doc26inder
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62. A 67-year-old man is brought to the ED by ambulance after a syncopal episode. He was well before the event, except for mild chronic hypertension. He fell on pavement, striking his head, so paramedics placed him in a cervical collar and strapped him to a spine board. He complains of low back pain, which he attributes to the spine board. BP is 100/50, and heart rate (HR) is 80<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
beats per minute. Which of the following is the best course of action?
(A) Analgesia, ECG, and outpatient referral to cardiologist
(B) ECG, cardiac enzymes, admit for telemetry monitoring
(C) Lateral abdominal x-ray, with aortogramif inconclusive
(D) Intravenous fluids, morphine, computed tomography (CT) of the abdomen
(E) Immediate surgical consultation, multiple large-bore intravenous lines, type and cross-match blood
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| doc26inder
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sorry guys -- i dont know from where this thing --- ( after 80 ....) came up . please read beats per minute after 80 . please any one can tell me how to edit my post
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| DrS
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A
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| ARJ
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(D) Intravenous fluids, morphine, computed tomography (CT) of the abdomen.
Diagnosis----Abdominal Aortic Aneursym
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| alenka
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ARJ-you rock!
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| DrS
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E) Immediate surgical consultation, multiple large-bore intravenous lines, type and cross-match blood
ruptured aortic aneurysm
simple aortic aneurysm will not cause syncope, or low BP
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| lucky
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E
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