Section: Module 3: Common Emergency Presentations and Diseases | Didactic Emergency Medicine | NextGenU.org

  • Competencies covered in this module:
    • Students should develop a differential diagnosis that is prioritized on potential life-threatening conditions and the likelihood of disease. Students should demonstrate a knowledge (or understanding) of basic diagnostic modalities and interpretation of results. Most importantly, students should cultivate an appreciation of risk stratification and pretest probabilities for selected conditions.
    • This module focuses on core presentations and disease entities that are commonly encountered in the Emergency Department. As an emergency health care provider, you will often see undifferentiated patients, and it is important to develop an approach to common presenting complaints. By the end of this module, you should be able to take a focused history, perform a focused physical exam, develop a differential diagnosis for common complaints, and understand the initial investigations and management principles.  You also should have an understanding of the basic pathophysiology of these diseases, and understand the workup and management of such cases.

      Along with the specific learning objectives listed in each lesson, the following learning objectives should be met for each presentation:

      1. Develop a differential diagnosis when evaluating an undifferentiated patient: prioritize the likelihood of diagnoses based on patient presentation and acuity, and list worst-case scenarios.
      2. Create a diagnostic plan based on differential diagnoses.
      3. Develop a management plan for the patient with both an undifferentiated complaint and specific disease processes.

      Each student should be exposed to the specific disease entities of this module by either patient exposure or by simulation, reading, or web-based learning.

    • Module 3: Lesson 1: Cardiovascular Diseases and Presentations
       
      Student Learning Objectives:

      Upon completion of this lesson, you will be able to:

      • Identify cardiac arrest on ECG/monitor, describe its initial treatment, and list its most common causes.
      • Discuss the role of adequate chest compressions.
      • Interpret electrocardiogram findings and the initial management of acute coronary syndrome.
      • Describe common symptoms, diagnostic tests, and ED management of abdominal aortic aneurysm.
      • Describe the presentation, diagnostic tests, and management of acute coronary syndrome.
      • Describe the pathophysiology, presentation, and ED management of acute heart failure.
      • Describe the presentation, ED management, and diagnostic tests of aortic dissection.
      • Describe the presentation, diagnostic procedures, and ED management of DVT/PE.

      Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 720 minutes.

       
      Required Learning Resources and Activities
    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 1: Cardiac Arrest
      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 5/6.

      Not available unless: The activity Quiz: Module 2: Lesson 7 is complete and passed
    • Read the entire text.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 1: Chest Pain

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 3/4.

      Not available unless: The activity Quiz: Module 3: Lesson 1: Cardiac Arrest is complete and passed
    • What are some of the most common differential diagnoses for cardiac arrest in your country or region?

    • Read the entire web page.

    • quiz icon
      Quiz: Module 3: Lesson 1: Abdominal Aortic Aneurysm

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 1: Chest Pain is complete and passed
    • If you had a patient with AAA who had been safely discharged, what kind of changes to their diet or lifestyle would you advise them to make in order to attempt to minimize future risk?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 1: Acute Coronary Syndromes
      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 1: Congestive Heart Failure

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Why do you think congestive heart failure is so common in North America? Is it as common in the country/region where you live?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 1: Thoracic Aortic Dissection

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Several methods of diagnostic testing for thoracic aortic dissection are described in the reading for this competency. Which methods of diagnostic testing do you have access to in your ED? Which ones do you use most often?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 1: Pulmonary Embolus

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • What are some typical characteristics of patients diagnosed with a pulmonary embolus?

    • Additional Learning Options
    • Module 3: Lesson 2: Gastrointestinal Diseases and Presentations
       
      Student Learning Objectives:

      Upon completion of this lesson, you will be able to:

      • Demonstrate the ability to identify a surgical abdomen.
      • Discuss/explain the role of analgesia in patient management.
      • Recognize hemodynamic instability and identify the probable source of bleeding.
      • Understand the presentation, diagnostic tests, and ED management of appendicitis.
      • Describe the presentation, diagnostic procedures, and ED management of common biliary diseases.
      • Understand the pathophysiology, presentation, diagnostic tests, and ED management of bowel obstruction.
      • Describe the presentation, causes, and ED management of massive GI bleeding.
      • Describe the causes, presentation, diagnostic tests, and ED management of mesenteric ischemia.
      • Describe the presentation, diagnostic tests, and ED management of a perforated viscus.

      Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 176 minutes.

       
      Required Learning Resources and Activities
    • Read the entire text

    • Please read the entire text.

    • quiz icon
      Quiz: Module 3: Lesson 2: Abdominal Pain

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 3/4.

    • What are some of the most common sources of abdominal pain in your country or region?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: GI Bleed

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 2: Abdominal Pain is complete and passed
    • What are some of the most rare causes of gastrointestinal bleeding in your country or region?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Appendicitis

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 2: GI Bleed is complete and passed
    • If a woman presented to the ED with symptoms of appendicitis, how would you approach their case differently, compared to a male presenting with symptoms of appendicitis?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Biliary Disease

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 2: Appendicitis is complete and passed
    • Which tools of diagnostic testing for biliary disease do you have access to in your ED? Which ones do you use most often?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Small Bowel Obstruction

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 2: Biliary Disease is complete and passed
    • Explain briefly why strangulation is the most lethal complication of small bowel obstruction.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Massive Gastrointestinal Bleeding

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Is any one cause of massive gastrointestinal bleeding more common than the others in your country/region? If so, what population tends to be most affected by this?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Mesenteric Ischemia

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Imagine you had to describe mesenteric ischemia to someone with no medical knowledge. How would you explain this disease in simple terms?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 2: Perforated Viscus

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Describe why cases of perforated viscus have a mortality rate of 30-50%, even with appropriate surgical and post-surgical care.

    • Additional Learning Options
    • Module 3: Lesson 3: Environmental Diseases and Presentations
       
      Student Learning Objectives:

      Upon completion of this lesson, you will be able to:

      • Describe common toxidromes and commonly available antidotes or treatments.
      • Understand the pathophysiology of burns.
      • Describe the initial assessment, classification, and ED management principles for burns.
      • Describe the presentation and potential complications of inhalation injuries.
      • Describe the presentation and ED management for envenomations.
      • Understand the indications for antivenom.
      • Describe the presentation and differences in diagnosis and ED management of classic and exertional heatstroke.
      • Understand the difference between hypothermia, frostbite, and trench foot.
      • Describe the clinical and ECG findings associated with hypothermia, and its ED management.
      • Describe the presentation and ED management of a drowning incident.
      • Understand investigations that may be used in drowning incidents.

      Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 141 minutes.

       
      Required Learning Resources and Activities
    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 3: Poisonings

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions. 

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Think about the cases of poisonings you have seen in the ED. Are the majority of them intentional or accidental poisonings? Does your answer surprise you in any way?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 3: Burns and Smoke Inhalation

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 3/4.

      Not available unless: The activity Quiz: Module 3: Lesson 3: Poisonings is complete and passed
    • What are some of the most difficult or challenging aspects about treating patients for burns and/or smoke inhalation?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 3: Envenomation

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • How often do patients present to your ED with envenomation? What are the most typical causes of envenomation in your country/region?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 3: Heat Related Illnes

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 3: Envenomation is complete and passed
    • In simple terms, describe the differences between classic heatstroke and exertional heatstroke. Which is more common in your country/region?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 3: Hypothermia

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Outline the reasons why shivering is present in patients with mild hypothermia, but not in patients with moderate or severe hypothermia.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 3: Drownin

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 3: Hypothermia is complete and passed
    • Give an example of secondary drowning. If you describe a case you have actually witnessed, do not use any identifying information about the patient or the case.

    • Module 3: Lesson 4: Psychiatric Related Diseases and Presentations
       
      Student Learning Objectives:

      Upon completion of this lesson, you will be able to:

      • Recognize the breadth of the differential for altered mental status.
      • List emergent causes for altered mental status.
      • Describe the initial assessment and management options for an agitated patient.
      • Describe the risk factors, psychiatric evaluation, and ED management of patients with suicidal ideation.

      Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 68 minutes.

       
      Required Learning Resources and Activities
    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 4: Altered Mental Status

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 3: Drownin is complete and passed
    • Discuss some of your preferred methods of gathering information about a patient presenting to the ED with altered mental status.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 4: The Agitated Patient

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Have you ever encountered a patient in the ED who made you fear for your safety? How did you handle the situation? Do not use any identifying information.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 4: Suicidal Patient

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • What are the most challenging aspects of evaluating and treating a suicidal patient?

