Thyroid & Adrenal
Twelve hours after having undergone a subtotal thyroidcctomy, a 30-year-old woman develops agitation and difficulty breathing. Examination reveals tachycardia and anterior cervical swelling; the surgical dressing is dry. The most appropriate treatment at this point would be immediate
|A||insertion of an orotracheal tube|
|B||re-opening of the cervical wound|
|C||determination of the serum calcium concentration|
|D||administration of morphine|
a. Thyroidectomy has been performed in a young female just 12 hours ago.
b. In young females gland is usually vascular and there is increased risk of haematoma formation
c. The dressing are dry which indicate the neck is a tight compartment not communicating with the exterior.
d. Presence of difficulty in breathing indicates compression on airway which requires release of pressure.
e. Hypocalcemia usually occurs 2-5 days after operation and hence there is no role of serum calcium in this patient.