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Patient 050
Case: Bungee jumping accident

S.O.A.P. Questions

S: 1st and 2nd choices
O: 4th and 3rd choices
A: 1st choice
P: 4th and 4th choices

Examination room
-Stethoscope on heart and chest
-Sphygmomanometer on upper arm
-Magnifying glass and glove on forehead
-Glove on chin/neck, left hand, right hand, left foot and right foot
-Penlight and othalmoscope on left eye and right eye

Treatment
-Cervical collar on chin/neck (1st)
-IV (2nd) and IV med (3rd) on forearm
-Tongue guard (4th) and oxygen mask (5th) on mouth
-Transfer to trauma unit

Patient 051
Case: Drowned in bathtub

S.O.A.P. Questions

S: 1st and 3rd choices
O: 2nd and 1st choices
A: 2nd choice
P: 2nd and 4th choices

Examination room
-EKG and stethoscope on heart
-Stethoscope on chest
-Magnifying glass, tongue depressor and respirometer in mouth
-Pulsometer on hand

Treatment
-ET tube (1st) and ambu bag (2nd) on mouth
-IV (3rd) on forearm
-Aero med (4rd) on mouth
-Transfer to trauma unit

Patient 052
Case: Rash

S.O.A.P. Questions

S: 2nd and 1st choices
O: 4th and 2nd choices
A: 4th choice
P: 1st and 1st choices

Examination room
-Magnifying glass on chest, mouth, chin/neck, left and right ears, left and right eyes and nose (whew!)
-Thermometer and tongue depressor in mouth
-Glove on chin/neck -othoscope on left and right ears

Treatment
-PO meds in mouth
-Discharge
-Hospital orders
-Patient given tepid bath

Patient 053
Case: Fell from rollerblades

S.O.A.P. Questions

S: 4th and 1st choices
O: 1st and 2nd choices
A: 1st choice
P: 3rd and 1st choice

Examination room
-Magnify left knee
-Glove on left knee, left leg and left thigh

Imaging room
-X-ray left knee

Treatment
-Sponge (1st), forceps (2nd), topical med (3rd), bandage (4th), wrap (5th) on left knee
-Discharge
-Hospital orders
-Area immobilized

Patient 054
Case: Hurts when urinating, fever

S.O.A.P. Questions

S: 2nd and 1st choices
O: 2nd and 3rd choices
A: 4th choice
P: 3rd and 3rd choices

Examination room
-Glove on pelvis and right flank
-Sphygmomanometer on upper arm
-Stethoscope on heart
-Thermometer in mouth

Imaging room
-Ultrasound on pelvis

Laboratory
-Blood test complete blood count and kidney panel on elbow
-Urine test microbiolgy and microcytology on pelvis

Treatment
-IV and IV med to forearm
-PO meds to mouth
-Call in nephrologist to continue care and admit

Patient 055
Case: Cut left heel in lawn mower

S.O.A.P. Questions

S: 1st and 4th choices
O: 4th and 1st choices
A: 4th choice
P: 3rd and 2nd choices

Examination room
-Magnifying glass and glove on left foot

Treatment
-Sponge (1st), med syringe (2nd), forceps (3rd), irrigation syringe (4th), cautery (5th), needle (6th), topical med (7th), bandage (8th) on left foot
-Discharge
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Level 4 patients-For the most part, all I can say for some is...OUCH! (especially Patient 073)

Patient 056
Case: Passed blood

S.O.A.P. Questions

S: 2nd and 2nd choices
O: 4th and 3rd choices
A: 3rd choice
P: 3rd and 3rd choices

Examination room
-Magnifying glass and glove on abdomen
-Tongue depressor in mouth

Imaging room
-X-ray abdomen

Lboratory
-Stool test hemoccult on pelvis
-Blood test hemoglobin/hemacrotit, complete blood count, bleeding times and type and cross on elbow

Treatment
-IV on forearm
-Call in gastroenterologist to continue care and admit
-Hospital orders
-Patient advised to take nothing by mouth except medications

Patient 057
Case: Stomach pain, vomitting

S.O.A.P. Questions

S: 3rd and 4th choices
O: 3rd and 3rd choices
A: 3rd choice
P: 4th and 3rd choices

Examination room
-Magnifying glass, glove and stethoscope on abdomen
-Stethoscope and EKG on heart
-Tongue depressor and thermometer in mouth

Imaging room
-X-ray abdomen

Laboratory
-Stool test hemoccult on pelvis
-Blood test hemoglobin/hemactotit, complete blood count, amylase and glucose on elbow

Treatment
-NG tube on nose (1st)
-IV (2nd) and IV med (3rd) in forearm
-PO meds in mouth (4th)
-Call in surgeon to continue care and treatment

Patient 058
Case: Stomach pain, vomitting, fever

S.O.A.P. Questions

S: 3rd and 2nd choices
O: 3rd and 3rd choices
A: 1st choice
P: 4th and 3rd choices

Examination room
-Magnifying glass, glove and stethoscope on abdomen
-Stethoscope on heart
-Tongue depressor and thermometer in mouth

Imaging room
-X-ray abdomen

Laboratory
-Stool test hemoccult on pelvis
-Blood test complete blood count, hemoglobin/hemacrotit, glucose and sodium/potassium/chloride on elbow

Treatment
-NG tube on nose (1st)
-PO meds in mouth (2nd)
-IV (3rd) and IV med (4th) in forearm
-Call in surgeon to continue care and admit

Patient 059
Case: Itching and wheezing

S.O.A.P. Questions

S: 1st and 4th choices
O: 4th and 1st choices
A: 1st choice
P: 2nd and 1st choices

Examination room
-Sphygmomanometer on upper arm
-EKG on heart
-Stethoscope on heart and chest
-Magnifying glass on cheeks, eyes, mouth, chin/neck and chest
-Tongue depressor in mouth

Laboratory
-Blood gas test oxygen/carbon dioxide on wrist

Treatment
-Med syringe on upper arm