A & E
Youngdoctor - 07-14-09 02:33 Bookmark and Share

You are a GP in an emergency department of a hospital. A case of motor
vehicle accident comes to you. Patient has CSF otorrhoea, impaired
consciousness, and fracture mid shaft of humerus with bleeding from wound.
He has abdominal pain with mild distension and haemorrhagic swelling in the
neck with inspiratory strider. Which one is your priority?






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Page 1
#1
Re: A & E
zoah2005 - 07-14-09 04:09

My answer is: c.

#2
Re: A & E
vinod123 - 07-14-09 05:57

My answer is: a.

#3
Re: A & E
omojesu - 07-14-09 07:19

My answer is: c.


A,B,C of resuscitation

#4
Re: A & E
omojesu - 07-14-09 07:22

csf ottorhea thats quite something cos the management of basal skull fracture is usually conservative and infact it is only when drainage persists beyond 2 weeks do u try to repair the torn dura.this patient though breathing now has an impending airway compromise.
im just a little bit suprised at the answer,anyway

#5
Re: A & E
hameedkhatti - 07-14-09 07:58

My answer is: b.

#6
Re: A & E
conym5 - 07-14-09 09:26

indications for endotrachial intubation in a patient from trauma setting :
1.loss of conciousness
2.voice noicy or gurgly
3.expanding hematoma in the neck

#7
Re: A & E
drbasim - 07-14-09 16:21

My answer is: c.

#8
Re: A & E
ysemak - 07-14-09 16:49

My answer is: a.

#9
Re: A & E
adipocito - 07-19-09 05:50

My answer is: c.

#10
Re: A & E
84ahsan - 07-19-09 10:25

My answer is: c.

#11
Re: A & E
xmfever - 07-21-09 21:26

My answer is: c.

#12
Re: A & E
rockhill - 07-21-09 22:02

My answer is: d.

#13
Re: A & E
drsadia - 07-23-09 09:24

My answer is: c.

#14
Re: A & E
usmlefever3 - 07-24-09 08:57

My answer is: c.

#15
Re: A & E
bahaeldin77 - 07-25-09 07:09

My answer is: c.

#16
Re: A & E
bahaeldin77 - 07-25-09 07:15

This is a classic A & E senario f course u take care of A 1st

#17
Re: A & E
hardas13 - 08-03-09 12:44

My answer is: c.

#18
Re: A & E
neetzmathai123 - 08-05-09 06:57

My answer is: a.

#19
Re: A & E
lugupa2005 - 08-06-09 19:36

My answer is: a.

#20
Re: A & E
ppillai - 08-07-09 14:31

My answer is: a.

#21
Re: A & E
wahwah - 08-09-09 06:38

My answer is: c.

#22
Re: A & E
soyyodotcom - 08-13-09 16:42

My answer is: c.

#23
Re: A & E
InSitu - 08-13-09 17:33

My answer is: c.


protect the airway...inspiratory strider in the case is a red flag.

#24
Re: A & E
doczuzu - 08-13-09 20:40

My answer is: d.

#25
Re: A & E
drusmleworld - 08-19-09 07:51

My answer is: a.

#26
Re: A & E
eswarkumar - 08-20-09 14:05

My answer is: c.

#27
Re: A & E
docraj - 08-20-09 14:47

My answer is: c.

#28
Re: A & E
burova - 08-24-09 17:01

My answer is: d.

#29
Re: A & E
dinmenace - 08-25-09 05:27

My answer is: a.

#30
Re: A & E
rasay1983 - 08-26-09 13:34

My answer is: c.

#31
Re: A & E
qingjie87 - 08-28-09 11:17

My answer is: c.

#32
Re: A & E
himanga1 - 08-28-09 16:22

My answer is: c.

#33
Re: A & E
mtniharika - 09-10-09 13:56

My answer is: d.

#34
Re: A & E
tvaqar - 09-14-09 17:34

My answer is: d.

#35
Re: A & E
saurabhsingh - 09-16-09 13:26

My answer is: d.

#36
Re: A & E
lakreol - 09-16-09 22:02

My answer is: c.

#37
Re: A & E
lakreol - 09-16-09 22:06

needless to say I wasnt expectiing that the airway is most likely to cause issues first ...

#38
Re: A & E
ramya123 - 09-17-09 15:47

My answer is: c.

#39
Re: A & E
reksarma - 09-24-09 08:02

My answer is: c.

#40
Re: A & E
afinaish - 09-25-09 13:02

My answer is: c.

