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Gunshot Injury - Rare Presentation
 

Gunshot Injury - Rare Presentation

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Presented in Victoria Hospital, Seychelles in 2004

Presented in Victoria Hospital, Seychelles in 2004

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    Gunshot Injury - Rare Presentation Gunshot Injury - Rare Presentation Presentation Transcript

    • Gunshot injury A rare presentation
      • Dr Sanjoy Sanyal
      • Consultant Surgeon,
      • Victoria Hospital, Ministry of Health, Seychelles
      • 2004
    • Table of contents
      • Case presentation
      • Treatment
      • Further management
      • Image findings
      • Discussion
    • Case presentation - history
      • 32-year old male
      • Security inspector in private company
      • Blast from a gun
      • C/o bleeding from (R) ear
      • C/o bleeding from mouth
      • C/o headache
    • Case presentation - examination
      • Vitals stable
      • GCS = 15/15
      • LMN Facial nerve palsy (R) side
      • Otoscopic examination
        • AC filled with blood
        • Dribbling out of EAM
        • TM not visualised
      • Intra-oral examination
        • Hole in soft palate, oozing blood
    • Postulated mechanism of injury
      • Barotrauma
    • Case presentation - investigations
      • X-ray skull
      • X-ray cervical spine
      • CT scan skull
    • Treatment
      • Antibiotics
      • Analgesics / anti-inflammatory
      • Steroids
      • Eye care
      • Mouth care
      • Thiamine
      • Supportive measures
    • Further management
      • Maxillo-facial
      • Physiotherapy
      • Psychiatric evaluation
      • Surgery
      • Follow up
    • Image findings
    • Image findings
    • Image findings
    • Image findings
    • Image findings
    • Image findings
    • Image findings
    • Discussion
      • Possible mode of injury
      • Pathological anatomy
        • Para-pharyngeal space
      • Prognosis
        • Facial nerve
        • Tinnitus
        • Other
    • Uniqueness of case It was NOT like this
    • Thank you