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as doctor will be busy.. whenever free will post mcq with explanation , important notes clinical cases so stay tuned
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Wanted to add on to this...in a pregnant patient who has sustained trauma, they are always transported in the L lateral decubitus ,and not supine on the spinal board
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https://www.instagram.com/p/C73BoiMMmur/?igsh=MThrNjRqbHl6bWVxOA==
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Images and exact scenarios from my personal collection
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Fetal distress in a trauma pregnant patient is a surrogate for maternal shock in trauma.Treat mother appropriately ,baby is also treated by default👍
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Correct Answer is IVC compression
Explanation: IVC compression Ref: Read the text below Sol: When a pregnant woman lies on her back, i.e. in the supine position there is the compression of the abdominal aorta and inferior vena cava by the gravid uterus. It is a frequent cause of maternal hypotension which can result in loss of conscious- ness and in extreme circumstances fetal demise. This aortocaval compression is thought to be the cause of supine hypotensive syndrome characterized by pallor, brady- cardia, sweating, nausea, hypotension and dizziness and occurs when a pregnant woman lies on her back and resolves when she is turned on her side.
The following is true of the Short saphenous vein that is seen here (Arrow)
a)It is accompanied by the peroneal nerve
b)It is seen the proximal calf, between heads of gastrocnemius
c)Cranial extension in the posterior thigh called Giacomini vein
d)The Giacomini vein is the communication between the short saphenous vein and long saphenous vein at mid thigh
👆this video will clear doubts why paradoxical aciduria happens....A person losing H ions through upper GI should conserve H ions by the kidney.Logical! But he starts losing H ions from the kidney too.physiological hierarchy to preserve volume triggers this.Details in video.
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All images and scenarios , imaging and biochemistry from my personal collection.No imagination.🙏
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How to answer??
Eliminate alkalosis first as patient will be in shock ( C and D). remember the predominate ion in the intracellular space K, will invariably enter the extracellular space ( the vascular component). More insights check out the below video .
All clinical material from my personal collection
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these are clinical scenarios from my own collection
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these are clinical scenarios from my own collection
Читать полностью…
Fetal distress in a trauma pregnant patient is a surrogate for maternal shock in trauma.Treat mother appropriately ,baby is also treated by default👍
Читать полностью…
Correct Answer is IVC compression
Explanation: IVC compression Ref: Read the text below Sol: When a pregnant woman lies on her back, i.e. in the supine position there is the compression of the abdominal aorta and inferior vena cava by the gravid uterus. It is a frequent cause of maternal hypotension which can result in loss of conscious- ness and in extreme circumstances fetal demise. This aortocaval compression is thought to be the cause of supine hypotensive syndrome characterized by pallor, brady- cardia, sweating, nausea, hypotension and dizziness and occurs when a pregnant woman lies on her back and resolves when she is turned on her side.
Wanted to add on to this...in a pregnant patient who has sustained trauma, they are always transported in the L lateral decubitus ,and not supine on the spinal board
Читать полностью…
How to answer??
Eliminate alkalosis first as patient will be in shock ( C and D). remember the predominate ion in the intracellular space K, will invariably enter the extracellular space ( the vascular component). More insights check out the below video .
This is Babcock.Fenestrated end is straight.In sponge holder the edge is rounded.Compare both
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Students don't mix up "classification" of surgical wounds with "outcome"As you go down the options the rate of infection will increase.It does not mean a "clean"wound by classification will be clean on outcome .Neither do all "dirty" wound by classification have to mandatorily get infected
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Students don't mix up "classification" of surgical wounds with "outcome"As you go down the options the rate of infection will increase.It does not mean a "clean"wound by classification will be clean on outcome .Neither do all "dirty" wound by classification have to mandatorily get infected
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