me007
Forum Guru
Topics: 72
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A 53 yo man is noted to be tachipneic and confused 48h after suffering multiple orthopedic and internal injuries in MVA.
Chest x-ray is interpreted as normal but arterial blood gas values are: pH 7,49, PO2 52, PCO2 30 mm Hg. The course of action most likely to confirm the diagnosis would be to
1. order a ventilation-perfusion scan
2. order a pulmonary angio
3. order impedance pletismography
4. order bllod testing for fibrin split products
5. repeat a physical exam
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| sprint123
Forum Guru
Topics: 129
Posts: 870
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I think the next best step is a V/Q scan since this patient belongs to teh high probability category.However, for confirming the daignosis, we have to do a Pulmonary angiography
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| doc_clotaire
Forum Guru
Topics: 159
Posts: 1,245
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1
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The elevator to succes is broke ,you must take the stairs
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| me007
Forum Guru
Topics: 72
Posts: 803
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sorry, no
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| neuroblastoma
Forum Guru
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2 to confirm
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| me007
Forum Guru
Topics: 72
Posts: 803
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not #2 either.
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| Ivonne
Forum Guru
Topics: 55
Posts: 1,452
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DIC------------->4
Come on......give it to me
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If you beleive you can do it then you WILL DO IT!! (by Mymeghhi)
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| neuroblastoma
Forum Guru
Topics: 100
Posts: 1,018
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yeah DIC
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