Health Care > EXAM > SURGERY - NMS/Pestana/pretest/lange/uworld study guide Solved and Verified (All)

SURGERY - NMS/Pestana/pretest/lange/uworld study guide Solved and Verified

Document Content and Description Below

SURGERY - NMS/Pestana/pretest/lange/uworld study guide Solved and Verified -A 77-year-old man becomes "senile" over a period of three or four weeks. He used to be active and managed all of his fina... ncial affairs. Now he stares at the wall, barely talks and sleeps most of the day. His daughter recalls that he fell from a horse about a week before the mental changes began. {{Correct Ans- What is it? - Chronic subdural hematoma. (venous bleeding, size 7 brain in size 8 skull) How is diagnosis made? - CT scan. Treatment: Surgical decompression (craniotomy). Spectacular improvement expected. -A car hits a pedestrian. He arrives in the ER in coma. He has...(raccoon eyes... or clear fluid dripping from the nose...or clear fluid dripping from the ear...or ecchymosis behind the ear)... {{Correct Ans- What is it? - Base of the skull fracture. How is it diagnosed? - CT scan. Needs cervical spine X-Rays. Implications for therapy: needs neurosurgical consult, needs antibiotics. -A 22-year-old gang member arrives in the E.R. with multiple guns shot wounds to the abdomen. He is diaphoretic, pale, cold, shivering, anxious, asking for a blanket and a drink of water. His blood pressure is 60 over 40. His pulse rate is 150, barely perceptible. {{Correct Ans- What is it? - Hypovolemic shock Management: Several things at one: Big bore IV lines, Foley catheter and I.V. antibiotics. Ideally exploratory lap immediately for control of bleeding, and then fluid and blood administration. If O.R. not available, fluid resuscitation while waiting for it. -A 22-year-old gang member arrives in the E.R. with multiple guns shot wounds to the chest and abdomen. He is diaphoretic, cold, shivering, anxious, asking for a blanket and a drink of water. His blood pressure is 60 over 40. His pule rate is 150, barely perceptible. He has big distended veins in his neck and forehead. He is breathing OK, has bilateral breath sounds and no tracheal deviation. {{Correct Ans- What is it? - Pericardial tamponade Management: No X-Rays needed, this is a clinical diagnosis!. Do Pericardial window. If positive, follow with thoracotomy, and then exploratory lap. -A 22-year-old gang member arrives in the E.R. with a single gun shot wound to the precordial area. He is diaphoretic, cold, shivering, anxious, asking for a blanket and a drink of water. His blood pressure is 60 over 40. His pule rate is 150, barely perceptible. He has big distended veins in his neck and forehead. He is breathing OK, has bilateral breath sounds and no tracheal deviation. {{Correct Ans- when the location of the wound strongly suggests pericardial tamponade, emergency thoracotomy might be done right away without prior pericardial window [Show More]

Last updated: 2 years ago

Preview 1 out of 280 pages

Buy Now

Instant download

We Accept: