Tag: altered mental state

SAQ 437 – Paediatrics – GHB overdose with attempted absconding

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Topic: Paediatrics | Tags: airway, altered mental state, capacity, intubation

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SAQ 438 – Environmental – exertional heat stroke

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Topic: Environmental | Tags: ABG/VBG, AKI, altered mental state, fluids

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SAQ 440 – Environmental – collapsed marathon runner with heat stroke and rhabdomyolysis

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Topic: Environmental | Tags: ABG/VBG, AKI, altered mental state, fluids

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SAQ 434 – Paediatrics – hypoglycaemia with lactic acidosis

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Topic: Paediatrics | Tags: ABG/VBG, acid base, altered mental state, hypoglycaemia

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SAQ 544 – Metabolic – mixed acid-base disturbance in respiratory distress

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Topic: Metabolic | Tags: ABG/VBG, acid base, altered mental state, fever

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SAQ 545 – Mental Health – psychiatric triage, suicide risk and delirium screening

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Topic: Mental Health | Tags: altered mental state, capacity, delirium, triage

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SAQ 478 – Paediatrics – slow-release verapamil ingestion in a toddler

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Topic: Paediatrics | Tags: altered mental state, calcium channel blocker, overdose, shock

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SAQ 470 – Neurology – fever, confusion and cerebral ring lesion on CT

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Topic: Neurology | Tags: altered mental state, antibiotics, CT brain, fever

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SAQ 465 – Toxicology – anticholinergic delirium after promethazine overdose

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Topic: Toxicology | Tags: altered mental state, overdose, seizure, TCA

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SAQ 509 – Paediatrics – diltiazem overdose with shock

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Topic: Paediatrics | Tags: altered mental state, arrhythmia, calcium channel blocker, overdose

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SAQ 512 – Metabolic – severe hyponatraemia with seizure

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Topic: Metabolic | Tags: ABG/VBG, acid base, altered mental state, hyponatraemia

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SAQ 555 – Mental Health – acute agitation assessment and parenteral sedation

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Topic: Mental Health | Tags: altered mental state, capacity, procedural sedation, triage

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SAQ 554 – Paediatrics – recurrent seizure after febrile convulsion discharge

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Topic: Paediatrics | Tags: altered mental state, febrile convulsion, oxygen, seizure

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SAQ 525 – Environmental – hypothermia with ECG changes

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Topic: Environmental | Tags: altered mental state, cardiac arrest, ECG, hypothermia

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SAQ 527 – Paediatrics – seizure with hypoglycaemia

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Topic: Paediatrics | Tags: altered mental state, hypoglycaemia, seizure

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SAQ 575 – Endocrinology – severe hyperglycaemia with metabolic acidosis

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Topic: Endocrinology | Tags: ABG/VBG, acid base, altered mental state, DKA

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SAQ 579 – Metabolic – mixed acid-base disturbance with hypokalaemia

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Topic: Metabolic | Tags: ABG/VBG, acid base, altered mental state, ECG

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SAQ 581 – Environmental – severe accidental hypothermia

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Topic: Environmental | Tags: altered mental state, collapse, ECG, elderly

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SAQ 582 – Toxicology – ethylene glycol ingestion with metabolic acidosis

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Topic: Toxicology | Tags: ABG/VBG, acid base, AKI, altered mental state

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SAQ 600 – Mental Health – psychiatric triage and delirium screening

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Topic: Mental Health | Tags: altered mental state, delirium, quality and safety, triage

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SAQ 601 – Toxicology – smoke inhalation with high lactate

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Topic: Toxicology | Tags: ABG/VBG, altered mental state, carbon monoxide, environmental exposure

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SAQ 605 – Metabolic – rhabdomyolysis complications and treatment

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Topic: Metabolic | Tags: AKI, altered mental state, electrolyte disturbance, fluids

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SAQ 607 – Geriatrics – hypothermia, shock and reduced consciousness

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Topic: Geriatrics | Tags: altered mental state, elderly, hypothermia, oxygen

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SAQ 664 – Mental Health – agitation, suicidality, and possible organic illness

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Topic: Mental Health | Tags: altered mental state, capacity, consent, delirium

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SAQ 665 – Anaesthetics – mixed acidosis and extubation readiness

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Topic: Anaesthetics | Tags: ABG/VBG, acid base, altered mental state, intubation