#41
Re: A & E
zfashan - 09-26-09 18:15

My answer is: c.

#42
Re: A & E
anukaka - 09-28-09 11:56

My answer is: a.

#43
Re: A & E
amaniagz - 10-02-09 08:05

My answer is: c.

#44
Re: A & E
vernette - 11-07-09 18:22

My answer is: d.

#45
Re: A & E
dadukids - 12-07-09 02:52

My answer is: c.

#46
Re: A & E
hadeelaya - 12-14-09 23:23

My answer is: c.

#47
Re: A & E
tianjin - 12-15-09 03:31

My answer is: c.

#48
Re: A & E
badrh4sse5n - 12-15-09 06:34

My answer is: c.

#49
Re: A & E
medusmle01 - 12-16-09 01:20

My answer is: a.

#50
Re: A & E
demolition - 12-23-09 21:29

My answer is: c.

#51
Re: A & E
demolition - 12-23-09 21:33

its definitely c b/c in a trauma case ABCD has to be maintained. & his neck swelling has already started to encrouch his airway shown by the presence of the inspiratory stridor

#52
Re: A & E
pat2005 - 01-09-10 13:27

My answer is: d.

#53
Re: A & E
oldman - 01-10-10 11:48

My answer is: a.

#54
Re: A & E
stanikzai - 01-10-10 20:52

My answer is: c.

#55
Re: A & E
agshaikh - 01-29-10 18:31

My answer is: d.

#56
Re: A & E
agshaikh - 01-29-10 18:31

a

#57
Re: A & E
bingousmle - 01-30-10 14:05

My answer is: c.

#58
Re: A & E
tahiraraees - 02-08-10 02:18

My answer is: c.

#59
Re: A & E
shahra - 02-20-10 12:03

My answer is: c.

#60
Re: A & E
hhmyaing - 02-20-10 16:08

My answer is: c.

#61
Re: A & E
komalz - 02-21-10 02:43

My answer is: c.

#62
Re: A & E
gkhurram - 02-25-10 23:25

My answer is: c.

#63
Re: A & E
hind708 - 03-02-10 05:04

My answer is: a.

#64
Re: A & E
bihnan - 03-02-10 05:41

My answer is: c.

#65
Re: A & E
navid1352 - 03-03-10 05:45

My answer is: c.

#66
Re: A & E
dreguieg - 03-09-10 20:22

My answer is: d.

#67
Re: A & E
pawan238 - 03-11-10 00:58

My answer is: c.

#68
Re: A & E
akl161 - 03-11-10 13:53

My answer is: c.

#69
Re: A & E
hhyeemee - 03-12-10 01:24

My answer is: d.

#70
Re: A & E
ammulufy - 03-13-10 19:06

My answer is: c.


Haemorrhagic neck swelling is d priority bcos any hemorrhage in d neck is suggestive of the probability of rupture of the carotids......hence it is to b attended so dat there is no profuse haemorrhage n d ptnt lands up in hrrhagic shock resulting in instant death.

#71
Re: A & E
ammulufy - 03-13-10 19:10

I know dat CSF otorrhea indicates basal skull fracture but d brain shuld not b exposed to hypoxia even for few minutes.....hence we shud attend to d heamorrhage frst so dat cerebral perfusion pressure is maintained n it is a known fact dat cerebral perfusion pressure depends on blood pressure n intracranial tension.......n finally one shud not forget d basics in an ED i.e A B C of resuscitation!!!!!!

#72
Re: A & E
babsin - 03-14-10 08:08

My answer is: c.

#73
Re: A & E
therockbigfight - 04-30-10 16:13

My answer is: c.

#74
Re: A & E
saraabdelaal - 05-01-10 01:32

My answer is: c.

#75
Re: A & E
thimar98 - 05-02-10 05:03

My answer is: c.

#76
Re: A & E
zubiashoaib - 05-02-10 20:31

My answer is: a.

#77
Re: A & E
fugeran - 05-03-10 12:06

My answer is: c.

#78
Re: A & E
babbu5508 - 05-21-10 02:44

My answer is: c.


haemorrhagic swelling in the neck with inspiratory strider...cardiopulmonary status is the first priority in ever case in the emergency department..

#79
Re: A & E
babbu5508 - 05-21-10 02:45

can someone elaborate???

#80
Re: A & E
samyou - 05-25-10 23:23

My answer is: c.

#81
Re: A & E
residencyrace - 05-29-10 11:37

My answer is: b.

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