Environmental 1. Suspect the diagnosis of heat stroke in a patient with altered mental status and fever in a situation of heat stress, and act immediately to reduce the temperature. Prickly heat rash – sweat more than normal leading to…

First-Trimester Bleeding 1. In a patient with acute vaginal bleeding, look for and recognize early signs of shock (e.g., vital signs, orthostatic changes). General Approach – ABC, O2, Monitor, O- blood, cross match 2. Given a patient with vaginal bleeding,…