SAQ Stack

Short Answer Questions for ED Fellowship Study

Case: Found down

A 63-year-old female is BIBA to your ED atier being found face down on the floor in her home. She was last seen well 36 hours prior to being found. On arrival she is maintaining her own airway and there are no obvious external signs of significant trauma. Her initial obs are : GCS 9 (E4, V2, M3), RR 10, Sats 100% on room air, HR 45, BP 95/70, Temp 27ºC

1. List (6) important differential diagnoses to consider for her presentation 6 marks

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An ECG is performed.

2. List (2) salient findings and an interpretation 3 marks

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Imaging does not identify any traumatic injuries. The pathology lab calls and reports that preliminary thyroid function tests are very abnormal with TSH >100 IU/mL and T3/T4 undetectable

3. State (3) SPECIFIC pharmacologic treatments you could initiate based on the results above 3 marks

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Other appropriate bloods and imaging are still pending.

4. Outline (6) other broad management considerations for this patient. 6 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.

All responses are displayed anonymously or using anonymised avatars. You remain in full control of your answers and may withdraw them at any time.

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.