Case 39 Part 6

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What's inside?


Esophagus
Trachea
Posterior tracheal membrane
Aorta
Inferior vena cava
Heart
Lungs




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Discussion Questions

   

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1. What structure is being cut at the start of the video?
 
 
2. Why clamp this off first?
 
 
3. What structure is being cut at 00:15?
 
 
4. Why clamp this off first?
 
 
5. Do you think the diagnosis of aspiration would be more reliable when the patient has had CPR or when the patient has not had CPR? Why?
 
 
6. What structure is being clamped off at OO:52?
 
 
7. Why do this?
 
 
8. Identify the posterior tracheal membrane?
 
 
9. Identify lymph nodes in the video. Do they appear normal or abnormal? How can you tell?
 
 
10. Identify adhesions in the video? Why do pulmonary adhesions occur?
 
 
11. How is the diagnosis of aspiration made?
 
 
12. What is aspiration pneumonia? Would you see that with acute aspiration?
 
 
13. Can you diagnose aspiration in a patient on a liquid diet? If so, how?
 
 
14. How would you distinguish between aspiration of liquid gastric contents and intrabronchial edema fluid from the lungs?
 
 
15. How would you distinguish between aspirated oropharyngeal bleeding in a case with ruptured esophageal varices vs. primary pulmonary hemorrhage (say, from a tumor rupturing into an airway) with extensive intrabronchial hemorrhage?
 
 
16. What is the purpose of the cuff of an endotracheal tube? Does it prevent aspiration?
 
 
17. How would you interpret aspirated food in the airway in a patient who was intubated?





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