USMLE Forum Archives - USMLE Step 3 - Xray Neck
Xray Neck
harry206 - 05-23-09 10:34
5 yr old Child presents with sudden onset of fever, drooling, muffles voice & respiratory distress
Lateral Xray neck ordered:
(a) Diagnosis
(b) Imortant precation during physical examination
(c) First imp step in management
harry206 - 05-23-09 10:34
5 yr old Child presents with sudden onset of fever, drooling, muffles voice & respiratory distress
Lateral Xray neck ordered:
(a) Diagnosis
(b) Imortant precation during physical examination
(c) First imp step in management
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#1
Re: Xray Neck zkadhem - 05-23-09 10:37 this is acute epiglotitis...(thumb sign)
Do not do any oral or throat examination, and eveb the cxr is not necessary these days.
First issue is to secure the aor ways, take him/her to the operation room and urgently call the ENT doctor and everything should be available for intubation!!!
#2
Re: Xray Neck
harry206 - 05-23-09 10:43 yessss 100 % correct answer:
(a) acute epiglotitis (typical thumb sign on xray)
(b) Tounge blade should never be used --->reflex laryngospasm & cardiorespi arrest
(c) First step is always securing airway
Good
#3
Re: Xray Neck meduploader - 05-23-09 15:00 acute epiglotitis.
no oral or throat examination
secure the air ways in OR.
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