Toshio Dental

How would you manage this patient?

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• Assess and resuscitate using CCRISP algorithm, history and examination
• High flow oxygen non rebreather mask
• 2 wide bore cannulas with IV crystalloid resuscitation
• Blood cultures followed by IV broad spectrum antibiotics
• ECG
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"I would first like to assess and rescusitate the patient in accordance to the CCRISP algorithm. I would take an A-E approach to the patient, first assessing their airway. Once happy I would move onto Breathing, placing high flow oxygen 15L O2 via a non-rebreathe mask and asking the nursing staff to apply monitoring to gain basic observations such as Respiratory rate, heart rate and blood pressure. I would then move onto circulation and insert 2 wide bore cannulae, one into each antecubital fossa, ..... subscribe for the full answer"

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What investigations would you request in A&E?

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- Regular cardiorespiratory observations/ cardiac monitor

- Blood tests with justification including Blood cultures FBC, U&E, LFT, amylase, CRP, G&S, ABG, lactate

Imaging:

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What are your differential diagnoses?

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- Bowel obstruction..... Subscribe for full answer

"My primary differential diagnosis would be bowel obstruction. I would also like to rule out ... Subscribe for full answer"

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