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Kaplan Qbank USMLE



Author11 Posts
  #1

Post MI pt .. 50 Yrs of age .. CABG is being performed ... Inserted a Aortic baloon pump and given Dopamin for the procedure .. 24 hours after he has increased Creatinine and BUN levels ..

A) DVT


B) Thrombus due to the MI


C) Thromboembolus from the baloon pump


D) Toxic effects of Dopamine

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... Idle hands are the DeVilS play ground ...

  #2

Mural thrombus with systemic emboli ??? raised eyebrow
Addicudo, do post your thoughts on these cardio Qs , plz !!!

  #3

might be DVT????
whats the answer...

  #4

very difficult question...
acute renal failure mostly occours perioperatively due to
poor renal perfusion associated with poor renal autoregulation
among the following options only possible answer is thru...
the BALOON PUMP
what do u say........

  #5

is insanely how alike we think grin, i went through exact same pattern of thinking, Duck !!!

Edited by Luckyall on 05/31/07 - 05:43 PM

  #6

nodnod


C) Thromboembolus from the baloon pump


___________________
... Idle hands are the DeVilS play ground ...

  #7

winkwinkwink

  #8

Addicudo Whts the Source of the Question ??

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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #9

Questions a frnd of mine asked me ..

___________________
... Idle hands are the DeVilS play ground ...

  #10

C) Thromboembolus from the baloon pump

___________________
Every disaster hides an opportunity.

  #11

Intraaortic balloon counterpulsation has become more frequently used in clinical management as a circulatory assistance device. However, many studies 1-6 report complications related to the procedure (table I). The most frequent vascular complications reported are thromboembolism, absence of distal pulse, pain, dissections, ischemia, and even gangrene and amputation of limbs. In addition to the vascular complications, there are infectious ones, all occurring with similar frequency with signs of fever, local infection, and bacteremia. Less frequently, bleeding also occurs. Other less frequent complications, though not so severe, are migration and retention of the balloon. A devastating complication, however, is being reported more frequently, despite its rareness. It is paraplegia associated with intraaortic balloon counterpulsation.

http://www.scielo.br/scielo.php?script=sci_arttex...

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