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SAQ 667 – Toxicology – methadone overdose and naloxone titration

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Topic: Toxicology | Tags: altered mental state, opioids, overdose, respiratory failure

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SAQ 746 – Metabolic – hyperosmolar hyperglycaemic state with sepsis and respiratory acidosis

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Topic: Metabolic | Tags: ABG/VBG, altered mental state, fluids, HHS

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SAQ 756 – Toxicology – severe iron overdose assessment and chelation

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Topic: Toxicology | Tags: ABG/VBG, AKI, altered mental state, bleeding

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SAQ 758 – Geriatrics – agitation, delirium and severe hyponatraemia

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Topic: Geriatrics | Tags: altered mental state, delirium, elderly, electrolyte disturbance

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SAQ 749 – Mental Health – perinatal depression risk assessment with safety concerns

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Topic: Mental Health | Tags: abdominal pain, altered mental state, mandatory reporting, Monash 2021.1

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SAQ 750 – Neurosurgery – hydrocephalus in a patient with a ventricular shunt

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Topic: Neurosurgery | Tags: abdominal pain, altered mental state, CT brain, headache

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SAQ 760 – Geriatrics – UTI diagnosis and delirium screening in aged care

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Topic: Geriatrics | Tags: altered mental state, antibiotics, delirium, elderly

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SAQ 819 – Metabolic – altered mental state with severe VBG abnormalities

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Topic: Metabolic | Tags: ABG/VBG, altered mental state, benzodiazepines, falls

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SAQ 842 – Metabolic – alkalosis and competence assessment

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Topic: Metabolic | Tags: ABG/VBG, acid base, altered mental state, capacity

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SAQ 845 – Geriatrics – unidentified confused older person and capacity

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Topic: Geriatrics | Tags: altered mental state, capacity, CT brain, delirium

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SAQ 853 – Environmental – exertional heat stroke

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Topic: Environmental | Tags: AKI, altered mental state, collapse, heat illness

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SAQ 865 – Paediatrics – infant altered mental state and suspected non-accidental injury

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Topic: Paediatrics | Tags: altered mental state, child protection, head injury, hypothermia

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SAQ 616 – ENT – febrile neck swelling with systemic illness

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Topic: ENT | Tags: altered mental state, antibiotics, fever, sepsis

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SAQ 618 – Paediatrics – gamma-hydroxybutyrate ingestion

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Topic: Paediatrics | Tags: altered mental state, capacity, overdose, resuscitation

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SAQ 620 – Metabolic – alcoholic patient with severe acid-base disturbance

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Topic: Metabolic | Tags: ABG/VBG, acid base, altered mental state, hyperkalaemia

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SAQ 628 – Metabolic – vomiting with hyperglycaemia and electrolyte disturbance

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Topic: Metabolic | Tags: ABG/VBG, acid base, altered mental state, electrolyte disturbance

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SAQ 633 – Paediatrics – toddler with hypoglycaemia

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Topic: Paediatrics | Tags: altered mental state, hypoglycaemia, resuscitation, vomiting

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SAQ 640 – Geriatrics – delirium in Lewy body dementia

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Topic: Geriatrics | Tags: altered mental state, antibiotics, delirium, elderly

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SAQ 646 – Toxicology – seizure after overdose of unknown medications

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Topic: Toxicology | Tags: altered mental state, benzodiazepines, overdose, seizure

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SAQ 653 – Endocrinology – hyperosmolar hyperglycaemic state with drowsiness

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Topic: Endocrinology | Tags: ABG/VBG, altered mental state, electrolyte disturbance, fluids

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SAQ 718 – Neurology – psychogenic non-epileptic seizures

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Topic: Neurology | Tags: altered mental state, Monash 2020.2, seizure

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SAQ 719 – Metabolic – severe hyponatraemia with seizures

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Topic: Metabolic | Tags: altered mental state, electrolyte disturbance, hyponatraemia, Monash 2020.2

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SAQ 729 – Toxicology – delirium with toxicological and medical differentials

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Topic: Toxicology | Tags: altered mental state, delirium, Monash 2020.2, overdose

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SAQ 771 – Neurology – Wernicke encephalopathy in altered mental state

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Topic: Neurology | Tags: ABG/VBG, altered mental state, ECG, fever

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SAQ 772 – Endocrinology – myxoedema coma diagnosis and thyroid hormone dosing

