 5 minutes. >> > >>>>>>>>> >> > >>>>>>>>> What's your treatment and what's happening to her? >> > >>>>>>>>> >> > >>>>>>>>> Alyssa Woods, NREMT-B >> > >>>>>>>>> >> > >>>>>>>>> >> > >>>>>>>>> ---------------------------------------------------------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this incoming message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> ---------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this outgoing message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> [Non-text portions of this message have been removed] >> > >>>>>>>>> >> > >>>>>>>>> [Non-text portions of this message have been removed] >> > >>>>>>>>> >> > >>>>>>>>> ------------------------------------ >> > >>>>>>>>> >> > >>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 and in a patient over say, 15, it would have been a reasonable one. One thing about most of the infectious causes for seizures that needs to be brought out: those folks are generally sick *before* they seize. Same with folks who are hypothermia from sepsis. ck In a message dated 07/13/11 16:03:35 Central Daylight Time, hbarber@... writes: I don't doubt you would have. I had no clue what the problem was so I remembered a patient years ago that had unexplained siezures and they finally found out he had an abcess. Shot in the dark on my part. Thanks Henry Mystery Diagnosis >> > >>>>>>>>> >> > >>>>>>>>> You're called out to a 5 year old girl who was playing in >> the yard, >> > >>>> when she suddenly had a seizure. When you arrive on scene her >> parents instantly >> > >>>> calm down and tell you she has no history, no medications, and no >> known >> > >>>> allergies. Your patient is having a grand mal seizure which has >> been going on >> > >>>> for at least 5 minutes. >> > >>>>>>>>> >> > >>>>>>>>> What's your treatment and what's happening to her? >> > >>>>>>>>> >> > >>>>>>>>> Alyssa Woods, NREMT-B >> > >>>>>>>>> >> > >>>>>>>>> >> > >>>>>>>>> ---------------------------------------------------------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this incoming message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> ---------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this outgoing message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> [Non-text portions of this message have been removed] >> > >>>>>>>>> >> > >>>>>>>>> [Non-text portions of this message have been removed] >> > >>>>>>>>> >> > >>>>>>>>> ------------------------------------ >> > >>>>>>>>> >> > >>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 and in a patient over say, 15, it would have been a reasonable one. One thing about most of the infectious causes for seizures that needs to be brought out: those folks are generally sick *before* they seize. Same with folks who are hypothermia from sepsis. ck In a message dated 07/13/11 16:03:35 Central Daylight Time, hbarber@... writes: I don't doubt you would have. I had no clue what the problem was so I remembered a patient years ago that had unexplained siezures and they finally found out he had an abcess. Shot in the dark on my part. Thanks Henry Mystery Diagnosis >> > >>>>>>>>> >> > >>>>>>>>> You're called out to a 5 year old girl who was playing in >> the yard, >> > >>>> when she suddenly had a seizure. When you arrive on scene her >> parents instantly >> > >>>> calm down and tell you she has no history, no medications, and no >> known >> > >>>> allergies. Your patient is having a grand mal seizure which has >> been going on >> > >>>> for at least 5 minutes. >> > >>>>>>>>> >> > >>>>>>>>> What's your treatment and what's happening to her? >> > >>>>>>>>> >> > >>>>>>>>> Alyssa Woods, NREMT-B >> > >>>>>>>>> >> > >>>>>>>>> >> > >>>>>>>>> ---------------------------------------------------------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this incoming message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> ---------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this outgoing message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> [Non-text portions of this message have been removed] >> > >>>>>>>>> >> > >>>>>>>>> [Non-text portions of this message have been removed] >> > >>>>>>>>> >> > >>>>>>>>> ------------------------------------ >> > >>>>>>>>> >> > >>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Congenital AV malformation? Sent from my iPhone > No, but you're definitely on the right track. Keep thinking along vasculature lines. > > What do we do to dialysis patients? > > Alyssa Woods, NREMT-B > > > > > > >> Cerebral Aneurysms? >> >> Barry Sharp, MSHP, MCHES >> Tobacco Prevention & Control Program Coordinator >> Substance Abuse Services Unit >> Mental Health and Substance Abuse Division >> >> >> >> Re: Mystery Diagnosis >>>>>>>>>> >>>>>>>>>> By which you mean metastatic cancer? No, but you're the >> closest >>>>> one so far. >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and >>>>> focal. >>>>>>>>>> >>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>> (21) 842-6428 >>>>>>>>>> >>>>>>>>>> >>>>>>>>>> >>>>>>>>>>> Could be mets ca? Just a thought.. >>>>>>>>>>> >>>>>>>>>>> Excuse any errors. >>>>>>>>>>> Sent from my iPhone >>>>>>>>>>> >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods >>>>> amwoods8644@...