He is currently receiving infusions of norepinephrine at 30 mcg/min and vasopressin at 0.04 units/min. He remains hypotensive despite rapid blood transfusion. An attempt at transthoracic cardiac ultrasound revealed no adequate windows. In deciding whether to perform a transesophageal echocardiogram (TEE) to work up his refractory shock, which of his medical problems would most likely be considered an absolute contraindication to TEE probe placement?
A. Esophageal varices Wrong Choice!
B. Prior gastric sleeve Wrong Choice!
C. History of bleeding peptic ulcer Wrong Choice!
D. Esophageal diverticulum Correct Choice
Answer:D
He is currently receiving infusions of norepinephrine at 30 mcg/min and vasopressin at 0.04 units/min. He remains hypotensive despite rapid blood transfusion. An attempt at transthoracic cardiac ultrasound revealed no adequate windows. In deciding whether to perform a transesophageal echocardiogram (TEE) to work up his refractory shock, which of his medical problems would most likely be considered an absolute contraindication to TEE probe placement?
A. Esophageal varices Wrong Choice! B. Prior gastric sleeve Wrong Choice! C. History of bleeding peptic ulcer Wrong Choice! D. Esophageal diverticulum Correct Choice