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Exam questionKROK 2Medicine ยท 2018

A 10-year-old boy is delivered into a polytrauma unit after he received a blunt trauma of the thorax, having fallen from the bi-cycle. Upon hospitalization his blood pressure is 110/80 mm Hg, heart rate is 96/min. Chest X-ray is noncontributive to the diagnosis. Echocardiogram shows free liquid in the pericardial cavity, in the amount of up to 100 ml. In an hour after the hospitalization the patient started to develop increasing signs of heart failure: jugular venous distention, decreased blood pressure down to 90/70 mm Hg, tachycardia up to 120/min. On auscultation muffled heart sounds. What would be the primary tactics of a physician?

Answer options

  1. Constant oxygenotherapy
  2. Diuretics intravenously
  3. Cardiac glycosides intravenously
  4. Antibiotics intravenously
  5. Pericardiocentesis (pericardial puncture)
Correct answer

Pericardiocentesis (pericardial puncture)

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