USMLE Forum Archives - USMLE Step 3 - IM: what would you do next
IM: what would you do next
meduploader - 05-14-09 14:30
On the 7th postoperative day after the pinning of a broken hip, a 76-year-old man suddenly develops severe pleuritic chest pain and shortness of breath. When examined, he is found to be anxious, diaphoretic, and tachycardic, with a blood pressure of 140/85 mm Hg. He has prominent distended veins in his neck and forehead. Blood gases show hypoxemia and hypocapnia. His chest x-ray film is unremarkable. The nurses have placed him on supplemental oxygen by face mask.
Which of the following is the most appropriate next step in management?
meduploader - 05-14-09 14:30
On the 7th postoperative day after the pinning of a broken hip, a 76-year-old man suddenly develops severe pleuritic chest pain and shortness of breath. When examined, he is found to be anxious, diaphoretic, and tachycardic, with a blood pressure of 140/85 mm Hg. He has prominent distended veins in his neck and forehead. Blood gases show hypoxemia and hypocapnia. His chest x-ray film is unremarkable. The nurses have placed him on supplemental oxygen by face mask.
Which of the following is the most appropriate next step in management?
The correct answer and explanation will be available after you answer.
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#4
Re: IM: what would you do next harry206 - 05-15-09 05:03 My answer is: b.
First step is ECG ---> next step is V/Q scan
#17
Re: IM: what would you do next babbu5508 - 08-30-10 00:53 My answer is: e.
Ventilation-perfusion lung scan, or spiral CT scan of the chest for pulonary embolis common in ederly who are imobilised.
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