07-31-2006, 08:50 AM
A 26-year-old man is admitted to the hospital after accidental ingestion of corrosive alkali liquid. He denies any past medical or surgical history. The day before admission, he was at a party with his friends where he consumed a lot of alcohol. At the end of the party, he returned home and accidentally ingested corrosive alkali liquid from a bottle, mistaking it for a bottle of water. At the time of admission to the hospital, he complained of substernal chest pain and that he was feeling "really ill". Initial gastrointestinal contrast study with water-soluble contrast did not reveal a gastrointestinal leak or perforation. His vitals are stable with a tachycardia of 90/min. The next best step in management is to
A. continue to observe him in the hospital
B. order a CT scan of the chest
C. order an electrocardiogram
D. order an upper gastrointestinal study with barium
*E. perform an upper gastrointestinal endoscopy
------------------------------
cos chances of perforation so isnt scopy C.I in poisoning?
A. continue to observe him in the hospital
B. order a CT scan of the chest
C. order an electrocardiogram
D. order an upper gastrointestinal study with barium
*E. perform an upper gastrointestinal endoscopy
------------------------------
cos chances of perforation so isnt scopy C.I in poisoning?