A 75 year old male present complaining of cramping abdominal pain, distention and constipation for 2 days.  Patient also reports nausea and vomiting that started few hours ago.  Patient reports he has not been able to pass gas today.  On exam, patient appears pale. Abdomen is distended, absent bowel sounds, hyper-resonant on percussion, diffuse tenderness with no rebound.  VS: BP: 150/100 mmHg Lt arm supine, HR: 100 bpm, T: 98.8F oral, RR: 20 bpm. Please provide differential diagnosis for this presentation (list at least 5) AND what imaging would be indicated for this case.

A 60 y/o patient with PMH of diverticulitis, reports 3 day history of worsening LLQ pain.  Fever and chills started today.  Patient denies nausea or vomiting, but has not had appetite and has not been eating much.  Patient denies diarrhea and does not recall when he had a bowel movement. He is able to pass gas. On exam, patient is pale and diaphoretic.  Abdomen is distended with decreased bowel sounds, diffuse tenderness and guarding on percussion and palpation. VS: BP: 145/95 mmHg Lt arm supine, HR: 110 bpm, T: 102.7F oral, RR: 22 bpm. Please provide a reading for the following image including the following: Type of image Quality Gas pattern Calcifications and bones Soft tissues and other findings 

A 75 year old male reports nausea, vomiting and abdominal distension for 1 day.  Patient reports that vomiting consisted of foul smelling feculent material.  Patient reports he does not see medical providers, does not take any medications and has not had any preventative screenings.  Patient reports history of constipation, weight loss and tiredness in the last few months.  On exam, patient appears pale. Abdomen is mildly distended, hypoactive bowel sounds, tympany on percussion, diffuse tenderness with no rebound.  VS: BP: 145/95 mmHg Lt arm supine, HR: 100 bpm, T: 98.8F oral, RR: 18 bpm. Please provide a reading for the following image: 

After several hours into a fire scene investigation of a residential structure fire, the property owner requests to enter the scene to retrieve a few personal belongings. The investigator and firefighters take a break and allow the property owner to enter. Is this acceptable?

Which type of rope is used for suspending one or more people?

Which of these describes a lethal dose?

Which of these describes a lethal dose?

Which is TRUE about painting hand tools?

What are the three most important strategic priorities for an incident scene in order of importance?

Which type of drag provides a secure grip around the upper part of the victim’s body, allowing for a faster removal from the dangerous area?