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Questions and Answers
What was the diagnosis of the 43-year-old male patient?
What was the diagnosis of the 43-year-old male patient?
- Cardiac arrest
- Pulmonary contusions
- Fracture of the ribs
- Pneumothorax (correct)
What was the patient's Glasgow Coma Scale (GCS) score?
What was the patient's Glasgow Coma Scale (GCS) score?
- 10/15
- 15/15 (correct)
- 12/15
- 8/15
What was the patient's oxygen saturation level?
What was the patient's oxygen saturation level?
- 80%
- 95%
- 100%
- 90% (correct)
What type of catheter was inserted in the patient?
What type of catheter was inserted in the patient?
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What medication was prescribed to the patient for pain relief?
What medication was prescribed to the patient for pain relief?
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What was the location of the chest tube inserted in the patient?
What was the location of the chest tube inserted in the patient?
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Study Notes
Primary Survey
- Patient is a 43-year-old male who experienced high-mechanism trauma and presented with pneumothorax
- Airway (A): patient is able to talk and handle secretions
- Breathing (B): reduced air entry on the right side with an oxygen saturation of 90%
- Circulation (C): BP is 130/79, PR is 114, and intact peripheral pulses
- Disability (D): GCS is 15/15, pupils are reacting bilaterally
- Exposure (E): no obvious deformity
Intervention
- Chest tube inserted on the right side
- IV cannula in the left hand with a gauge of 20
- Foley catheter of 16fr
Diagnostic Results
- CT scan reveals right pneumothorax, pulmonary contusions, and fractures of the right first, left first, and left second ribs
Medications
- Clexan: 40mg
- Esomeprazole: 40mg
- Celecoxib: 200mg
- D5/NS: 100ml/h
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Description
Assess a patient's condition after high mechanism trauma. Determine the correct primary survey based on the patient's vital signs and symptoms.