    • Additional Learning Options
    • To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

    • Module 3: Lesson 5: Headache
       
      Student Learning Objectives:

      Upon completion of this lesson, you will be able to:

      • Recognize emergent causes and identify diagnostic modalities and management.

      Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 22 minutes.

       
      Required Learning Resources and Activities
    • Read the entire text.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 5: Headache

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 4: Suicidal Patient is complete and passed
    • What are some of the most severe symptoms you have seen in a patient presenting with headache? Make sure not to use any identifying details.

    • Module 3: Lesson 6: Respiratory Diseases and Presentations
       
      Student Learning Objectives:

      Upon completion of this lesson, you will be able to:

      • Describe life-threatening causes, clinical manifestations, and the role of arterial blood gas in respiratory distress.
      • Understand the presentation, diagnostic tests, and ED management for an acute asthma exacerbation.
      • Describe the presentation and ED management of a COPD exacerbation.
      • Understand the use of non-invasive positive pressure ventilation and intubation in severe COPD exacerbation.
      • Describe the presentation, microbiology, diagnostic tests, and ED management of pneumonia.
      • Describe the presentation, imaging tests, and ED management of pneumothorax.

      Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 116 minutes.

       
      Required Learning Resources and Activities
    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 6: Respiratory Distress
      To access the quiz, click on the name of the quiz provided above. On the following screen, click the attempt quiz button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 5: Headache is complete and passed
    • What is the average age of patients presenting with respiratory distress in your ED? What are some reasons that might explain this average age?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 6: Asthma
      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.
      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.
    • How would you explain asthma in simple terms to the parent of a newly-diagnosed child? What kind of questions do you think they might have about asthma?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 6: COPD

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 6: Asthma is complete and passed
    • The vast majority of COPD cases are due to smoking. Comment on the ethical debate about treating a patient suffering from COPD who continues to smoke.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 6: Pneumonia

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 6: COPD is complete and passed
    • What should you do differently when treating an immune-compromised patient for pneumonia?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 6: Pneumothorax

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 6: Pneumonia is complete and passed
    • What are some of the greatest dangers related to mis-diagnosing a pneumothorax or leaving it untreated?

    • Additional Learning Options
    • Module 3: Lesson 7: Shock, Sepsis and Trauma
       
      Student Learning Objectives:

      Upon completion of this lesson, you will be able to:

      • Describe the causes(classifications) and clinical manifestations of shock.
      • Describe the initial evaluation of a trauma patient (primary and secondary survey).
      • Promote injury control and prevention.
      • Describe the screening for intimate partner violence.
      • Describe the spectrum of sepsis syndromes and the use of Early Goal Directed Therapy in treating sepsis.

      Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 75 minutes.

       
      Required Learning Resources and Activities
    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 7: Shock

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 6: Pneumothorax is complete and passed
    • Describe the most typical treatments for hypovolemic shock in your country/region.

    • Read the entire text.

    • Read pages 3 to 10

    • quiz icon
      Quiz: Module 3: Lesson 7: Trauma

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 7: Shock is complete and passed
    • How are you affected emotionally when you are exposed to a trauma patient in the ED?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 7: Sepsis

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 7: Trauma is complete and passed
    • What is the most typical presentation of sepsis in your ED?

    • Additional Learning Options
    • Module 3: Lesson 8: Endocrine and Electrolyte Diseases
       
      Student Learning Objectives:

      Upon completion of this lesson, you will be able to:

      • Describe the classic presentation, ED investigations, and ED management of diabetic ketoacidosis and hyperosmolar hyperglycemic state.
      • Describe the presentation, ECG changes, and ED management of hyperkalemia.
      • Describe the presentation and ED management of hypoglycemia.
      • Understand the pathophysiology, presentation, diagnostic tests, and ED management of thyroid storm.

      Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 76 minutes.

