crotchitymedic1986 Posted December 10, 2008 Share Posted December 10, 2008 This one is way to easy for the veterans, dont blurt out the answer, give the baby docs a chance please. And yes, this is a REAL CALL, not a what if or hypothetical, and no i didnt do a csection on her --LOL You respond to your local college to find a 19 year old female who is quite anxious and states, when i woke up this morning my neck was locked, i cant move my head. Sure enough, her neck/head are locked in place, looking upward toward the ceiling. History: Appendix removed as a child She had flu symptoms this week and was seen at the college infirmary yesterday. She denies any recent trauma or falls Go for it .......................... Link to comment Share on other sites More sharing options...
spenac Posted December 10, 2008 Share Posted December 10, 2008 I know the answer. But to play nice. Vitals Temp Link to comment Share on other sites More sharing options...
crotchitymedic1986 Posted December 10, 2008 Author Share Posted December 10, 2008 Vitals are all within normal limits, including dstick (if you choose to do one later): She has a temp of 99.1 orally, but hasnt taken any medicine this morning, she did have a fever the last two days of up to 101, but it usually subsided with tylenol. She took her tylenol before bed last night, and didnt feel like she had a fever. If you need numbers: B/P 120/76 no significant orthostatic change Pulse 82 -- Monitor NSR without ectopy RR 16, Pulse ox 99% on RA Link to comment Share on other sites More sharing options...
rdelisle Posted December 10, 2008 Share Posted December 10, 2008 Any rash or muscle pain? Do the neck muscles feel tense or tight? What was she up to the night before? I've got a thought on what it is but I'm holding my tongue for now. Link to comment Share on other sites More sharing options...
Eydawn Posted December 10, 2008 Share Posted December 10, 2008 Nuchal rigidity after a fever? College girl? Dude, this can't get any easier. I'll play nice though. Productive cough? Headache? Other signs/symptoms? Recent trauma? Wendy CO EMT-B Link to comment Share on other sites More sharing options...
crotchitymedic1986 Posted December 10, 2008 Author Share Posted December 10, 2008 No wendy, not menengitis -- that would be too easy No rash, no drug use, she spent a quiet night in her dorm studying. And the neck muscles are tight, not sore. No headache, she still has some all over general body aches from the flu. Link to comment Share on other sites More sharing options...
Kaisu Posted December 10, 2008 Share Posted December 10, 2008 Shigella enteritis? Link to comment Share on other sites More sharing options...
crotchitymedic1986 Posted December 10, 2008 Author Share Posted December 10, 2008 nope kaisu, i wasnt even sure what that was, had to look it up --- so you taught me something today. Link to comment Share on other sites More sharing options...
spenac Posted December 10, 2008 Share Posted December 10, 2008 Nuchal rigidity after a fever? College girl? Dude, this can't get any easier. I'll play nice though. Productive cough? Headache? Other signs/symptoms? Recent trauma? Wendy CO EMT-B Wow you and me playing nice, now thats a scenario. Any deficits to any extremitys? Link to comment Share on other sites More sharing options...
crotchitymedic1986 Posted December 10, 2008 Author Share Posted December 10, 2008 Yes this is amazing, maybe there is hope for Iran and North Korea, if we can all get along. No, she doesnt have any other neuro deficits, her extemities are at normal strength, but is is difficult for her to walk because of the way her head is locked looking up at the ceiling (she cant see where she is going). Link to comment Share on other sites More sharing options...
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