A 26-year-old man with known asthma visits your clinic with complaints of worsening wheezing over the past few hours. He has a history of non-compliance with his medication regimen. During previous consultations, his best peak flow measurements have been 600 L/min. What is the characteristic feature that indicates acute severe asthma in this individual?
The laboratory reports a sodium level of 118 mmol/L from a routine blood test for an 85 year old woman who has recently been prescribed sertraline for low mood and takes amlodipine for hypertension. Upon calling the patient, she reports feeling well. What is the appropriate course of action?
A 28-year-old woman with known asthma presents to your clinic with complaints of worsening wheezing over the past few hours. Her usual peak flow is 400 L/min. What characteristic indicates acute severe asthma in this individual?
A 16-year-old male presents with a two hour history of severe pain in the left testis. He is unaware of preceding trauma and feels that the pain has increased since it began. He feels nauseated and has been pyrexial.
Whilst examining him he confesses to having a sexual relationship. On examination, he has a tender swollen left testis with a temperature of 37.5°C.
What is the most appropriate management for this patient?
Which of the following characteristics is least commonly linked to ecstasy overdose?
A 42-year-old man with known asthma visits your clinic with complaints of worsening wheezing over the past few hours. He seldom attends asthma clinic. During previous consultations, his best peak flow measurements have been 500 L/min. What is the indication of acute severe asthma in this patient?
Whilst completing your medical reports one afternoon, you are disturbed by one of the receptionists who is shouting for help.
You run into the reception area to find the mother of a 7-month-old child shouting that her child has been stung by a bee. The practice nurse is preparing to give oxygen.
The child appears distressed and has stridor. The lips are swollen. You have made a quick ABC assessment, diagnosed anaphylaxis and decided to give adrenaline. Beside the child, your practice nurse has opened the emergency bag and you are presented with vials of epinephrine (adrenaline) 1:1000 solution.
How much of this epinephrine would you administer?
What is the recommended ratio of chest compressions to ventilations for adult cardiopulmonary arrest for a rescuer working alone, according to the Resuscitation Council (UK) guidelines?
A 62-year-old woman with known asthma visits your clinic with complaints of worsening shortness of breath and wheezing over the past few hours. She has a history of asthma but has not been consistent with her medication. During previous consultations, her best peak flow measurements were recorded at 300 L/min. What is the identifying characteristic of acute severe asthma in this patient?
A 25-year-old female is attempting to quit smoking. She recently smoked 10 cigarettes a day but has managed to cut down to 5 cigarettes a day by using nicotine gum. She is also curious about the effectiveness of E-cigarettes in aiding smoking cessation.
In your discussion with her, you may want to cover the following: