bluestar
Forum Guru
Topics: 236
Posts: 724
|
A 40-year-old man is brought to the emergency department 1 hour after a high-speed motor vehicle collision. ... A ) Inadequate administration of fluids B ) Myocardial contusion C ) Myocardial infarction D ) Pulmonary contusion E ) Traumatic rupture of the aorta
Edited by bluestar on 08/19/05 - 11:58 PM
___________________
I leave no trace of wings in the air, but I am glad I have had my flight
|
| bobby
Forum Guru
Topics: 136
Posts: 569
|
D. polmonary contusion.
___________________
if you haven't any charity in your heart, you have the worst kind of heart trouble.
|
| SDK
Forum Fanatic
Topics: 537
Posts: 1,587
|
It is D.... indicate pulmonary HTN....
___________________
Love humans,save humans & live like humans.
|
| bluestar
Forum Guru
Topics: 236
Posts: 724
|
but why Pulmonary capillary wedge pressure has increased? I think it indicates cardiac failure?
but Myocardial contusion should have changes in EKG or enzyme, which is not mentioned in the Q stem.
___________________
I leave no trace of wings in the air, but I am glad I have had my flight
|
| nisha
Forum Guru
Topics: 146
Posts: 919
|
im gonna guess B..no idea why
___________________
IM resident
|
| chemamr
Forum Hero
Topics: 703
Posts: 4,486
|
i think B (PCWP is increased)
|
| Dot
Forum Senior
Topics: 1
Posts: 168
|
High PCWP shows the presssure of LV failure due to mycardial contusion resulting into pulmonary edema.B is the ans.Though pulmonary contusion can also give this picture but its rare
___________________
have fun
|
| bluestar
Forum Guru
Topics: 236
Posts: 724
|
and the reason we don't choose myocardial infarction is becuase in the trauma setting, mycardial contusion is more likely? like the relationship b/t ARDS and pulmonary contusion (more likely in the trauma setting)??
___________________
I leave no trace of wings in the air, but I am glad I have had my flight
|
| intern_doc
Forum Guru
Topics: 98
Posts: 433
|
I think it's B
___________________
Please call me by my first name on March 17 - Dr.
|
|
| |
| | | | | | | | | |
