University:
Texas EMS School
Course:
PR HY 21 | Paramedic
Academic year:

2023
Views:

180

Pages:

1
Author:

pojairaxmoe

Please identify, for each of the following ﬁndings, both a potential toxin and a potential psychiatric or neurological condition that could cause a patient to present as such. 1. A patient who stares up at the sky, occasionally pointing to things. He mumbles incoherently and doesn't seem to pay any attention to you. a. The patient could be presenting with delirium. This is a serious disturbance in mental abilities that results in confused thinking. The patient is also not aware of the environment as stated “does not seem to pay attention to you” and is “occasionally pointing at things”. 2. A violently combative patient who left a whole box of pancake batter on her stove (turned on) and is now swinging a spatula at you. a. This patient could be suffering from hypoglycemia. Low blood sugar sometimes causes patients to become “angry” or combative. She quite possibly could have been trying to make food but ended up having a diabetic emergency. 3. A tachycardic patient who is hyperventilating and in obvious distress. She keeps repeating that she is going to die. a. This patient could be suffering from anxiety and even more so impending doom. Impending doom can occur during a panic attack or with feelings of anxiety. Symptoms include what was described by the patient above. Other symptoms may include sweating, trembling, difﬁculty sleeping, and gastrointestinal problems. 4. A patient is lethargic, responsive to verbal, and only able to mumble incoherently. a. This patient could either be suffering from a diabetic emergency or even a possible head injury. This is due to the altered level of consciousness and inability to speak words, and is just mumbling incoherently. 5. A teenage patient who is scratching her arms furiously, to the point where they are bleeding. They are too red and bruised to have any meaningful assessment. a. This patient could be suffering from a psychiatric disorder. One that comes to mind is schizophrenia. Schizophrenia sometimes presents as feelings of being touched, burning or tingling sensations, or itching. The itching is also known as parisitosis.

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