emergency medicine - amino

[ArchivalUser]

A high school senior class group has decided to
spend spring break skiing in Colorado. Two students
develop headache and malaise after spending their
first night at the ski lodge.

What are the students most likely experiencing?
a. the symptoms meet clinical criteria of sinus
pressure headache
b. the symptoms meet clinical criteria of acute
mountain sickness (AMS)
c. these symptoms suggest they are not enjoying
their vacation
d. these symptoms meet criteria for high-altitude
pulmonary edema (HAPE)
e. these symptoms suggest high-altitude cerebral
edema (HACE)


After 72 hours, one of the sick students feels
fine and the other seems confused and has trouble
putting on his socks. What treatment should
be instituted?
a. the well student should be evacuated and
treated with acetazolamide
b. the confused student should be evacuated and
treated with dexamethazone
c. both students should be evacuated and treated
with oxygen
d. neither needs treatment; the confused student
needs ski instruction
e. both students should be evacuated to lower
altitude

[ArchivalUser]

1- Dx is C: acute mountain sickness AMS

2- B: confused student should be treated with dexamethasone. I think he developed HACE.

[ArchivalUser]

B
B
CORRECT GERBERA

[ArchivalUser]

- B-AMS is a clinical diagnosis; diagnostics and
physical findings are not necessary. Diagnosis is
based on headache and one or more of the following
symptoms: nausea, vomiting, fatigue, lightheadedness,
anorexia, and insomnia at high altitude. Sinus
infection can cause similar symptoms and should be
considered.b.


B-This student is suffering from HACE. This is
an extension of AMS. Brain herniation from edema is of
great concern. Immediate decent, oxygen treatment,
and dexamethasone are needed as soon as possible.
Consider magnetic resonance imaging if available.