> wrote: >>>>>>>>>>> >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one >>>>> swollen lymph node >>>>>>>>>> and one minor abrasion on her chin. >>>>>>>>>>>> >>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone >>>>>>>>>>>> >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver >>>>> jeremydriver@...> wrote: >>>>>>>>>>>> >>>>>>>>>>>>> Cat-scratch encephalopathy? >>>>>>>>>>>>> >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler >>>>> bradsattler@...> wrote: >>>>>>>>>>>>> >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check >>>>> anyway)? >>>>>>>>>>>>> >>>>>>>>>>>>> -Brad >>>>>>>>>>>>> >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods >>>>> amwoods8644@...> wrote: >>>>>>>>>>>>> >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the >>>>> duration of the >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel >> any >>>>> other swollen >>>>>>>>>> lymph nodes. No s/s of anemia. >>>>>>>>>>>>>> >>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is >> the >>>>> node? >>>>>>>>>> Reasesses paying attention for nodules? >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods >>>>> amwoods8644@...> >>>>>>>>>> wrote: >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital >> stop >>>>> her seizures >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your >> normal >>>>> treatment >>>>>>>>>> for siezure until you know more. >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Henry >>>>>>>>>>>>>>> Mystery Diagnosis >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in >>>>> the yard, >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her >>>>> parents instantly >>>>>>>>>> calm down and tell you she has no history, no medications, and >> no >>>>> known >>>>>>>>>> allergies. Your patient is having a grand mal seizure which >> has >>>>> been going on >>>>>>>>>> for at least 5 minutes. >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> What's your treatment and what's happening to her? >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >> ---------------------------------------------------------- >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> No virus found in this incoming message. >>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>> Date: >>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> ---------- >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> No virus found in this outgoing message. >>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>> Date: >>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Congenital AV malformation? Sent from my iPhone > No, but you're definitely on the right track. Keep thinking along vasculature lines. > > What do we do to dialysis patients? > > Alyssa Woods, NREMT-B > > > > > > >> Cerebral Aneurysms? >> >> Barry Sharp, MSHP, MCHES >> Tobacco Prevention & Control Program Coordinator >> Substance Abuse Services Unit >> Mental Health and Substance Abuse Division >> >> >> >> Re: Mystery Diagnosis >>>>>>>>>> >>>>>>>>>> By which you mean metastatic cancer? No, but you're the >> closest >>>>> one so far. >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and >>>>> focal. >>>>>>>>>> >>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>> (21) 842-6428 >>>>>>>>>> >>>>>>>>>> >>>>>>>>>> >>>>>>>>>>> Could be mets ca? Just a thought.. >>>>>>>>>>> >>>>>>>>>>> Excuse any errors. >>>>>>>>>>> Sent from my iPhone >>>>>>>>>>> >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods >>>>> amwoods8644@...> wrote: >>>>>>>>>>> >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one >>>>> swollen lymph node >>>>>>>>>> and one minor abrasion on her chin. >>>>>>>>>>>> >>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone >>>>>>>>>>>> >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver >>>>> jeremydriver@...> wrote: >>>>>>>>>>>> >>>>>>>>>>>>> Cat-scratch encephalopathy? >>>>>>>>>>>>> >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler >>>>> bradsattler@...> wrote: >>>>>>>>>>>>> >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check >>>>> anyway)? >>>>>>>>>>>>> >>>>>>>>>>>>> -Brad >>>>>>>>>>>>> >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods >>>>> amwoods8644@...> wrote: >>>>>>>>>>>>> >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the >>>>> duration of the >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel >> any >>>>> other swollen >>>>>>>>>> lymph nodes. No s/s of anemia. >>>>>>>>>>>>>> >>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is >> the >>>>> node? >>>>>>>>>> Reasesses paying attention for nodules? >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods >>>>> amwoods8644@...