mash
Forum Fanatic
Topics: 147
Posts: 1,326
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A 56-year-old man complains of the onset of severe substernal pain after a night of heavy drinking followed by uncontrolled retching. He states that there was a small amount of blood in his vomit. A chest x-ray shows a moderate-sized left pleural effusion.Select the best course of action.
A. Administration of intravenous vasopressin
B. Administration of intraarterial vasopressin
C. Left thoracotomy, full-thickness suture ligation, and drainage of the pleural cavity
D. Balloon tamponade
E. Endoscopic control of bleeding
F. Gastrotomy and suture ligation
G. Insertion of a chest tube
H. Pulmonary arteriogram and streptokinase infusion
I. Cardiac catheterization and intraarterial infusion of tissue plasminogen activator
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I hear and I forget. I see and I remember. I do and I understand.
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| bobby
Forum Guru
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correct ans is C
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if you haven't any charity in your heart, you have the worst kind of heart trouble.
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| bluesky
Forum Newbie
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agree with bobby
C is the management for esophageal rupture or Boerhaave's syndrome
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| bose
Forum Senior
Topics: 33
Posts: 162
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Of all C seems most correct. What is the answer.
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