Fantastic presentation, thank you very much - and good luck in your final exam! 3 remarks: a) given that it seems to be a slow bleed, you could do a contrast CT first to determine bleeding location and maybe it´s amenable to a interventional radiological procedure like coiling (before doing a very invasive procedure like laparotomy or thoracotomy) and b) does the initial X-ray actually show a situs inversus totalis or was that just something to throw off the candidate...? c) I´d also place a indwelling urinary catheter and have at least hourly a look at adequate urine output
Fantastic presentation, thank you very much - and good luck in your final exam!
3 remarks:
a) given that it seems to be a slow bleed, you could do a contrast CT first to determine bleeding location and maybe it´s amenable to a interventional radiological procedure like coiling (before doing a very invasive procedure like laparotomy or thoracotomy) and
b) does the initial X-ray actually show a situs inversus totalis or was that just something to throw off the candidate...?
c) I´d also place a indwelling urinary catheter and have at least hourly a look at adequate urine output
Can you pls explain how to assess this patients cardiac reserve in case of congenital scoliosis
good scenario for viva exam