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Short Answer Questions for ED Fellowship Study

Case: Systemic lupus erythematosus complications

A 28-year-old female presents to the Emergency Department with a 2-day history of fever, chest pain, and worsening shortness of breath. She has a known diagnosis of systemic lupus ierythematosus (SLE), diagnosed 3 years ago and managed with hydroxychloroquine and prednisone. Her observations are as follows:

  • • HR: 110 bpm
  • • BP: 90/65 mmHg
  • • Temp: 38.5°C
  • • RR: 24
  • • SpO2: 93% on room air

1. State (5) potential life-threatening complications of SLE that may account for her presentation and provide (1) clinical feature or investigation that would support the diagnosis. (10 marks) 10 marks

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2. Give (2) SPECIFIC medications that might be used to manage this patient’s presentation, including relevant dose/route. (2 marks) 2 marks

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This case forms part of a collaborative marking project designed to support fellowship preparation. In the week leading up to each tutorial, you can contribute answers to any active case. If you contribute, your answers may be reviewed, marked, and used to refine the model answers during the weekly fellowship teaching sessions.

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Your personal results and updated model answers become available the day after the tutorial.

After the tutorial you can still do the case and self-mark your answers, but your answers will not be included in the group review.