A 42-year-old male presents to the emergency department with continuous seizure activity. He has a history of seizures but has not been compliant with his medication. On examination, he is unresponsive and demonstrates ongoing generalized tonic-clonic movements. Vital signs reveal tachycardia and hypertension. What type of seizure is most likely occurring?

You are receiving shift report on a patient with intrahepatic biliary disease (cirrhosis). The nurse tells you the patient’s bilirubin levels are very high. Based on your knowledge, what could you expect to see regarding this patient? (Select all that apply)

Ms. Major, a 60-year-old female, presents to the emergency department after falling off a 25-foot ladder while cleaning the gutters. She complains of right-sided hip pain and is unable to bear weight. She has contusions on her right side and some scrapes and scratches but denies hitting her head or sustaining other injuries. She is diagnosed with a hip fracture. Ms. Major is a small-framed woman, very active, follows a healthy diet, and is well engaged in her community with many friends. What factor(s) make her more at risk for a hip fracture?

What is a clinical manifestation of right-sided heart failure?

What medical term is used to identify a functional urinary tract obstruction caused by an interruption of the nerve supply to the bladder?

What is the most common cause of hypoxemia?

A patient presents to the Level I trauma center after being involved in a 70-car pile-up on Interstate 35. He has multiple injuries and was crushed between several cars. This is a life-threatening injury, and he has severe muscle trauma. What is your suspicion regarding the possible complications this patient might be experiencing? (Select all that apply)

A patient diagnosed with diabetic ketoacidosis (DKA) has the following laboratory values: arterial pH 7.2; serum glucose 500 mg/dL; positive urine glucose and ketones; serum potassium 2 mEq/L; serum sodium 130 mEq/L. The patient reports that he has been sick with the “flu” for 1 week. What relationship do these values have to his insulin deficiency?

Lorretta, a 35-year-old female, is brought to the emergency department with complaints of bleeding from multiple sites, including her nose and gums. She also presents with pain and swelling in her left leg. She has a past medical history of deep vein thrombosis (DVT) and is currently on anticoagulant therapy. On examination, she has petechiae on her skin, swollen and tender left leg, and blood oozing from her IV site. Laboratory tests reveal prolonged bleeding time, decreased platelet count, elevated D-dimer levels, and prolonged prothrombin time (PT) and activated partial thromboplastin time (aPTT). What is going on with Lorretta?

John, a 35-year-old construction worker, sustains an injury while working on a construction site. He falls from a ladder and lands awkwardly on his outstretched arm. Following the fall, John experiences severe pain and limited range of motion in his shoulder. He visits the emergency room, where imaging tests reveal damage to his shoulder joint. What is the term used to describe John’s shoulder injury where the joint surfaces partially lose contact with each other due to trauma?

What do you call these areas that are colored?