> >>>>>>>>>> wrote: >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital >> stop >>>>> her seizures >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your >> normal >>>>> treatment >>>>>>>>>> for siezure until you know more. >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Henry >>>>>>>>>>>>>>> Mystery Diagnosis >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in >>>>> the yard, >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her >>>>> parents instantly >>>>>>>>>> calm down and tell you she has no history, no medications, and >> no >>>>> known >>>>>>>>>> allergies. Your patient is having a grand mal seizure which >> has >>>>> been going on >>>>>>>>>> for at least 5 minutes. >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> What's your treatment and what's happening to her? >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >> ---------------------------------------------------------- >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> No virus found in this incoming message. >>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>> Date: >>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> ---------- >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> No virus found in this outgoing message. >>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>> Date: >>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Congenital AV malformation? Sent from my iPhone > No, but you're definitely on the right track. Keep thinking along vasculature lines. > > What do we do to dialysis patients? > > Alyssa Woods, NREMT-B > > > > > > >> Cerebral Aneurysms? >> >> Barry Sharp, MSHP, MCHES >> Tobacco Prevention & Control Program Coordinator >> Substance Abuse Services Unit >> Mental Health and Substance Abuse Division >> >> >> >> Re: Mystery Diagnosis >>>>>>>>>> >>>>>>>>>> By which you mean metastatic cancer? No, but you're the >> closest >>>>> one so far. >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and >>>>> focal. >>>>>>>>>> >>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>> (21) 842-6428 >>>>>>>>>> >>>>>>>>>> >>>>>>>>>> >>>>>>>>>>> Could be mets ca? Just a thought.. >>>>>>>>>>> >>>>>>>>>>> Excuse any errors. >>>>>>>>>>> Sent from my iPhone >>>>>>>>>>> >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods >>>>> amwoods8644@...> wrote: >>>>>>>>>>> >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one >>>>> swollen lymph node >>>>>>>>>> and one minor abrasion on her chin. >>>>>>>>>>>> >>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone >>>>>>>>>>>> >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver >>>>> jeremydriver@...> wrote: >>>>>>>>>>>> >>>>>>>>>>>>> Cat-scratch encephalopathy? >>>>>>>>>>>>> >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler >>>>> bradsattler@...> wrote: >>>>>>>>>>>>> >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check >>>>> anyway)? >>>>>>>>>>>>> >>>>>>>>>>>>> -Brad >>>>>>>>>>>>> >>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods >>>>> amwoods8644@...> wrote: >>>>>>>>>>>>> >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the >>>>> duration of the >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel >> any >>>>> other swollen >>>>>>>>>> lymph nodes. No s/s of anemia. >>>>>>>>>>>>>> >>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>> >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is >> the >>>>> node? >>>>>>>>>> Reasesses paying attention for nodules? >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Sent from my iPhone >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods >>>>> amwoods8644@...> >>>>>>>>>> wrote: >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital >> stop >>>>> her seizures >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your >> normal >>>>> treatment >>>>>>>>>> for siezure until you know more. >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Henry >>>>>>>>>>>>>>> Mystery Diagnosis >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in >>>>> the yard, >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her >>>>> parents instantly >>>>>>>>>> calm down and tell you she has no history, no medications, and >> no >>>>> known >>>>>>>>>> allergies. Your patient is having a grand mal seizure which >> has >>>>> been going on >>>>>>>>>> for at least 5 minutes. >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> What's your treatment and what's happening to her? >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> >> ---------------------------------------------------------- >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> No virus found in this incoming message. >>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>> Date: >>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> ---------- >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> No virus found in this outgoing message. >>>>>>>>>>>>>>> Checked by AVG - www.avg.com >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >>>>> Date: >>>>>>>>>> 07/11/11 18:35:00 >>>>>>>>>>>>>>> >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Indeed; won it. Alyssa Woods, NREMT-B > Congenital AV malformation? > > Sent from my iPhone > > > > > No, but you're definitely on the right track. Keep thinking along vasculature lines. > > > > What do we do to dialysis patients? > > > > Alyssa Woods, NREMT-B > > > > > > > > > > > > > >> Cerebral Aneurysms? > >> > >> Barry Sharp, MSHP, MCHES > >> Tobacco Prevention & Control Program Coordinator > >> Substance Abuse Services Unit > >> Mental Health and Substance Abuse Division > >> > >> > >> > >> Re: Mystery Diagnosis > >>>>>>>>>> > >>>>>>>>>> By which you mean metastatic cancer? No, but you're the > >> closest > >>>>> one so far. > >>>>>>>>>> You're thinking along the right lines -- chronic, medical, and > >>>>> focal. > >>>>>>>>>> > >>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>> (21) 842-6428 > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>> > >>>>>>>>>>> Could be mets ca? Just a thought.. > >>>>>>>>>>> > >>>>>>>>>>> Excuse any errors. > >>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>> > >>>>>>>>>>> On Jul 12, 2011, at 1:39 PM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>> > >>>>>>>>>>>> No pets. No cat scratches. Pt is pristine except for one > >>>>> swollen lymph node > >>>>>>>>>> and one minor abrasion on her chin. > >>>>>>>>>>>> > >>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>> > >>>>>>>>>>>> > >>>>>>>>>>>> Sent from the itty bitty keyboard on my iPhone > >>>>>>>>>>>> > >>>>>>>>>>>> On Jul 12, 2011, at 13:35, jeremydriver > >>>>> jeremydriver@...> wrote: > >>>>>>>>>>>> > >>>>>>>>>>>>> Cat-scratch encephalopathy? > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 1:28 PM, Brad Sattler > >>>>> bradsattler@...> wrote: > >>>>>>>>>>>>> > >>>>>>>>>>>>> Pupils/PMS/Cranial Nerve Responses (those you can check > >>>>> anyway)? > >>>>>>>>>>>>> > >>>>>>>>>>>>> -Brad > >>>>>>>>>>>>> > >>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>> > >>>>>>>>>>>>> On Jul 12, 2011, at 11:22 AM, Alyssa Woods > >>>>> amwoods8644@...> wrote: > >>>>>>>>>>>>> > >>>>>>>>>>>>>> High-dose phenobarbital drip calms her seizures for the > >>>>> duration of the > >>>>>>>>>> drip only, the node is visibly swollen. You don't see or feel > >> any > >>>>> other swollen > >>>>>>>>>> lymph nodes. No s/s of anemia. > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Phenobarbitol drip? Look for s/s of anemia... How big is > >> the > >>>>> node? > >>>>>>>>>> Reasesses paying attention for nodules? > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Sent from my iPhone > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> On Jul 12, 2011, at 1:13 PM, Alyssa Woods > >>>>> amwoods8644@...> > >>>>>>>>>> wrote: > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> She did not ingest a plant. Benzo's and phenobarbital > >> stop > >>>>> her seizures > >>>>>>>>>> for 30 seconds - 1 minute, paralytics for a few minutes. > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Find out what plant she possibly ingested. Begin your > >> normal > >>>>> treatment > >>>>>>>>>> for siezure until you know more. > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Henry > >>>>>>>>>>>>>>> Mystery Diagnosis > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in > >>>>> the yard, > >>>>>>>>>> when she suddenly had a seizure. When you arrive on scene her > >>>>> parents instantly > >>>>>>>>>> calm down and tell you she has no history, no medications, and > >> no > >>>>> known > >>>>>>>>>> allergies. Your patient is having a grand mal seizure which > >> has > >>>>> been going on > >>>>>>>>>> for at least 5 minutes. > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> What's your treatment and what's happening to her? > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Alyssa Woods, NREMT-B > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> > >> ---------------------------------------------------------- > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> No virus found in this incoming message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> ---------- > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> No virus found in this outgoing message. > >>>>>>>>>>>>>>> Checked by AVG - www.avg.com > >>>>>>>>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release > >>>>> Date: > >>>>>>>>>> 07/11/11 18:35:00 > >>>>>>>>>>>>>>> > >>>>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 Did we cover brain abcess do to bad tooth henry Mystery Diagnosis >> > >>>>>>>>> >> > >>>>>>>>> You're called out to a 5 year old girl who was playing in >> the yard, >> > >>>> when she suddenly had a seizure. When you arrive on scene her >> parents instantly >> > >>>> calm down and tell you she has no history, no medications, and no >> known >> > >>>> allergies. Your patient is having a grand mal seizure which has >> been going on >> > >>>> for at least 5 minutes. >> > >>>>>>>>> >> > >>>>>>>>> What's your treatment and