sunny2
Forum Elite
Topics: 51
Posts: 385
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42 years old sportsman is involved in a motor vehicle accident, he comes to you with dyspnoea , bruising on the sternum and chest pain.
No evidence of sternum fracture and no evidence of rib fracture. you admit him with suspecion of cardiac contusion. The best initial screen test for Cardiac contusion in this particular patient is :
1. CT scan
2. Cardiac enzymes
3. Continuous ECG
4. Blood gas analysis
5. Echocardiogram
6. V/Q scan
7. MRI
8. CT scan with contrast
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| GDS2008
Forum Elite
Topics: 9
Posts: 144
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3. Continuous ECG is the answer
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| frank100
Forum Guru
Topics: 48
Posts: 586
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yes, they should have and ECG, because sometimes miocardial contusion´s first manifestations are MI-like stuff. and the most sensitive lab study for that is ECG.
second thing, in a person with a sternal fracture, pulmonary contusion a BIG one too...
my answer is (3)
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| study_ing
Forum Fanatic
Topics: 180
Posts: 2,509
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i chose 3 for similar resons..in this seting cardiac enzymes arent helpful
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| icemaiden
Forum Elite
Topics: 9
Posts: 117
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3
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| juanma0
Forum Senior
Topics: 10
Posts: 146
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Cardiac contusion = management of MI, so 3 is the answer. Although i am curious if continous is EKG is better than single standard 12 lead EKG.
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| frank100
Forum Guru
Topics: 48
Posts: 586
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you´re righ juanma0, continuous ECG have demonstrated to be useless in everyhing, single EKG would be a better option. but the rest of the options are not a good next step.
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