Repost the case.I wrote correctly, some mistake happend.pl donnot answ
New case 50 yr ,M, Pedestrian found on road side ? RTA ( hit and run) .Deeply unconcious.Bleeding nose and Rt ear. Evaluated at Govt Medical College,intubated and mechanically ventilated.Relatives arrived and transferred to our hospital. On exam ,deeply sedated and medically paralyzed. BP 100/ 80 mmhg. Pupils 2 mm,bilaterally symmetrical,poorly reacting. ALL DTRs ansent . Diagnosis ,management,prognosis
No answer ,because some overlap occurred and I already informed.
No answer ,because some overlap occurred and I already informed.
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New case 50 yr ,M, Pedestrian found on road side ? RTA ( hit and run) .Deeply unconcious.Bleeding nose and Rt ear. Evaluated at Govt Medical College,intubated and mechanically ventilated.Relatives arrived and transferred to our hospital. On exam ,deeply sedated and medically paralyzed. BP 100/ 80 mmhg. Pupils 2 mm,bilaterally symmetrical,poorly reacting. ALL DTRs ansent . Diagnosis ,management,prognosis
Dr. Manorama Rajan1 Like6 Answers - Login to View the image
New Case 31 yr ,M, Found unconcious on the road with his motor cycle lying over him around 11 PM on 16th of this month.Taken to Govt Medical College and then transfered to 2nd Govt Medical college where he was intubated due to low GCS .The relatives brought him in our hospital for further management. On exam intubated on AMBU,GCS E1 Vt M1.Pupil Rt dialated and fixed ,left 2 mm non-reacting.Bp 110/ 70 mmhg,HR48/ mt. Diagnosis and management.
Dr. Manorama Rajan0 Like11 Answers - Login to View the image
NEW CASE. 42 yr ,M, Alleged RTA on 15th ,bike vs bike. Reported unconcious and evaluated locally, intubated and mechanically ventilated and then transferred for further management. Exam at ER deeply sedated and paralyzed. BP 90/ 60 mmhg. Pupils 2 mm ,non reactive . All DTRs absent plantars0 ( physical findings -medically paralyzed state).Case was ref to Neurosurgeon and admitted in the ICU. Diagnosis,and prognosis.Our Neurosurgeon explaind the prognosis and the relatives accepted the same.
Dr. Manorama Rajan0 Like7 Answers - Login to View the image
New case 73 yr ,F ,known hypertensive since 38 yrs ,developed abrupt onset of head ache with vomiting and soon became unconcious. Immediately take to local hospital ,intubated and mechanically ventilated and then transferred. On exam BP on arrival at ER 170/ 100mmhg,HR 42 / my.Deeply sedated . Left pupil8mm,nonreacting rt popular 4mm,sluggishreaction on direct light. Detailed neurological evaluation is not possible ,since she I'd sedated and medically paralyzed. The interval between the onset and arrived the ER took 7 hrs and 40 mts. URGENT CT WITH CTA DONE. Pt deteriorated during the procedure and resuscitation done as per ACLA protocol,unfortunately she expired Diagnosis and prognosis if arrived early?.
Dr. Manorama Rajan0 Like6 Answers - Login to View the image
CT scan of 40 year old male,actually he is my driver RTA on 5 /02/2019 at 11 am...LOC, bledding from nose, RT eye hematoma now he is unconscious..... CT attached what is management ????
Dr. Alok Vishwakarma2 Likes3 Answers