USMLE Forum Archives - USMLE Step 2 CK - thoracotomy
thoracotomy
bingousmle - 05-25-10 01:10
Which of the following is an indication for thoracotomy?
a. 500 cc of initial chest tube drainage of blood
b. 1200 cc of initial chest tube drainage of blood
c. Persistent bleeding from the chest tube at a rate of 50 cc/h
d. Chest radiograph with greater than 50% lung field white out
e. Evidence of a PTX
bingousmle - 05-25-10 01:10
Which of the following is an indication for thoracotomy?
a. 500 cc of initial chest tube drainage of blood
b. 1200 cc of initial chest tube drainage of blood
c. Persistent bleeding from the chest tube at a rate of 50 cc/h
d. Chest radiograph with greater than 50% lung field white out
e. Evidence of a PTX
The correct answer and explanation will be available after you answer.
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#1
Re: thoracotomy babbu5508 - 05-25-10 03:45 My answer is: d.
If a hemothorax is equal to or greater than the amount required to obscure the costophrenic sulcus or is found in association with a pneumothorax based on chest radiograph findings, it should be drained by tube thoracostomy. tube placement for hemothorax should ideally be in the sixth or seventh intercostal space at the posterior axillary line.
#3
Re: thoracotomy mtniharika - 05-25-10 04:43 My answer is: b.
Which of the following is an indication for thoracotomy? b. 1200 cc of initial chest tube drainage of blood
#4
Re: thoracotomy
bingousmle - 05-25-10 06:28 My answer is: b.
the best choice as an indication for thoracotomy is a 1200 cc of initial chest tube drainage of blood amongst the others...
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