Quick Recall
Voice message
هذه صورة من Schwartz تشرح سبب اختياري لEndotracheal intubation في سؤال
Approach to oxygenation in cases of anterior neck injury.
Approach to oxygenation in cases of anterior neck injury.
“Case of anterior thigh deep laceration with heavy bleeding and unstable patient asking about what to do next?
A- Direct pressure on the wound
B- pressure above the wound on femoral artery
C- apply tourniquet
خيار رابع ماله دخل
The answer is A”
A- Direct pressure on the wound
B- pressure above the wound on femoral artery
C- apply tourniquet
خيار رابع ماله دخل
The answer is A”
“Psoriasis case asking how to diagnose it?
A- Clinical diagnosis is sufficient
B- Biopsy
The answer is A”
A- Clinical diagnosis is sufficient
B- Biopsy
The answer is A”
Young guy is stabbed in anterior abdomen in a fight after a football match. He presented to emergency with a 1 cm laceration that is 3 cm above umbilical. He has no pain and vitally stable. What is the best management?
A- DPL
B- Wound exploration
C- Laparotomy
D- CT scan
Abdulrahman: The answer is B if local wound exploration is the full choice (and not surgical exploration in the OR). You have to finish your physical examination before doing any sort of radiological or laboratory investigations or any type of intervention. If choice B was wound exploration using surgical methods in the OR, go for CT.
A- DPL
B- Wound exploration
C- Laparotomy
D- CT scan
Abdulrahman: The answer is B if local wound exploration is the full choice (and not surgical exploration in the OR). You have to finish your physical examination before doing any sort of radiological or laboratory investigations or any type of intervention. If choice B was wound exploration using surgical methods in the OR, go for CT.
تعديل لسؤال حليته
Patient post RTA with massive bleeding in the nose and mouth with leg fracture, decrease bp, Pt can take his breath but he is afraid from what happened. What is the next step?
A- Intubate with stretching cervix
B- Packing nasal bleeding
C- IV fluid
D- Cricothyroidotomy
Another recall: Patient post RTA with massive bleeding in the nose and mouth with leg fracture, decrease bp, Pt can take his breath but he is afraid from what happened. What is the next step?
A. Intubate in midline cervical stabilization
B. Packing nasal bleeding
C. IV fluid
D.tracheostomy
Abdulrahman: The answer is C, since he is bleeding from his nose, mouth, and leg (high risk of major blood loss). As per the trauma protocol, we prioritize circulation over the airway and breathing. Also he is already awake, breathing, and talking. We have to give fluids first to prevent hypovolemia and hypotension. Afterwards, we can do nasal packing and the other steps in the trauma protocol. Never manipulate the cervix (stretch in this case) in trauma patients. Endotracheal intubation should not be done in awake patient, only in some rare cases. There is no mentioning of fascial fractures, thus there are no indications for cricothyroidotomy. He only has bleeding from the nose and mouth.
Patient post RTA with massive bleeding in the nose and mouth with leg fracture, decrease bp, Pt can take his breath but he is afraid from what happened. What is the next step?
A- Intubate with stretching cervix
B- Packing nasal bleeding
C- IV fluid
D- Cricothyroidotomy
Another recall: Patient post RTA with massive bleeding in the nose and mouth with leg fracture, decrease bp, Pt can take his breath but he is afraid from what happened. What is the next step?
A. Intubate in midline cervical stabilization
B. Packing nasal bleeding
C. IV fluid
D.tracheostomy
Abdulrahman: The answer is C, since he is bleeding from his nose, mouth, and leg (high risk of major blood loss). As per the trauma protocol, we prioritize circulation over the airway and breathing. Also he is already awake, breathing, and talking. We have to give fluids first to prevent hypovolemia and hypotension. Afterwards, we can do nasal packing and the other steps in the trauma protocol. Never manipulate the cervix (stretch in this case) in trauma patients. Endotracheal intubation should not be done in awake patient, only in some rare cases. There is no mentioning of fascial fractures, thus there are no indications for cricothyroidotomy. He only has bleeding from the nose and mouth.
Quick Recall
A 43 year old male while awaiting in the waiting room in clinic felt drowsy and was found hypoglycemic. What would you do in this scenario? A- Grape Fruit Juice B- 5% Dextrose Intravenous C- Normal Saline D- Intravenous Glucagon Abdulrahman: The answer is…
Another recall: 43 year old male while awaiting in the waiting room in clinic felt drowsy and was found hypoglycemic. What would you do in this scenario?
A- Fruit Juice (not grapefruit)
B- 5% Dextrose Intravenous
C- Normal Saline
D- Intravenous Glucagon
Abdulrahman: The term drowsy is vague and subjective. It can range from the patient being a little bit dizzy (can take the fruit juice orally) to the patient being disoriented and in the pre-syncope phase (need to be given IV glucagon). Make the answer based on what you feel is right from what I said.
A- Fruit Juice (not grapefruit)
B- 5% Dextrose Intravenous
C- Normal Saline
D- Intravenous Glucagon
Abdulrahman: The term drowsy is vague and subjective. It can range from the patient being a little bit dizzy (can take the fruit juice orally) to the patient being disoriented and in the pre-syncope phase (need to be given IV glucagon). Make the answer based on what you feel is right from what I said.
Pancreatitis 5 weeks ago. Now she has epigastric tenderness and cannot tolerate food with vomiting each time. By ultrasound you found large about 12X10 mass with thick wall and fluid inside. Labs: 346 amylase, Wbc 15k. What is the diagnosis?
A. Pseudocyst
B. Abscess
C. Walled off necrosis
Abdulrahman: The answer is most likely A. Let’s talk about the approach to post-pancreatitis complications:
A. Pseudocyst
B. Abscess
C. Walled off necrosis
Abdulrahman: The answer is most likely A. Let’s talk about the approach to post-pancreatitis complications:
Patient presents with stab wound to the abdomen. After wound exploration, you found anterior abdominal fascia penetration. His vitals were stable. What is your next step?
A- CT abdomen
B- MRI abdomen
C- Exploratory laparotomy
D- Diagnostic laparoscopy
Abdulrahman: There is a huge debate between CT and diagnostic laparoscopy in anterior abdominal fascia penetrations. I will go with diagnostic laparoscopy. Here is the approach that I went with:
A- CT abdomen
B- MRI abdomen
C- Exploratory laparotomy
D- Diagnostic laparoscopy
Abdulrahman: There is a huge debate between CT and diagnostic laparoscopy in anterior abdominal fascia penetrations. I will go with diagnostic laparoscopy. Here is the approach that I went with: