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AMLS: An Assessment-Based Approach

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What is the first heading of the AMLS patient assessment pathway? - Answer - Initial Observation What are the two subcategories of the AMLS initial observation? - Answer - Scene/Situation; Patient What are the two sections of the AMLS scene/situation assessment? - Answer - Safety threats; Situational clues What are the two sections of the AMLS patient assessment? - Answer - Cardinal presentation/chief complaint; primary survey What is the second heading of the AMLS patient assessment pathway? - Answer - First Impression What are the three sections of the AMLS first impression? - Answer - Identify and treat life threats immediately; Sick/not sick?; Generate initial differential diagnosis What is the third heading of the AMLS patient assessment pathway? - Answer - Detailed Assessment What are the three subcategories of the AMLS detailed assessment? - Answer - History; Secondary survey; Diagnostics What are the two sections of the AMLS history? - Answer - OPQRST; SAMPLER What are the two sections of the AMLS secondary survey? - Answer - Vital signs; full-body or focused physical exam What are the four sections of the AMLS diagnostics? - Answer - Glucose; ECG; O2 saturation; ETCO2 What is the fourth heading of the AMLS patient assessment pathway? - Answer - Refine the Differential Diagnosis (based on assessment and clinical reasoning) What are the three subcategories of the AMLS refine the differential diagnosis? - Answer - Life threatening; Critical; Non emergent What is the fifth heading of the AMLS patient assessment pathway? - Answer - Ongoing management What are the two subcategories of the AMLS ongoing management? - Answer - Reassess, further refine the diagnosis, modify treatment; patient disposition

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AMLS: An Assessment-Based Approach

What is the first heading of the AMLS patient assessment pathway? - Answer - Initial
Observation

What are the two subcategories of the AMLS initial observation? - Answer -
Scene/Situation; Patient

What are the two sections of the AMLS scene/situation assessment? - Answer - Safety
threats; Situational clues

What are the two sections of the AMLS patient assessment? - Answer - Cardinal
presentation/chief complaint; primary survey

What is the second heading of the AMLS patient assessment pathway? - Answer - First
Impression

What are the three sections of the AMLS first impression? - Answer - Identify and treat
life threats immediately; Sick/not sick?; Generate initial differential diagnosis

What is the third heading of the AMLS patient assessment pathway? - Answer -
Detailed Assessment

What are the three subcategories of the AMLS detailed assessment? - Answer -
History; Secondary survey; Diagnostics

What are the two sections of the AMLS history? - Answer - OPQRST; SAMPLER

What are the two sections of the AMLS secondary survey? - Answer - Vital signs; full-
body or focused physical exam

What are the four sections of the AMLS diagnostics? - Answer - Glucose; ECG; O2
saturation; ETCO2

What is the fourth heading of the AMLS patient assessment pathway? - Answer - Refine
the Differential Diagnosis (based on assessment and clinical reasoning)

What are the three subcategories of the AMLS refine the differential diagnosis? -
Answer - Life threatening; Critical; Non emergent

What is the fifth heading of the AMLS patient assessment pathway? - Answer - Ongoing
management

What are the two subcategories of the AMLS ongoing management? - Answer -
Reassess, further refine the diagnosis, modify treatment; patient disposition

, What do Angiotensin I and II directly stimulate the production of from the adrenal
cortex? - Answer - Aldosterone

What does the production and secretion of aldosterone lead to in the renal tubules? -
Answer - Reabsorption of sodium

What does sodium retention lead to? - Answer - Increased vascular volume and
increased blood pressure

Is Angiotensin II a short-lived or long-lived vasoconstrictor? - Answer - Short-lived

What is the most common form of hyperthyroidism? - Answer - Graves' disease

What is myxedema coma? - Answer - A life-threatening condition, characterized by
hypotension, bradycardia, hypoglycemia, and low serum sodium.

What is another name for hyperadrenalism? - Answer - Cushing's syndrome

What is Cushing's syndrome? - Answer - Condition caused by long-standing exposure
to excessive circulating serum levels of glucocorticoids, particularly cortisol

Over production in the adrenal cortex leads to what? - Answer - Hyperadrenalism

What is primary adrenal insufficiency also known as? - Answer - Addison's disease

What is Addison's disease? - Answer - A metabolic and endocrine ailment caused by a
direct insult to or malfunction of the adrenal cortex

What conditions can directly harm the adrenal cortex? - Answer - Autoimmune
disorders; adrenal hemorrhage; infectious diseases such as AIDS, TB, and
meningococcemia

What are the signs and symptoms of Addison's disease? - Answer - Chronic fatigue;
weakness; loss of appetite and consequent weight loss; hyperpigmentation of the skin
and mucous membranes

What electrolyte findings correlate Addison's disease? - Answer - Hyponatremia;
hyperkalemia; hypoglycemia

What is the most common endocrine disorder? - Answer - Diabetes mellitus

What is diabetes mellitus characterized by? - Answer - Hyperglycemia resulting from
defects in insulin production, insulin action, or both

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