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Surgery JIPMER 2018 f146e1d5

All are true about pulmonary contusion except:

A
Missed on chest X-ray in 20%
B
Pain management is impoant to prevent hypoventilation
C
CT is sensitive for diagnosis
D
>25% contusion may likely needs intubation
High-Yield Explanation
Pulmonary Contusion Inadequate pain relief leads to hypoventilation, promotion of atelectasis & worsening hypoxemia. Lung contusions may be present on the initial chest radiograph but typically require time to become visualized (it can be missed) Diagnosis: IOC is CECT. Intubation should be reserved for classical indications only (it can result in Pneumonia).

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