SAQ 1990 – Post-endoscopy deterioration with CT imaging

Marked out of 12.00

A 52-year-old man presents to a district hospital at 20:00 with shortness of breath, abdominal pain and fever after elective endoscopy and colonoscopy earlier that day.

His observations are temperature 38.1 degrees C, HR 110, BP 110/70, SpO2 95% on room air and GCS 15.

CT chest and abdomen images are shown. After CT he deteriorates with increased work of breathing, neck swelling and crepitus, agitation, SpO2 90% on room air and BP 90/60.

CT chest and abdomen image 1
CT image 1 for post-endoscopy deterioration.
CT chest and abdomen image 2
CT image 2 for post-endoscopy deterioration.

List four positive CT findings.

(Marked out of 4.0)


/ 4

List three complications that may result from these findings.

(Marked out of 3.0)


/ 3

List five immediate management priorities.

(Marked out of 5.0)


/ 5

Total Score: 0 / 12

Percentage: 0%