phuluong2k
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40 y/o man has sudden onset of palpitations & SOB 5 days after having knee replacement surgery Pulse 100, regular, SaO2 90% on room air, sinus tachycardia on ECG, unremarkable CXR The most approriate next step in management ? A. Order ABG B. Duplex doppler of lower extremities C. Ventilation perfusion scan D. Supplemental oxygen E. IV heparin
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| DrS
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D. Supplemental oxygen
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| pgn
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C. V/Q SCAN ?
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| chemamr
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a little bit confusing.
C?
if this isnīt, then iīd say E.
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| phuluong2k
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It is really controversial
The given anser is ABG, for suspicious pulmonary emboli
Firstly clinical clue , next do ECG & CXR & ABG
Later V/Q scan is the next
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| chemamr
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yes, thatīs what i had read, i think UW says that too.
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| Dot
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I think B.P here will tell ab the severity of PE.Buts its true to go for ABg first as i have also read the same
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