QUESTIONS AND ANSWERS
Risk factors for esophageal varices - ANS - severe cirhosis/liver failure
- excessive alcohol use
- excessive vomiting
- portal hypertension
Esophageal varices - ANS enlarged veins in the esophagus
Meningitis - ANS inflammation of the meninges
- quick onset (12-24 hrs)
- s/s fever, headache, stiff neck, altered mental status
- Very contagious and very deadly once symptoms are present
PPE for a pt. with Meningitis - ANS - Both you and your pt. should wear N-95 masks
Tuberculosis s/s - ANS bloody sputum, night sweats, fevers, sudden weight loss
Only contagious form of TB - ANS Respiratory
Measles s/s - ANS Koplik spots: start on head and shower down body (also seen in mouth)
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, MRSA - ANS - bacteria that causes infections
- resistant to many antibiotics
- can be transferred in hospitals between patients
Ebola - ANS - viral hemorrhagic fever
- pt. loses a lot of fluids
- fatality can be as high as 70% without prompt treatment
Important travel medicine questions - ANS - Is anyone else in your party sick?
- Where did you drink water from?
- What types of food did you eat?
- Did you receive any vaccinations before the trip?
Fistula - ANS medical device that connects vein and artery system (used a lot for dialysis)
Port - ANS medical device under the skin for easy access with a needle
Shunt - ANS Medical device that relieves pressure caused by excess fluid in body by
redirecting it (commonly moves CFS in brain)
left ventricular assist device - ANS Maintains cardiac function without the heart
- pt. with this will not have a pulse
Sickle cell disease - ANS - 10-20% of RBCs are sickle shaped
- pt. will present with abdominal pain (secondary to spleen working very hard to filter out
deformed RBCs)
- joint pain: caused by RBCs getting caught in tight spaces (joints)
- Treatment: take to hospital
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