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Topic: Endocrinology | Tags: altered mental state, elderly, hypoglycaemia, hyponatraemia

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SAQ 773 – Respiratory – acute respiratory acidosis and oxygen-induced hypercapnia

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Topic: Respiratory | Tags: ABG/VBG, altered mental state, elderly, Monash 2021.2

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SAQ 776 – Mental Health – first presentation mania and depression features

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Topic: Mental Health | Tags: altered mental state, Monash 2021.2

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SAQ 778 – Paediatrics – severe behavioural disturbance sedation advice

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Topic: Paediatrics | Tags: altered mental state, Monash 2021.2, procedural sedation

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SAQ 787 – Environmental – severe hypothermia with shock

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Topic: Environmental | Tags: altered mental state, elderly, hypothermia, Monash 2021.2

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SAQ 902 – Respiratory – acute on chronic hypercapnic respiratory failure

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Topic: Respiratory | Tags: ABG/VBG, acid base, altered mental state, Northern Sydney 2015.2

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SAQ 922 – Endocrinology

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Topic: Endocrinology | Tags: altered mental state, beta-blocker, fever, Northern sydney 2016.1

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SAQ 944 – Environmental – non-exertional heat illness and cooling

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Topic: Environmental | Tags: altered mental state, delirium, elderly, environmental exposure

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SAQ 956 – Toxicology – sudden collapse after prepared drink

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Topic: Toxicology | Tags: acid base, altered mental state, elderly, Northern Sydney 2016.2

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SAQ 980 – Geriatrics – older adult with acute confusion and cognitive screening

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Topic: Geriatrics | Tags: altered mental state, delirium, elderly, Northern Sydney 2019.1

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SAQ 984 – Carbamazepine mixed overdose with seizure

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Topic: Toxicology | Tags: altered mental state, ECG, Northern Sydney 2019.1, overdose

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SAQ 1012 – Toxicology – chronic cannabis use with vomiting and abnormal electrolytes

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Topic: Toxicology | Tags: AKI, altered mental state, electrolyte disturbance, hyponatraemia

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SAQ 1016 – Preparation and assessment after attempted hanging

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Topic: Trauma | Tags: airway, altered mental state, head injury, intubation

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SAQ 1019 – Drug-induced hyperthermia at a music festival

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Topic: Toxicology | Tags: altered mental state, ECG, heat illness, Northern Sydney 2020.2

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SAQ 1024 – Paediatrics – adolescent weight loss with abnormal observations

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Topic: Paediatrics | Tags: altered mental state, ECG, electrolyte disturbance, hypoglycaemia

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SAQ 1028 – Respiratory – contextual venous blood gas interpretation

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Topic: Respiratory | Tags: ABG/VBG, acid base, altered mental state, COPD

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SAQ 1032 – Toxicology – fever after antipsychotic escalation

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Topic: Toxicology | Tags: AKI, altered mental state, ECG, fever

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SAQ 1036 – Anaesthetics – intubation planning in obesity and intoxication

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Topic: Anaesthetics | Tags: airway, altered mental state, intubation, Northern Sydney 2021.1

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SAQ 1040 – Toxicology – aspirin overdose

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Topic: Toxicology | Tags: acid base, altered mental state, intubation, Northern Sydney 2021.2

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SAQ 1042 – Paediatrics – febrile child with rash and lethargy

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Topic: Paediatrics | Tags: altered mental state, fever, Northern Sydney 2021.2, pathology

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SAQ 1047 – Toxicology – reduced GCS with unsafe behaviour

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Topic: Toxicology | Tags: altered mental state, benzodiazepines, capacity, Northern Sydney 2021.2

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SAQ 1048 – Neurology – confusion after low-speed crash

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Topic: Neurology | Tags: altered mental state, CSF, CT brain, delirium

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SAQ 1076 – Hyperthermia and heat illness in an elderly patient

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Topic: Environmental | Tags: AKI, altered mental state, heat illness, hyperkalaemia

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SAQ 1081 – Severe accidental hypothermia

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Topic: Environmental | Tags: altered mental state, arrhythmia, cardiac arrest, hyperkalaemia

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SAQ 1089 – altered mental state and seizure after stimulant use

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Topic: Metabolic | Tags: altered mental state, CT brain, hyponatraemia, meningitis

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SAQ 1091 – agitation, weight loss and hyperthermia

