USMLE Forum Archives - USMLE Step 3 - IM: Poisoning
IM: Poisoning
meduploader - 05-23-09 14:39
A 26-year-old man is admitted to the hospital after accidental ingestion of corrosive alkali liquid. He denies any past medical or surgical history. The day before admission, he was at a party with his friends where he consumed a lot of alcohol. At the end of the party, he returned home and accidentally ingested corrosive alkali liquid from a bottle, mistaking it for a bottle of water. At the time of admission to the hospital, he complained of substernal chest pain and that he was feeling "really ill". Initial gastrointestinal contrast study with water-soluble contrast did not reveal a gastrointestinal leak or perforation. His vitals are stable with a tachycardia of 90/min. The next best step in management is to
meduploader - 05-23-09 14:39
A 26-year-old man is admitted to the hospital after accidental ingestion of corrosive alkali liquid. He denies any past medical or surgical history. The day before admission, he was at a party with his friends where he consumed a lot of alcohol. At the end of the party, he returned home and accidentally ingested corrosive alkali liquid from a bottle, mistaking it for a bottle of water. At the time of admission to the hospital, he complained of substernal chest pain and that he was feeling "really ill". Initial gastrointestinal contrast study with water-soluble contrast did not reveal a gastrointestinal leak or perforation. His vitals are stable with a tachycardia of 90/min. The next best step in management is to
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#3
Re: IM: Poisoning
bingousmle - 05-24-09 00:30 hey wont doing a endoscopy increase the chance of perf of esophagus , since iaatrogenic trauma is most commomn cause of rupture?
#19
Re: IM: Poisoning
babbu5508 - 08-31-10 12:04 My answer is: a.
gastrointestinal contrast study with water-soluble contrast did not reveal a gastrointestinal leak or perforation
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