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


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Old 08-17-2011
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Default lye ingestion

when to do endoscopy first??
when to do gastrografin swallow??
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Old 08-17-2011
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mx is initial copious amout of fluids then endoscopy after 24 hours if symp and burn suspect
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Old 08-17-2011
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Quote:
Originally Posted by miss patho View Post
mx is initial copious amout of fluids then endoscopy after 24 hours if symp and burn suspect
if no burns and pt is not symptomatic than you'l do endoscopy as soon as possible...if perforation suspected than go for gastografin....

guru's advice will be highly appreciated
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Old 08-17-2011
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Originally Posted by busterbee View Post
if no burns and pt is not symptomatic than you'l do endoscopy as soon as possible...if perforation suspected than go for gastografin....

guru's advice will be highly appreciated
yes, endoscopy is not sensitive to Dx perforations. If you have Sx of mediastinits or an effusion or subcutaneous emphysema or sharp tearing pain sub-sternally, then only it would be suitable to do gastrograffin swallow.
For all other cases, after initial stabilization of the pt. w/I.V fluids, do endoscopy to evaluate for mucosal damage like strictures, etc.. and carry out possible therapy.
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