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Old 07-17-2012
tyagee's Avatar
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Default failure of BP to rise despite adequate resuscitation

while doing some surgery trauma q, i realized that failure of BP to rise despite adequate resuscitation is imp clue to solving questions.

as of now, i can think of lvf|myocardial contusion|Cardiac Tamponade|Tension Pneumothorax and Hemothorax as the ans.
are there any other ?

also, does pulmonary contusion adds to the list? i think it does not. but i am not sure.

do reply.
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Old 07-17-2012
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Quote:
Originally Posted by tyagee View Post
while doing some surgery trauma q, i realized that failure of BP to rise despite adequate resuscitation is imp clue to solving questions.

as of now, i can think of lvf|myocardial contusion|Cardiac Tamponade|Tension Pneumothorax and Hemothorax as the ans.
are there any other ?

also, does pulmonary contusion adds to the list? i think it does not. but i am not sure.

do reply.
No, pulmonary contusion will not. but it will cause right to left shunt.
However, any continued bleeding (i.e. retroperitoneal bleed, pelvic fracture, intraabldominal bleed, aortic rupture etc) may cause a similar scenario.
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Old 07-17-2012
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Pulmonary contusions will usually resolve in 3 to 5 days, provided no secondary insult occurs. The main complications of pulmonary contusion are ARDS and pneumonia. Approximately 50% of patients with pulmonary contusion develop ARDS, and 80% of patients with pulmonary contusions involving over 20% of lung volume. Direct lung trauma, alveolar hypoxia and blood in the alveolar spaces are all major activators of the inflammatory pathways that result in acute lung injury.
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