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Kaplan Qbank USMLE



Author6 Posts
  #1

45-year-old previously healthy woman swallowed caustic substance & admitted to A&E. She had caustic burn around her mouth, burn marks on the fromt of her chest.
She c/o retrosternal chest pain. Perforationof esophagus was suspected.

(1) name 3 other complications from strong caustic ingesion.
(2) name 3 chronic complications
(3) List 3 physical signs u will look for
(4) List 2 investigations to confirm diagnosis of perforated esophagus

  #2

Any options?

___________________
Don't live in a town where there are no doctors

  #3

3) s.c. emphysema, tachycardia/tachypnea, fever (late)
4) CXR, gastrografin esophagogram

  #4

1) GI bleeding/Acid-base disregulation/airway edema? (there are tons of them, but they are mostly reult of perforation)
2) strictures/carcinoma/?

  #5

lolz.. is this the new format of Ck :P

  #6

Mediastinitis, esophageal stricture,syrgical emphysema,
gastrografin swallow,esophagoscopy,cxr







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