SAQ 1047 – Toxicology – reduced GCS with unsafe behaviour

A 64-year-old man known to frequently present with alcohol intoxication arrives after a witnessed generalised tonic-clonic seizure that has stopped en route.

His vital signs are normal except for GCS 10 (E3 V2 M5). Before investigations return, he wakes, rants that he wants to leave and pushes a nurse aside.

He later remains in ED, and the record shows recurrent alcohol-withdrawal seizures.

List your six most likely differential diagnoses for his reduced GCS.

(Marked out of 4.0)

/ 4

As senior clinician in charge, what are your priorities in managing the incident where he tries to leave and pushes the nurse?

(Marked out of 5.0)

/ 5

Complete the table with three medications used in ED to prevent or manage alcohol-withdrawal seizures.

(Marked out of 6.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Medication</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Purpose</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Dose/administration route</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">3.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 6

Total Score: 0 / 15

Percentage: 0%