All right, welcome to episode 643 of the Divine Intervention Podcast. In today's podcast, we're going to be continuing the 386 series. Again, guys, I'm telling you, if you're taking your USMiles anytime soon, don't ignore this stuff. He's going to pop up on your exams. All right, so we're going to pick up from question 37. A 35-year-old white man with spina bifida is admitted to the hospital for a urologic procedure.

He has been functionally independent in activities of daily living and is employed doing inventory control in a local sporting goods store.

He has maintained continence through periodic self-cathorization.

The patient is paraplegic, has recurring calcium oxymocally kidney stones, and recent onset of incontinence

secondary to detroser and bladder neck dysfunction.

Vital signs are normal.

Physical examination shows a well-developed well-nourished man in no acute distress.

Aside from paraplegia, lower extremity muscle atrophy, and lower abdominal surgical scars,

the physical examination discloses no abnormalities.

He had an episode of anaphylaxis, secondary to latex allergy,

during a previous operation for functional expansion of his bladder through a bowel anastomosis.

Which of the following is most important to consider in the care of this patient?

A.

Administration of Injectable Medications with Disposable Syringes B.

Preparation of food by outside contractors C,

type of cleaning agents used to sterilize bed linens, D, use of rubber, urethro catheters,

E, use of topical moisturizing agents for skincare.

For this, I'm going to go ahead and say D, right?

And again, that makes sense.

Why?

Because this person, they've had an phelaxis with uh the person

has latex allergy and remember latex allergy can absolutely positively cause anaphylaxis right so

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