series of discussion on the toughest q's of uw - doctorsaheb

[ArchivalUser]

a pt was operated for strangulated inguinal hernia and on post op day 3 he fell while getting out of the bed . he had slurred speech . increased JVP and a new onset RBBB . WHAT IS THE Dx

[ArchivalUser]

PE

[ArchivalUser]

its right ventricular failure . any one wants to add something

[ArchivalUser]

tx is giv IV fluids

[ArchivalUser]

anyone, ?

[ArchivalUser]

Why will you say he has Rt.VF.
JVP raused and a new RBBB is for PE
So u will do the ABG
V/Q
Thats what i ill think

[ArchivalUser]

everyone is correct....saddle embolus or very large PE leads to acute right heart strain and rvf.......