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SweetTea · Joined: 22 Mar 2008 Posts: 117 Location: Kansas City, MO

This is the first in what will hopefully be a collection of first aid pop quizzes that will test your triage, diagnosis, and general medical skills. The rules are:

1- You have the first aid kit that you have in real life
2- No looking at other people's answers before answering yourself. That's cheating.

Answers will be given out when responses die down.

QUIZ:

You and yours are bugging in your apartment building/dorm. The community decides that you and the rest of the ready, willing, and able-bodied folks should go out and scout the area to see what resources are at your disposal, what's still standing, and to generally get a sitrep back to home base. You're the designated medic, and the group consists of yourself, an engineer/mechanic type, a commo tech who will also be in charge of navigation, and 3 or 4 grunts. You're on an extended trip, basically going in a spiral outward from HQ and then bee-lining it back to base when you're x miles away. The journey is scheduled to take a week.

There is a send-off party, the leader makes a speech, and everybody gets drunk and has a good time. Members of your sortie team get first dibs on whatever hot ass is available. The morning after, you and your somewhat hung over group head out.

DAY 3 of Journey: Everything's going smoothly, when one of the grunts complains of persistent pain during urinaiton. He has burning pain along the entire urethra. Genitals are clean of any sores or warts. You tell him to chill out and that it will probably go away.

DAY 4: Patient has increased pain in urethra and on up into the bladder. He feels the persistent need to urinate and is running a bit of a temperature.

DAY 5: Traces of blood in urine begin to develop and worsen throughout the day. Previous symptoms are all intensified, and the patient is running enough of a temperature to cause some worry. He is weak, pallid, and generally feeling bad. Upon rechecking genitals for sores or warts (there are none), you notice swolen lymph nodes in his groin. He can no longer carry a pack without extreme pain because the "lovehandles" area of his back is extremely tender.

This might be really easy for you guys, but here's the quiz.

1) Diagnose.
2) Tell me your treatment plan, including immediate and long term measures.
3) Do you turn back home or keep going? Assume home is one day's medium/low speed urban hike that you've already secured and mapped out.

Goblin · Site Admin Joined: 14 Feb 2008 Posts: 228

1. I would suspect a bladder,urinary tract or kidney infection!
2. Take in lots of liquids,dispense general antibiotic if possible.
3. Send him back with 1 escort. Continue mission.Have escort return ASAP.
_________________
"If this ain't a mess, it'l do 'till one shows up"

shenkhu · Joined: 22 Mar 2008 Posts: 72 Location: south shore mtl

SweetTea · Joined: 22 Mar 2008 Posts: 117 Location: Kansas City, MO

Good job, guys. The answer was ascending UTI. Ascending UTIs happen when the urethra gets some abrasion in it and bacteria set up shop and breed up your bladder into your kidneys. Descending UTIs can happen when bacteria gets in the blood and gets lodged in your kidneys and then breed down your ureters and into your bladder. Girls tend to get ascending UTI's more because their urethras are shorter.

UTIs are no bigger of a deal than other bacterial infections, unless the kidneys get infected. Then, you're one step away from kidney failure. You can tell when your kidneys are infected because your "lovehandles" area on your back will be very tender and inflamed. Kidney failure is serious shit, and it'll be really hard to deal with kidney infection in the PAW where there isn't dialysis and antibiotics readily available.

Trying to raise your acid level can help slow the reproduction of bacteria, so raising the acid in your diet is a pretty good idea if you don't have more advanced medicine around.

Thorian · Posted: Thu Jul 31, 2008 2:18 pm Post subject:

I am thinking kidney stones.

The most likely got him all dehydrated. Get him back and some rest lots of fluids.

I would have been kinda pissed off at the idea of a party as it would 1 lower the quality of function for my crew and 2 wasted valuable trade goods antiseptics in the form of alcohol.

This mission was screwed before it ever began.

WolfBrother · Joined: 08 Jul 2009 Posts: 5 Location: Austin, TX

WB edited to specific:

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