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Old 07-19-2011
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Default CK surgery question

Surgery question

1.In blunt abdominal trauma, if the patient is haemodynamically stable, the next step to assess whether there is any intra abdominal injury or not, is FAST (USG) first followed by CT or directly CT.
2. If haemodynamically stable patient has any evidence of injury on CT, immediate laparotomy done or not? what is the way of management?
3. when patient was unstable initially and than fluid resuscitation was given and he improved ..what is the next step?
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Old 07-19-2011
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1-ct
2-immediate laparotomy
3-immediate laparotomy
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Old 07-19-2011
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but in gunshot if the pt stable what is NS (CT or immediate laparotomy)
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stable after gunshot should go for CT
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Old 07-20-2011
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Gunshot : immediate Laparatomoy

Hemdynamic instability or evidence of free air or diaphragmatic hernia : Immediate Laparatomy.

Bleeding source suspected with response to IV fliuds: First FAST, if not revealing then peritoneal lavage.

Solid organ injury suspected with hemdynamic stability: CT- scan
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