You can go to your local wildlife ranger station or you could go to a park and ask a ranger there.
Answer:
911
Explanation:
Untreated alcohol poisoning
If alcohol poisoning goes untreated, there are a number of effects that lead to serious health consequences, including potential permanent brain damage or even death. Consequences of alcohol poisoning include:
Choking on vomit;
Breathing can stop;
Heartbeat can stop;
Hypothermia;
Hypoglycaemia, which can lead to seizures; and
Severe dehydration from vomiting, which can also lead to seizures, permanent brain damage or death.
Based on the symptoms,
Differential diagnoses for the boy includes:
- Rocky Mountain Spotted Fever (RMSF) owing to his recent visit to Florida
- Meningitis
Course of treatment:
- The patient needs to be admitted
- Diagnostic tests including CBC, cultures of both blood and CSF to rule out meningitis should be done
Explanation:
Initial line of treatment with loading dose of doxycycline at 2.2 mg/kg and ceftriaxone at 100 mg/kg/day can be started.
RMSF is a contagious disease caused by ticks and is predominant in the southeastern regions of the United States like North Carolina. So the boy could have got the disease from his visit to N. Carolina. Doxycycline is a broad spectrum antibiotic is the most preferred treatment of choice for RMSF
Meningitis is a bacterial disease affecting the brain. Ceftriaxone is the treatment of choice for empirical treatment of meningitis.
Since the boy’s symptoms like fever, headache, petechial rashes etc are symptomatic of both RMSF and meningitis, both the antibiotics should be administered initially.
Then depending upon the culture results, other specific antibiotics and treatments can be started.
Answer:
While acute stress is known as short-term stress, chronic stress is defined as “long-term” stress. This is stress that stems from working in a toxic environment every day or fighting with your spouse constantly. This is the type of stress that seems never-ending and can negatively impact your health.
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