Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search




Prep4USMLE Forum » USMLE Step 2 CK Forum » Internal Medicine Forum



Previous Topic | Next Topic  managemenet? 


Login or Register to post messages 




Rated:
  • 0/5
  • 1
  • 2
  • 3
  • 4
  • 5
(0 votes)
Author10 Posts
GOGETA
Trying to get in PGY1
avatar

Topics: 381
Posts: 3,072
05/28/08 - 12:07 PM       #1

Pt. In mVA was brought to ER, you suspected cardiac tamponade what is next step?
a. pericardiocentesis
b. echo first..
C. CXR
d. CT


___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.

Vietnamese
Forum Elite

Topics: 12
Posts: 285
05/28/08 - 06:55 PM       #2

b. Echo "in situ": easy and quick, then pericardiocentesis.

___________________
Nothing is impossible.

mikky
Forum Elite
avatar

Topics: 17
Posts: 553
05/28/08 - 10:43 PM       #3

a...treatment first..


___________________
zero tolerance to terrorism!!!

DrVirgo
Forum Hero
avatar

Topics: 1096
Posts: 3,515
05/29/08 - 04:21 AM       #4

IF he is unstable (hypotension, tachycardia, etc...) then you need to treat FIRST... No time to assess by echo... do pericardiocentesis.


___________________
Our greatest glory is not in never falling, but in rising every time we fall.

arlete
Forum Fanatic
avatar

Topics: 50
Posts: 3,606
05/29/08 - 04:22 AM       #5

a


___________________
Now it's on God's hands. I've done my best!

Vietnamese
Forum Elite

Topics: 12
Posts: 285
05/29/08 - 04:57 AM       #6

pericardiocentesis must be controlled under echo for both diagnosis and management, additionally it is still suspected. Echo is underwent very fast for pericardial effusion. Therefore, echo presents firstly.

Edited by Vietnamese on 05/29/08 - 05:22 AM

___________________
Nothing is impossible.

guangyu
Forum Elite

Topics: 29
Posts: 308
05/29/08 - 06:18 AM       #7

A

GOGETA
Trying to get in PGY1
avatar

Topics: 381
Posts: 3,072
05/29/08 - 10:15 PM       #8

Answer: depending on senario if pt is unstable proceed to Pericardiocentesis, If stable echo first

___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.

DrVirgo
Forum Hero
avatar

Topics: 1096
Posts: 3,515
05/30/08 - 03:59 AM       #9

GOGETA wrote:
Answer: depending on senario if pt is unstable proceed to Pericardiocentesis, If stable echo first



grin nod


___________________
Our greatest glory is not in never falling, but in rising every time we fall.

mangoshaikh
Forum Newbie
avatar

Topics: 3
Posts: 57
06/03/08 - 10:22 AM       #10

nod A.









Login or Register to post messages






show Similar forum topics

show Related resources













Contact us | Terms & Conditions | Privacy Policy

Copyright @ Prep for USMLE. All rights reserved.