Читать книгу Emergency Medicine Simulation Workbook - Группа авторов - Страница 49

A 50 year‐old man lying on a hospital stretcher is moaning in pain. Patient is occasionally retching into a basin.

Vital signs:	T 98.7°F (37.1°C), P 115, RR 14, BP 110/60, SpO2 99% on room air.
Head:	Atraumatic, normocephalic.
Eyes:	Pupils equal and reactive, extraocular muscles intact.
Ears/nose/mouth:	Dry mucous membranes.
Neck:	Supple, full range of motion, no meningismus.
Heart:	Tachycardic, regular, no murmurs/rubs/gallops.
Lungs:	Clear to auscultation bilaterally, no wheezes/rales/rhonchi.
Abdomen:	Distended, with hyperactive bowel sounds. Tender to palpation in all quadrants, no rebound/guarding/rigidity. Moans with deep palpation.
Extremities:	No edema, cyanosis, or clubbing.
Skin:	Warm and well‐perfused, no rashes.
Neurologic:	Alert and oriented to self, place, and time. No focal deficits. Cranial nerves intact. No nystagmus.
Psychiatric:	Patient very rude and uncooperative, with agitated affect. Denies SI/HI/active hallucinations.

See flow diagram (Figure 1.21) for scenario changes based on learner actions.