Punctured

Cardiovascular System


Step 1: View Clinicals

{"ops":[{"insert":"A 28-year-old male bicyclist is brought to the emergency department about 30 minutes after he was hit by a car.\n \nIn the field, he was found to be unconscious with a Glasgow coma score (GCS) of 6, and subsequently intubated. He also had an open injury of the right leg. The affected limb was immobilized with a posterior splint.\n\nFocused assessment with sonography for trauma (FAST) is negative for fluid in all four windows, while chest and pelvic x-rays are negative for acute bony injuries. However, x-rays of the right lower extremity reveal a tibia-fibula fracture.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-080_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Contrast CT Chest + Abdomen
2. CT Angiogram
3. Coagulation studies
4. Transesophageal Echocardiogram

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