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trauma

Practice targeted AMC-style multiple-choice questions on trauma.

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anticoagulationchest painemergency medicinegeriatricsshortness of breathwarfarinelderly patienthypotensionpneumothoraxrespiratory distress
CT scan showing hemothorax caused by warfarin use
Image by Cevik Y — CC BY 3.0 · Source

A 68-year-old male on warfarin presents post-fall with dyspnea and pleuritic chest pain. INR is 4.8. Vitals: HR 115, BP 95/60, RR 26, SpO2 89% on air. The provided image was obtained. What is the MOST appropriate next step?

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A 28-year-old male is brought to the emergency department after a high-speed motor vehicle accident. He is unconscious with a Glasgow Coma Scale (GCS) score of 6. His blood pressure is 90/60 mmHg, heart rate is 120 bpm, and respiratory rate is 28 breaths per minute. On examination, there is bruising over the left chest and decreased breath sounds on the left side. What is the most appropriate immediate management step?

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CT scan showing hemothorax caused by warfarin use
Image by Cevik Y — CC BY 3.0 · Source

A 72-year-old male on warfarin presents with sudden onset shortness of breath and right-sided chest pain after a fall. His INR is 4.5. The provided image was obtained. What is the MOST appropriate next step in management?

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