Date Submitted:
Jul 30, 2008
Peer Review:
Not Requested
Altered mental status and hyperthermia in adult male v. 1
Sara LOZANO
isabelsloz@yahoo.com
August Medical Center, Fisherville VA
Topic:
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Exertional hyperthermia
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Target Audience:
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Case Description:
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The patient is a 48 year old male who has just started a weight loss program. After drinking alcoholic beverages last night (no active drug abuse) and using diphenhydramine for mild seasonal allergies, he set off on an uncharacteristic 3-mile run on a humid and warm day. He has consequently developed environmental hyperthermia with confusion (exertional heat stroke) and significant dehydration causing renal and muscle dysfunction (acute renal failure and rhabdomyolysis).
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Simulator Details
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Age:
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48 |
Gender:
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Male |
Chief Complaint:
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found down, altered mental status |
Diagnosis:
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exertional hyperthermia |
Setting:
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Emergency Department |
Equipment:
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a.) advanced medical simulation manikin
b.) male patient moulage with damp T shirt and shorts, reddened (flushed) face, pupils 4 mm symmetric |
Actors:
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nurse, spouse, ICU consultant |
Timeline:
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Yes
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Usage Details:
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Evaluation Tool:
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Yes
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Case Designed For:
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Education |
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Keywords:
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exertional hyperthermia, altered mental status, rhabdomyolysis, seizure |
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(File Size:
403456
bytes)
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