       
      Required Learning Resources and Activities
    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 8: Hyperglycemia

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 7: Sepsis is complete and passed
    • What are some co-existing illnesses that may precipitate diabetic ketoacidosis or hyperosmolar hyperglycemic state? How common are these illnesses in your country/region, and what populations do they typically affect?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 8: Hyperkalemia

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 8: Hyperglycemia is complete and passed
    • What are some of the most common differential diagnoses of hyperkalemia in your country/region?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 8: Hypoglycemia

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 8: Hyperkalemia is complete and passed
    • Describe why it is important to consider hypoglycemia in a patient presenting to the ED with altered mental status, and how the patient could be affected.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 8: Thyroid Storm

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 8: Hypoglycemia is complete and passed
    • Thyroid storm is a rare condition. If you have encountered this disease in your practice, describe (without using any identifying information) the patient's condition when they first presented to the ED, and how you diagnosed and treated the disease.

    • Module 3: Lesson 9: Genitourinary Diseases
       
      Student Learning Objectives:

      Upon completion of this lesson, you will be able to:

      • Describe the risk factors, diagnostic tests, and management options for ectopic pregnancy.
      • Describe the risk factors, presentation, complications, diagnostic tests, and ED management of pelvic inflammatory disease/tubo-ovarian abscess.
      • Describe the presentation, diagnostic tests, and ED management of ovarian torsion.
      • Describe the presentation and initial ED management of testicular torsion.

      Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 75 minutes.

       
      Required Learning Resources and Activities
    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 9: Ectopic Pregnancy

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 8: Thyroid Storm is complete and passed
    • Explore the reasons why smoking is a risk factor for ectopic pregnancy.

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 9: Pelvic Inflammatory Disease and Tubo-ovarian Abscess

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Are there any cultural issues in your country/region surrounding male doctors treating female patients for gynecologic diseases like PID and TOA?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 9: Ovarian Torsion

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • What is the most difficult or challenging aspect of diagnosing ovarian torsion in the ED?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 9: Testicular Torsion

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 9: Ovarian Torsion is complete and passed
    • Explain why different age groups are differently affected by testicular torsion, torsion of testicular appendage, and epididymitis.

    • Additional Learning Options
    • Module 3: Lesson 10: Neurologic Diseases
       
      Student Learning Objectives:

      Upon completion of this lesson, you will be able to:

      • Describe the clinical presentation, initial ED investigations, and ED management of acute ischemic stroke.
      • Describe the indications and contraindications for the use of thrombolytic therapy.
      • Describe the presentation and diagnostic tests for intracranial hemorrhage.
      • Understand the differences between types of intracranial hemorrhage and the interpretation of lumbar puncture in its diagnosis.
      • Describe the presentation, diagnostic tests, and ED management of meningitis and encephalitis.
      • Describe the work-up and management of first time and recurrent seizures.
      • Understand the definition and ED management of status epilepticus.

      Approximate time required to complete the readings (at 144 words/minute) and assignments for this module: 111 minutes.

       
      Required Learning Resources and Activities
    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 10: Ischemic Stroke

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Outline some reasons why it is so important to meet the time limit of three hours between symptom onset and delivery of thrombolytics. What could happen to the patient after this time limit?

    • Read the entire text

    • quiz icon
      Quiz: Module 3: Lesson 10: Intracranial Hemorrhage

      To access the quiz, click on the name of the quiz provided above. On the following screen, click the "Preview quiz now" button to respond to the questions.

      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

      Not available unless: The activity Quiz: Module 3: Lesson 10: Ischemic Stroke is complete and passed
    • Imagine that two parents bring their infant to your ED with symptoms of subdural hematoma. Upon examination, you suspect that this is due to physical abuse ('Shaken Baby Syndrome').

      Who would you need to inform of this situation (e.g., your supervisor, a social worker, etc.)?

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      Quiz: Module 3: Lesson 10: Meningitis & Encephalitis

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      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • What is the mortality rate of bacterial meningitis in your country/region?

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      Quiz: Module 3: Lesson 10: Seizure & Status Epilepticus

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      TO PASS THIS QUIZ YOU MUST OBTAIN A SCORE OF 2/3.

    • Imagine that a patient has been treated for recurring seizures in your ED, and you have determined that medication non-compliance is the primary factor behind the patient's seizure. What could you do in order to increase the patient's medication compliance, both immediately and in the long-term?