USMLE Forum Archives - USMLE Step 2 CK - Trauma
Trauma
bingousmle - 09-30-10 18:01
An 8-year-old is accidentally hit in the abdomen by a baseball bat. After several minutes of discomfort, he seems to be fine. Over the ensuing 24 h, however, he develops a fever, abdominal pain radiating to the back,and persistent vomiting. On examination, the child appears quite uncomfortable. The abdomen is tender, with decreased bowel sounds throughout, but especially painful, with guarding in the midepigastric region. The test
likely to confirm your suspicions is
a. Serum amylase
b. Complete blood count with differential and platelets
c. Serum total and direct bilirubin levels
d. Abdominal radiograph
e. Electrolyte panel
bingousmle - 09-30-10 18:01
An 8-year-old is accidentally hit in the abdomen by a baseball bat. After several minutes of discomfort, he seems to be fine. Over the ensuing 24 h, however, he develops a fever, abdominal pain radiating to the back,and persistent vomiting. On examination, the child appears quite uncomfortable. The abdomen is tender, with decreased bowel sounds throughout, but especially painful, with guarding in the midepigastric region. The test
likely to confirm your suspicions is
a. Serum amylase
b. Complete blood count with differential and platelets
c. Serum total and direct bilirubin levels
d. Abdominal radiograph
e. Electrolyte panel
The correct answer and explanation will be available after you answer.
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#1
Re: Trauma babbu5508 - 10-11-10 09:34 My answer is: a.
a fever, abdominal pain radiating to the back,and persistent vomiting,guarding in the midepigastric region....
#7
Re: Trauma dreamtrue - 10-16-10 23:58 My answer is: d.
history accident, abdominal pain radiating to back vomiting, which alarm for internal bleeding?
#8
Re: Trauma paperp - 10-20-10 14:43 My answer is: d.
looks like pancreatitis but must rule out perforation via air under the diaphragm; amylase is not specific enough
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