EMQ:- Complications of burns

[hasan1]

For each clinical scenario below choose the most likely complication. Each option may be used only once

1 A 45-year-old woman is brought to A&E after being rescued from a house fire. On examination she has suffered partial-thickness burns to both arms and fullthickness burns to her chest and the soles of her feet. She is distressed and coughs up soot as she asks to see her family. Respiratory rate is 33 /min with poor chest expansion. Pulse oximetry is 94 per cent (15 L O2 through non-rebreathe mask). Auscultation of the chest reveals poor air entry bilaterally with no added sounds.
2 A 35-year-old man is being monitored on the burns unit after suffering fullthickness burns to his hands secondary to high-voltage electrocution. Urinalysis reveals microscopic haematuria. Blood tests reveal a mild hyperkalaemia and a creatinine kinase (CK) of 3000.
3 A 2-year-old child is brought to A&E acutely unwell by her mother 48 hours after suffering a scald to the right forearm. On examination there is a flamazine dressing over the burn site. The patient is pyrexial and tachycardic with a low blood pressure.
4 A 47-year-old man with a full-thickness circumferential burn to the left arm complains of persistent pain refractory to morphine analgesia. On examination radial and brachial pulses are palpable and the arm is too painful to examine.

A hypovolaemia
B contractures
C deep vein thrombosis
D rhabdomyolysis
E Curling’s ulcer
F type II respiratory failure
G type I respiratory failure
H acute myocardial infarction
I disseminated intravascular coagulation
J hypothermia
K toxic shock syndrome
L compartment syndrome


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[Remee]

1 - G
2- H
3- K
4 - L

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[emadafifi]

thaaaaaaaaaaankz

[emadafifi]

thaaaaaaaaaaaaaaankx

[tcharula]

(02-25-2012 09:47 PM)hasan1 Wrote:  For each clinical scenario below choose the most likely complication. Each option may be used only once

1 A 45-year-old woman is brought to A&E after being rescued from a house fire. On examination she has suffered partial-thickness burns to both arms and fullthickness burns to her chest and the soles of her feet. She is distressed and coughs up soot as she asks to see her family. Respiratory rate is 33 /min with poor chest expansion. Pulse oximetry is 94 per cent (15 L O2 through non-rebreathe mask). Auscultation of the chest reveals poor air entry bilaterally with no added sounds.
2 A 35-year-old man is being monitored on the burns unit after suffering fullthickness burns to his hands secondary to high-voltage electrocution. Urinalysis reveals microscopic haematuria. Blood tests reveal a mild hyperkalaemia and a creatinine kinase (CK) of 3000.
3 A 2-year-old child is brought to A&E acutely unwell by her mother 48 hours after suffering a scald to the right forearm. On examination there is a flamazine dressing over the burn site. The patient is pyrexial and tachycardic with a low blood pressure.
4 A 47-year-old man with a full-thickness circumferential burn to the left arm complains of persistent pain refractory to morphine analgesia. On examination radial and brachial pulses are palpable and the arm is too painful to examine.

A hypovolaemia
B contractures
C deep vein thrombosis
D rhabdomyolysis
E Curling’s ulcer
F type II respiratory failure
G type I respiratory failure
H acute myocardial infarction
I disseminated intravascular coagulation
J hypothermia
K toxic shock syndrome
L compartment syndrome


Please show your support by rating this thread and CLICKING the google plus button above. Thanks.

Members may check the correct answer file posted below

[D.maram]

case 2 ➡➡rhabdomyolysis

[maddi]

thanx.........

[Ahmed cris]

case 1=G.
case 2=D.
Case 3=k.
case 4=C.

[Jules]

f/g, d, k, l

[asindoc]

thnkkkkkkkkkkkkkkkk

[liolson]

please post correct answers

[TikotanL]

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