Boating injury - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 12-22-2009
USMLE Forums Newbie
 
Steps History: Step 1 Only
Posts: 7
Threads: 2
Thanked 11 Times in 4 Posts
Reputation: 21
Band Aid Boating injury

Following a boating injury a 35 year old man presented with fever and tackycardia. Examination revealed a wide erythema around a blistering and draining wound in the flank. X ray shows gas in the soft tissues.
Which of the following measures is most appropriate?
a- give antifungal
b- give antitoxin
c- administer hyperbaric oxygen
d- wide debridement
e- early wound closure
Reply With Quote Quick reply to this message
The above post was thanked by:
DrSeddik (12-22-2009), hippocampus (01-04-2010), lehoangmy (06-21-2010), Mondoshawan (02-15-2011)



  #2  
Old 12-22-2009
USMLE Forums Newbie
 
Steps History: Step 1 Only
Posts: 6
Threads: 3
Thanked 2 Times in 1 Post
Reputation: 12
Default

Is it antitoxin! is there a risk of tetanus here
Reply With Quote Quick reply to this message
  #3  
Old 12-22-2009
DrSeddik's Avatar
USMLE Forums Veteran
 
Steps History: 1+CK+CS
Posts: 236
Threads: 57
Thanked 455 Times in 107 Posts
Reputation: 468
Cool

This is gas gangrene I guess (cl. perfringes)..

I think debridement, because hyperbaric oxygen would take time.
Reply With Quote Quick reply to this message
 
  #4  
Old 12-23-2009
HouseWannabe's Avatar
USMLE Forums Addict
 
Steps History: 1 + CS
Posts: 120
Threads: 13
Thanked 147 Times in 45 Posts
Reputation: 157
Default

It's a case of gas gangrene so you would have to debride then treat with the hyperbaric oxygen. Debriment alone won't treat it... and Hyperbaric oxygen alone also won't treat. So I am not sure on this one...i think C is the answer just because i am assuming that debriment has already been done, and now they're treating..
Reply With Quote Quick reply to this message
  #5  
Old 12-24-2009
USMLE Forums Newbie
 
Steps History: Step 1 Only
Posts: 7
Threads: 2
Thanked 11 Times in 4 Posts
Reputation: 21
Default Wide debridement is the answer

This is definitely a gas gangrene due to production of insoluble gases by the anaerobic bacteria such as hydrogen and methane.
Although clostridial has been pinned to this condition but in reality it's other facultative and obligate anaerobes that cause the infection specially streptococci.
The ideal treatment is wide debridement and delayed wound closure. The use of hyperbaric oxygen is questionable as it has not shown consistent results and it's not available in every medical facility.

So guys your answers were correct
Reply With Quote Quick reply to this message
The above post was thanked by:
Dr. N Elham (06-23-2010), DrSeddik (12-24-2009)
  #6  
Old 06-20-2010
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 82
Threads: 4
Thanked 80 Times in 30 Posts
Reputation: 90
Default

Also remember that Clostridium species are implicated in drug addicts taking "black tar heroin"
Reply With Quote Quick reply to this message



Reply

Tags
Infectious-Diseases, Step-2-Questions, Surgery-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Soccer Injury Hohepa USMLE Step 1 Forum 18 07-08-2012 06:50 AM
Arborist Injury FreakingOut USMLE Step 1 Forum 4 04-22-2010 06:07 AM
Visceral Injury? FreakingOut USMLE Step 1 Forum 1 04-20-2010 01:56 PM
Mechanism of Cerebral Injury? Farazdaq USMLE Step 1 Forum 5 03-17-2010 02:57 PM
Neck injury Farazdaq USMLE Step 1 Forum 2 03-09-2010 08:36 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)