kingkong
Forum Senior
Topics: 29
Posts: 65
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A young man comes to the ER after an automobile accident with multiple anerior chest fracture and hoarseness of voice, CXR shows widening of mediastinum; what is your immediate management?
1. Intubaiton
2.support the fractures
3.pericardiocentesis
4.Aortic angiogram
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| kpmle2
Forum Elite
Topics: 29
Posts: 292
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1. Intubaiton
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| MAGY17
Forum Elite
Topics: 30
Posts: 234
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yes, intubation
abc firts, then treatment
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| peraspera
Forum Elite
Topics: 38
Posts: 233
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4. Aortic angiogram, for traumatic rupture of aorta.
But the best test- spiral CT scan
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| hanialkhadher
Forum Elite
Topics: 16
Posts: 256
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Aortic angiogram
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| Kamsi
Forum Guru
Topics: 103
Posts: 347
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1 Intubation first Hoarseness of voice is telling that there is possible hematoma impinging on d laryngeal nerve
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| Ivonne
Forum Guru
Topics: 53
Posts: 1,421
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I will go for intubation. What is the aswer here...hellooooooo
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
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1. Intubate
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| darkhorse
Forum Elite
Topics: 56
Posts: 275
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intubate
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When going gets tough, the tough gets going
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| Ivonne
Forum Guru
Topics: 53
Posts: 1,421
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Just reading about aortic rupture and the explanation of the voice horsening due to compression of the left recurrent pharingeal nerve due to and aortic hematoma. Just 1 out of 5 patients survive (out of the ones that reach the ER alive) therefore this patient needs intubation ASAP---->then spiral CT/TEE---->Surgery
___________________
If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| Doc750
transfer:step 3 prison
Topics: 52
Posts: 636
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I wish people who post the questions, would post the answers in a reasonable amount of time. Otherwise there is no learning from them. It's pretty much a waste of their time for typing it up here, and ours for reading them and not knowing the answer.
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Experience is a hard teacher because she gives the test first, and the lesson afterwards.
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| mildanemia
Forum Newbie
Topics: 3
Posts: 90
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No point in going for an Angiogram if the patient suffocates to death.
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