SAQ 649 – Cardiology – obstructive shock and bedside ultrasound

Marked out of 12.00

A 65-year-old man with atrial fibrillation and hypertension is brought to your tertiary emergency department by ambulance after a collapse.

Observation	Result
Heart rate	130 bpm
Blood pressure	70/40 mmHg
Respiratory rate	32 /min
Oxygen saturation	95% on 2 L/min nasal prongs
Temperature	37.9 degrees C
GCS	13 (E4 V4 M5)

State three (3) important bedside ultrasound steps that will aid assessment of his shock, with one rationale for each.

(Marked out of 3.0)

/ 3

Your assessment suggests obstructive shock. State three (3) possible differential diagnoses, one major expected thoracic ultrasound abnormality, and one immediate intervention for each.

(Marked out of 9.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Diagnosis</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Ultrasound finding</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Immediate intervention</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">1.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">2.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">3.</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 9

Total Score: 0 / 12

Percentage: 0%

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