06-14-2008, 06:57 AM
A 34 yr old male who is an innocent bystander in a bank robbery is shot in his thigh. On arrival to the emergency room you see him in a distressed state with tachycardia, tachypnea and BP: 100/50 mm Hg. On examination he has a gunshot entry wound on the anteromedial side of right upper thigh and the exit wound on the lateral side of the right thigh at a level lower than the entry wound. The dorsalis pedis pulses are bilaterally symetrical and there is a small hematoma near the entry wound. X-ray does not show any fracture of femur. What would be the best intervention in this patient?
A. Do a surgical exploration of the wound.
B. Do a femoral arteriogram
C. Do wound cleaning, with tetanus prophylaxis and send the patient
home.
D. Do a Doppler ultrasonogram of lower limb vessels.
E. Give a lower limb splint for rapid healing.
A. Do a surgical exploration of the wound.
B. Do a femoral arteriogram
C. Do wound cleaning, with tetanus prophylaxis and send the patient
home.
D. Do a Doppler ultrasonogram of lower limb vessels.
E. Give a lower limb splint for rapid healing.