Surgery - Chest and Abdomen (answer)
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- Discuss the emergency department management of spontaneous pneumothorax (original question)
- An obese 80 year old man presents having collapsed with sudden onset of severe back pain. He is sweaty, with a pulse rate of 120 bpm and a BP of 100/60 mmHg. The periumbilical area is tender, with no obvious expansile mass in the abdomen. Discuss the investigations available to assist you in the diagnosis. (1994/2, q7)
- A 72 year old woman presents with tearing chest pain suggestive of dissection of her aorta. Discuss the utility of chest x-ray in this situation (50%). Outline the emergency department management of proven aortic dissection (50%). (2000/2, q2)
- A 64 year old man presents with increased abdominal pain following a barium enema for investigation of constipation. Describe your assessment of this man (50%). Xray shows free intraperotineal air; describe your management (50%). (1998/1, q7)