Q:

A 60 year old patient recovering from a surgery for toxic goiter is found to be hypotensive, cyanosed in the recovery room. Exam: neck is tense. There is oozing of blood from the drain. What is the most probable diagnosis?

waelhammad
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2022-11-04
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A 60 year old patient recovering from a surgery for toxic goiter is found to be hypotensive, cyanosed in the recovery room. Exam: neck is tense. There is oozing of blood from the drain. What is the most probable diagnosis?

  1. Thyroid storm
  2. Reactionary hemorrhage
  3. Secondary hemorrhage
  4. Primary hemorrhage
  5. Tracheomalacia
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waelhammad
2022-11-04
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The key is B. Reactionary hemorrhage. [Hemorrhage within 1st 24 hours which usually occurs due to dislodgement of clot or slippage of a ligature].

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