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Old 04-21-2011
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Surgery Gunshot wound in RUQ

what is the treatment of gun shot wound in right upper quandrant?
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Old 04-21-2011
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any penetrating gunshot wounds of the abdomen gets exploratory laparotomy every time. preparations include an indwelling bladder catheter, a large bore venous line for fluid administration, and a dose of broad spectrum antibiotics.

technical details of what to do at surgery are not going to be asked in the USMLE, unless there's a change to the long held dogma of theories (such as injuries to colon would used to warrant colostomy, but today primary repair is done)

oh n the abdomen is considered to start at the nipple line n below. because of the diaphragm dome shape. and the chest does not end at the nipple line.
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only2junk (04-22-2011)
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Old 04-22-2011
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i think exploratory laprotomy is not done for gun shot wounds of RUQ ,instead conservative therapy is done with close follow up of patient and serial abdominal imaging
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Old 04-22-2011
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Quote:
Originally Posted by only2junk View Post
i think exploratory laprotomy is not done for gun shot wounds of RUQ ,instead conservative therapy is done with close follow up of patient and serial abdominal imaging
hmm... isnt conservative treatment done when the wound is a non exit wound at the muscle (say arms/legs) where nerves are not affected? but in RUQ the liver could be damaged, or even the gallbladder and pancreas.
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Old 04-22-2011
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yeah! u r right conservative therapy is done for low caliber gun shot wound
thanks for clearing my doubt
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