01-19-2015, 07:52 PM
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NBME 4 block 2 q 7 - stranger016
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01-19-2015, 08:44 PM
Seems like delirium tremens to me
Usu. occurs After 2-5 days after last drink( usu seen in alcoholic, since he is hospitalized for cholecytectomy,i am assuming he missed his drinks) Hints: anxious,tremors,confused,restless So give benzodiazepam R/o ceftriaxone since no s/s of sepsis,infection (low grade fever) R/o buspirone Why would u give buspurine for confused pts R/o naltrexone (doesnt seem opioid intoxication--other hints like pinpoint pupils,cns depressants so would be sedated and not restless....) R/o pentolamine (except for bp 160/100,other symptoms are not consistent with pheo) And no use giving sertraline... So i would go with alcohol withdrawal delirium tremens and give diazepam!! Correct me if i am wrong!! Thank u for the question.
01-19-2015, 11:11 PM
woah good explanation...thank u
looks like u are right |
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