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  #1  
Old 07-23-2010
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Surgery gun shot injuries to the upper neck

on gun shot injuries to the upper neck.
is emergent exploratory surgery better or angiogram?
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Old 07-23-2010
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If gun shot associated with expanding hematoma or deterioration of vital signs or pt is coughing or spitting up of blood go for surgical exploration. In stable pt and absence of above go for angiogram
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Old 07-24-2010
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Hmm, on USMLE World questions it said "All Gun Shot Wounds Require Surg. Exploration". So I would pick that always?
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Old 07-24-2010
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Neck Exploration first and clinical observation for Spinal Cord injury
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Old 07-31-2010
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If unstable patient .... surgical exploration in any part of neck injury ...
If stable patient ....
1. upper neck : angiographic embolization as surgery is tuf there and no vital structure .
2. Middle neck : immediate surgical exploration as vital structures are there ...
3. Lower part of neck : 2 Xray and 2 endoscopy
Xray : arteriogram and contrast esophagogram
endoscopy : esophagoscopy and bronchoscopy ......
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Old 08-10-2010
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Quote:
Originally Posted by FSUSTC View Post
If unstable patient .... surgical exploration in any part of neck injury ...
If stable patient ....
1. upper neck : angiographic embolization as surgery is tuf there and no vital structure .
2. Middle neck : immediate surgical exploration as vital structures are there ...
3. Lower part of neck : 2 Xray and 2 endoscopy
Xray : arteriogram and contrast esophagogram
endoscopy : esophagoscopy and bronchoscopy ......
HMM where does this come from? Is it from Kaplan notes? If not then Why would you not do surgical exploration? Bullets do not Have a direct path many times and cause a lot of damage not seen by CT or angiograms at times.
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Old 08-14-2010
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Default In Kaplan Notes

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Originally Posted by DRFP View Post
HMM where does this come from? Is it from Kaplan notes? If not then Why would you not do surgical exploration? Bullets do not Have a direct path many times and cause a lot of damage not seen by CT or angiograms at times.
This protocol is written in Kaplan Notes of surgery but as a paragraph so you have to collect them in an organized manner like this
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Old 08-14-2010
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Quote:
Originally Posted by dr-ahmed View Post
This protocol is written in Kaplan Notes of surgery but as a paragraph so you have to collect them in an organized manner like this
reason I asked was because USMLE World said you must always explore bullet wounds.

I do not know which one is correct then?
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Old 08-14-2010
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Default we need an expert here

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Originally Posted by DRFP View Post
reason I asked was because USMLE World said you must always explore bullet wounds.

I do not know which one is correct then?
Well I guess we need an opinion from an expert here
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