Wednesday, December 12, 2007

Vol 1:2 Answer

Thank you to everyone who participated. Your answers were recorded. Don't forget to give this week's VizD a try.

The Question

The answer is c.
The patient never got a finger stick at triage. Hypoglycemia can mimic a cerebrovascular accident or seizure. Therefore, it is critical that all patients who present with altered mental status get a finger stick glucose. It should be considered a vital sign. Hypoglycemia is a common problem in patients with type 1 diabetes. The clinical presentation of hypoglycemia is caused by increased secretion of epinephrine and CNS dysfunction. They include diaphoresis, nervousness, tremor, tachycardia, hunger, and neurologic symptoms ranging from confusion, bizarre behavior to seizures and coma.

quizzER is a weekly contest consisting of a question selected from various areas of emergency medicine that are central to the education of medical students and residents in training. For more information please refer to the following link.

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