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Wed May 6 00:49:20 BST 2009

I am confused, how did you make the diagnosis?

Norman

Typed by the thumbs of
Norman on his BlackBerry 

Norman McSwain, MD
Tulane Univ Surgery
504 988-5111

----- Original Message -----
From: trauma-list-bounces at trauma.org <trauma-list-bounces at trauma.org>
To: Trauma Trauma <trauma-list at trauma.org>
Sent: Tue May 05 18:35:02 2009
Subject: re: Blunt CCA injury ina stable YOUNG pt 

Dont know where exactly the injury is in the common carotid. 
The problem is that you have a choice of LOW dose anticoag as opposed to full anticoag (pt doesnt have any other injuries and no contraind to anticoag). Plus, he is young and has half of the lumen of common carotid blocked w an itimal flap. Why not operate instead of waiting for stroke to develop? Does full anticoag prevent stroke in the face of major intimal dissection? Thanks. KH

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Blunt CCA injury ina stable YOUNG pt