April 2017

GSW to the neck

••23yr male presents to ER s/p GSW to the neck
•Mandibular fracture, hyoid body injury
••BP 90/60 HR 65 RR 13 T 37
•GCS 15
•Entry wound to posterior neck
•Exit wound left mandible
•Admission CT cervical spine obtained
•Flex/Ext films – gross instability (C5-6)
Further information
•Hospital Day #8
•Fevers and leukocytosis
•Neck CT – retropharyngeal abscess requiring neck exploration and esophageal repair.

•Hospital Day #15
•Unable to feel his arms
•MRI (w/ gado) obtained


Admission CT

Hospital Day 15



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