r_albayunen
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d?
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| msyamp
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e
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| srf
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e
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| achilles
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e ??
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| determine
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It's given B
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| srf
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I cannot agree,bleeding diathesis is cotraindication to epidural., determine,please give your source
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| babli
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i will go for e too.
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| determine
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Yes, I`m checking the ref. now. Preterm labor isn`t mentioned as a contr. It should be E.
Contraindications
Absolute
- Patient refusal Coagulopathy. Insertion of an epidural needle or catheter into the epidural space may cause traumatic bleeding into the epidural space. Clotting abnormalities may lead to the development of a large haematoma leading to spinal cord compression. Therapeutic anticoagulation. As above Skin infection at injection site. Insertion of the epidural needle through an area of skin infection may introduce pathogenic bacteria into the epidural space, leading to serious complications such as meningitis or epidural abscess. Raised intracranial pressure. Accidental dural puncture in a patient with raised ICP may lead to brainstem herniation (coning). Hypovolaemia. The sympathetic blockade produced by epidurals, in combination with uncorrected hypovolaemia, may cause profound circulatory collapse.
Relative
- Uncooperative patients may be impossible to position correctly, and be unable to remain still enough to safely insert an epidural. Pre-existing neurological disorders, such as multiple sclerosis, may be a contraindication, because any new neurological symptoms may be ascribed to the epidural. Fixed cardiac output states. Probably relative rather than absolute. This includes aortic stenosis, hypertrophic obstructive cardiomyopathy (HOCM), mitral stenosis and complete heart block. Patients with these cardiovascular abnormalities are unable to increase their cardiac output in response to the peripheral vasodilatation caused by epidural blockade, and may develop profound circulatory collapse which is very difficult to treat. Anatomical abnormalities of vertebral column may make the placement of an epidural technically impossible. Prophylactic low dose heparin
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| achilles
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determine, it would have been nice to check the reference before posting the answer.
and determine your source of questions is not the best with answers i guess(but they sure do make good discussions). lets discuss those questions and come to an answer ourselves whenever the answer is not what we think it should be.
keep posting the questions though !!
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| achilles
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determine, thanks for making the correction though.
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" it's not whether you get knocked down, it's whether you get up"
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| determine
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I'm studying for the canadian exam now. Some of these questions are remembered exam questions. Sorry, if I mix your mind.
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| determine
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Sorry for the confusion. I'm studying for the canadian exam now. Some of these questions are remembered exam qs, that`s why answers aren't reliable. Thank you for helping.
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| achilles
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good luck for your canadian exam too determine. which exam will you be taking ? is it the mccee or the mccqe1...are you appearing in may too ?
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| determine
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Thanks. It is EE in May.
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| r_albayunen
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yeap iits e
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e
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E
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