what's happening to her? >> > >>>>>>>>> >> > >>>>>>>>> Alyssa Woods, NREMT-B >> > >>>>>>>>> >> > >>>>>>>>> >> > >>>>>>>>> ---------------------------------------------------------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this incoming message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> ---------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this outgoing message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 I don't doubt you would have. I had no clue what the problem was so I remembered a patient years ago that had unexplained siezures and they finally found out he had an abcess. Shot in the dark on my part. Thanks Henry Mystery Diagnosis >> > >>>>>>>>> >> > >>>>>>>>> You're called out to a 5 year old girl who was playing in >> the yard, >> > >>>> when she suddenly had a seizure. When you arrive on scene her >> parents instantly >> > >>>> calm down and tell you she has no history, no medications, and no >> known >> > >>>> allergies. Your patient is having a grand mal seizure which has >> been going on >> > >>>> for at least 5 minutes. >> > >>>>>>>>> >> > >>>>>>>>> What's your treatment and what's happening to her? >> > >>>>>>>>> >> > >>>>>>>>> Alyssa Woods, NREMT-B >> > >>>>>>>>> >> > >>>>>>>>> >> > >>>>>>>>> ---------------------------------------------------------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this incoming message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> ---------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this outgoing message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 13, 2011 Report Share Posted July 13, 2011 I don't doubt you would have. I had no clue what the problem was so I remembered a patient years ago that had unexplained siezures and they finally found out he had an abcess. Shot in the dark on my part. Thanks Henry Mystery Diagnosis >> > >>>>>>>>> >> > >>>>>>>>> You're called out to a 5 year old girl who was playing in >> the yard, >> > >>>> when she suddenly had a seizure. When you arrive on scene her >> parents instantly >> > >>>> calm down and tell you she has no history, no medications, and no >> known >> > >>>> allergies. Your patient is having a grand mal seizure which has >> been going on >> > >>>> for at least 5 minutes. >> > >>>>>>>>> >> > >>>>>>>>> What's your treatment and what's happening to her? >> > >>>>>>>>> >> > >>>>>>>>> Alyssa Woods, NREMT-B >> > >>>>>>>>> >> > >>>>>>>>> >> > >>>>>>>>> ---------------------------------------------------------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this incoming message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> ---------- >> > >>>>>>>>> >> > >>>>>>>>> No virus found in this outgoing message. >> > >>>>>>>>> Checked by AVG - www.avg.com >> > >>>>>>>>> Version: 8.5.449 / Virus Database: 271.1.1/3759 - Release >> Date: >> > >>>> 07/11/11 18:35:00 >> > >>>>>>>>> >> > >>>>>>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2011 Report Share Posted July 18, 2011 Apologies to everyone for my gmail malfunctioning. Regards, Alyssa Woods, NREMT-B > Where would you transport to? Children's Hospital or closest ER? > > Alyssa Woods, NREMT-B > > > > > >> Time to treat with generous doses of diesel (carefully!). �The ignorance of one voter in a democracy impairs the security of all.� -- F. Kennedy, 1963 >> >> ----- Re: Mystery Diagnosis >>>>>>>>>>>> >>>>>>>>>>>> at this point, I'd be looking around to see what plants are in the >>>>>>>>>>>> backyard.... >>>>>>>>>>>> >>>>>>>>>>>> ck >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> In a message dated 07/11/11 19:33:14 Central Daylight Time, >>>>>>>>>>>> amwoods8644@... writes: >>>>>>>>>>>> >>>>>>>>>>>> The parents are rather vague about the events leading up to the seizure. >>>>>>>>>>>> They were moving and just unpacking and she was playing in the backyard, >>>>>>>>>>>> being a normal kid. They didn't think anything was wrong until they looked up >>>>>>>>>>>> and she was seizing. >>>>>>>>>>>> >>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>> >>>>>>>>>>>>> What happened right before the seizure? >>>>>>>>>>>>> >>>>>>>>>>>>> -Wes Ogilvie >>>>>>>>>>>>> >>>>>>>>>>>>> On Jul 11, 2011, at 06:37 PM, Alyssa Woods amwoods8644@...> wrote: >>>>>>>>>>>>> >>>>>>>>>>>>> >>>>>>>>>>>>> >>>>>>>>>>>>> You're called out to a 5 year old girl who was playing in the yard, when >>>>>>>>>>>> she suddenly had a seizure. When you arrive on scene her parents instantly >>>>>>>>>>>> calm down and tell you she has no history, no medications, and no known >>>>>>>>>>>> allergies. Your patient is having a grand mal seizure which has been going on >>>>>>>>>>>> for at least 5 minutes. >>>>>>>>>>>>> >>>>>>>>>>>>> What's your treatment and what's happening to her? >>>>>>>>>>>>> >>>>>>>>>>>>> Alyssa Woods, NREMT-B >>>>>>>>>>>>> >>>>>>>>>>>>> >>>>>>>>>>>>> >>>>>>>>>>>>> Quote Link to comment Share on other sites More sharing options...
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