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* nbme3. fresh water Vs salt water drowning!
 #636052  
  grad1980 - 11/29/11 20:29
 
  7. A 2-year-old girl is found floating facedown in a swimming pool. On rescue, she immediately coughs and breathes spontaneously. She is conscious and oriented. Without treatment, which of the following is the most likely outcome for this child?
A) Complete recovery
B) Development of acute respiratory distress syndrome
C) Hemolysis
D) Pulmonary hypertension
E) Severe neurologic deficit
 
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* Re:nbme3. fresh water Vs salt water drowning!
#2534453
  4usmlee - 11/29/11 20:50
 
  A) --> immediately coughs and breathes spontaneously. She is conscious and oriented.  
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* Re:nbme3. fresh water Vs salt water drowning!
#2534456
  doc499 - 11/29/11 20:54
 
  BBB.fresh water is hypotonic --draws water to the body--lung contain few water--acute hypervolemia--and resultant intravascular hemolysis.
sea water/salt..hypertonic,--draws water out of the cell hypovolemic --hemoconcentration--here lung contain huge water-ards
 
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* Re:nbme3. fresh water Vs salt water drowning!
#2534461
  raheem - 11/29/11 21:02
 
  CC.......fresh...wash out surfictant....alveolar collapse....direct contact bet . capillary
and water.....diffuse into capillary....according to osmosis....hypotonic follows gradient
toward hypertonic(RBC)...swelling of RBC...rupture...hemolysis
 
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* Re:nbme3. fresh water Vs salt water drowning!
#2534463
  michaeericksens - 11/29/11 21:04
 
  I THINK A IS CORRECT.  
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* Re:nbme3. fresh water Vs salt water drowning!
#2534464
  michaeericksens - 11/29/11 21:06
 
  hI, grad1980
My email is: Michaeericksens@hotmail.com
 
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* Re:nbme3. fresh water Vs salt water drowning!
#2534498
  usmleburger - 11/29/11 21:47
 
  B is correct  
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* Re:nbme3. fresh water Vs salt water drowning!
#2534524
  grad1980 - 11/29/11 22:25
 
  @4usmlee, michaeericksens: remember she coughs n breaths on rescue, read the question properly.
@usmleburger , doc499, always know that fresh water drowning leads to water moving into RBCs > swelling>rupture. the concept of osmosis!
in salt water drowning, water moves out from the cells in accumulates in the lungs to balance the salty water there, flushing the surfactant> ARDS.

the answer is C, since she was in a swimming pool. hypotonic.
 
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* Re:nbme3. fresh water Vs salt water drowning!
#2534544
  4usmlee - 11/29/11 23:15
 
  thank you grad1980.  
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* Re:nbme3. fresh water Vs salt water drowning!
#2534677
  grad1980 - 11/30/11 08:58
 
  thank u 4usmlee:)
 
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* Re:nbme3. fresh water Vs salt water drowning!
#2534715
  usmleburger - 11/30/11 09:59
 
  Grad1980, thanks!I completely agree with you I meant C, it was my silly mistake in typing B!!!  
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