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on gun shot injuries to the upper neck.
is emergent exploratory surgery better or angiogram?
is emergent exploratory surgery better or angiogram?
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.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 ......
This protocol is written in Kaplan Notes of surgery but as a paragraph so you have to collect them in an organized manner like thisHMM 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.
reason I asked was because USMLE World said you must always explore bullet wounds.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
Well I guess we need an opinion from an expert herereason I asked was because USMLE World said you must always explore bullet wounds.
I do not know which one is correct then? :scared: