Exam questionKROK 2Medicine ยท 2007
A 20 y.o. man has a stab knife wound in the left half of thorax close to nipple. AP is 90/60 mm Hg, Ps- 130/min, BR- 32/min. During inspiration there is increase of pulse wave in the region of jugular vein, decrease of peripheral arterial pulse and reduction of AP Respiratory murmurs are unchanged. X-ray pattern of thorax organs has no pecularities. After introduction of 2 l of isotonic solution the AP stayed low, CVP raised up to 32 cm of water column. The first step in further treatment of the patient will be:
Answer options
- Introduction of peripheral vasodilatators in order to reduce CVP
- Introduction of loop diuretics in order to reduce CVP
- Catheterization of left pleural cavity while the outer end of catheter is submerged in water
- Echocardiogram
- Continued parenteral introduction of fliud in order to raise AP
Correct answer
Echocardiogram
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