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Kaplan Qbank USMLE



Author9 Posts
  #1

A 67 yr woman 4 days ago had abdo surgery was found collapsed in bath while she was taking a shower. What is most likely cause for this



a- Vasovagal syncope

b-PE

c-Pulmo atelectasis

d-Sec hemorrhage

e- MI


  #2

e-MI

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  #3

thanks

  #4

d

what is the correct ans?


  #5

MI is more likely in a 4 days post-op patient with abdominal surgery !

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  #6

On the other hand, it is very unlikely in real world

an elderly woman 67 years old will take a bath or

shower post-op 4 days by herself.

If she has minimally invasive surgery, then she must be up and walking and the likelihood of P.E. is unlikely!


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  #7

I was thinking the same thing. How come she's having a bath 4th day post-op and that after an abdominal surgery. I was thinking in terms of tissues still not healed completely could give way internally causing an internal bleed and syncope.

Now massive internal bleed could also give a MI in this 67 yr old female.

Both D and E are not Unlikely in this situation. My pick is D at the moment.


  #8

atelectasis is also possible, which is common complication after chest and abdomen surgery.

atelectasis , then shock, then collapse.




  #9

what's the answer pram???







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