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Topic: Endocrinology | Tags: altered mental state, fever, hypertension, NSW 2017.1

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SAQ 1111 – polypharmacy overdose and activated charcoal

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Topic: Toxicology | Tags: altered mental state, benzodiazepines, ECG, NSW 2017.1

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SAQ 1114 – increasing drowsiness with an abnormal ECG

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Topic: Toxicology | Tags: altered mental state, benzodiazepines, beta-blocker, ECG

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SAQ 1130 – marathon collapse with hyperthermia

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Topic: Environmental | Tags: altered mental state, environmental exposure, fever, fluids

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SAQ 1131 – Young adult with severe metabolic derangement

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Topic: Endocrinology | Tags: acid base, altered mental state, DKA, electrolyte disturbance

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SAQ 1171 – Head injury patient refusing treatment and attempting to leave

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Topic: Administration | Tags: altered mental state, capacity, consent, head injury

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SAQ 1194 – Confusion after bowel preparation with electrolyte abnormality

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Topic: Metabolic | Tags: altered mental state, electrolyte disturbance, fluids, hyponatraemia

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SAQ 1197 – Combative older patient with abnormal blood gas and diabetes

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Topic: Endocrinology | Tags: acid base, AKI, altered mental state, electrolyte disturbance

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SAQ 1201 – Oncology patient with confusion and abnormal blood results

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Topic: Oncology | Tags: AKI, altered mental state, arrhythmia, electrolyte disturbance

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SAQ 1205 – Agitation in an elderly short-stay patient

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Topic: Geriatrics | Tags: altered mental state, delirium, elderly, NSW 2019.1

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SAQ 1213 – Altered behaviour in an elderly patient

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Topic: Geriatrics | Tags: altered mental state, delirium, elderly, NSW 2019.1

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SAQ 1214 – Reduced conscious state in chronic liver disease

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Topic: Gastroenterology | Tags: AKI, altered mental state, antibiotics, fluids

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SAQ 1219 – Infant with fever and brief seizure-like episode

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Topic: Paediatrics | Tags: altered mental state, febrile convulsion, fever, NSW 2019.1

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SAQ 1221 – Agitated patient brought by police to resuscitation

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Topic: Mental Health | Tags: altered mental state, NSW 2019.2, quality and safety, resuscitation

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SAQ 1229 – Status epilepticus after probable drug ingestion

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Topic: Toxicology | Tags: acid base, altered mental state, ECG, hyponatraemia

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SAQ 1325 – Woman with antiepileptic overdose and pregnancy-safety considerations

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Topic: Toxicology | Tags: acid base, altered mental state, NSW 2022.1, overdose

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SAQ 1332 – Older adult found down with CT brain images

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Topic: Neurology | Tags: altered mental state, CT brain, hypertension, NSW SAQ Trial 2015.2

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SAQ 1339 – Sustained-release verapamil ingestion with bradycardia and hypotension

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Topic: Toxicology | Tags: acid base, altered mental state, calcium channel blocker, fluids

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SAQ 1343 – Thyroid storm diagnostic criteria, precipitants and treatment

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Topic: Endocrinology | Tags: ACS, altered mental state, DKA, fever

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SAQ 1371 – Mixed-drug overdose with serotonin toxicity concern

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Topic: Toxicology | Tags: altered mental state, diarrhoea, overdose, PA 2017.1 trial exam

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SAQ 1386 – Abnormal behaviour with staff bite exposure

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Topic: Mental Health | Tags: altered mental state, delirium, occupational exposure, PA 2017.2

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SAQ 1439 – Possible manic episode with behavioural disturbance

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Topic: Mental Health | Tags: altered mental state, CSF, CT brain, hypoglycaemia

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SAQ 1440 – Alcohol-related conditions in short stay review

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Topic: Toxicology | Tags: altered mental state, PA 2018.2, pathology, seizure

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SAQ 1443 – Confusion in chronic liver disease

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Topic: Gastroenterology | Tags: altered mental state, bleeding, CT brain, hypoglycaemia

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SAQ 1448 – Music festival seizure with hyperthermia

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Topic: Toxicology | Tags: altered mental state, fever, heat illness, meningitis

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SAQ 1449 – Paracetamol overdose risk assessment and transplant referral

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Topic: Toxicology | Tags: acid base, AKI, altered mental state, hypoglycaemia

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