Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
35 Cards in this Set
- Front
- Back
|
upper border of anterior abdomen (for trauma)
|
nipple
|
|
|
lower border of anterior abdomen (for trauma)
|
inguinal ligament
|
|
|
lateral border of anterior abdomen
|
anterior axillary line
|
|
|
2 borders of flank
|
anterior axillary line
posterior axillary line |
|
|
upper border of posterior abdomen
|
tip of scapula
|
|
|
2 kinds of penetrating injury
|
high energy
low energy |
|
|
example of low energy penetrating trauma
|
knife wound
|
|
|
example of high energy penetrating trauma
|
GSW
|
|
|
tx of high energy penetrating trauma
|
exploratory laparotomy
|
|
|
3 conditions for not doing laparotomy in case of high energy penetrating trauma
|
tangential trajectory
full consciousness CT demonstrating extra-abdominal trajectory |
|
|
7 conditions for exploratory laparotomy for low energy penetrating abdominal injury
|
hemodynamic instability
acute abdomen distended stomach evisceration hematemesis blood PR blood in Foley cath |
|
|
4 options for asymptomatic low injury penetrating abdominal injury
|
24 h observation
local wound exploration FAST CT |
|
|
local wound exploration is performed in ___
in LWE, integrity of ___ (2) is checked. if wound is found to be deep to ___, ___ is performed |
OR
posterior fascia peritoneum peritoneum diagnostic peritoneal lavage (DPL) |
|
|
DPL is macroscopically positive if ___ (5) is found.
|
gross blood
bile urine bowel contents pus |
|
|
DPL is microscopically positive if ___ (4) is found
|
WBCs > 500
RBCs > 100,000 Amylase > 250 positive gram stain |
|
|
FAST is positive if ___ is seen
|
lots of fluid
|
|
|
CT has high/low sensitivity for injury to diaphragm or mesentery and perforated viscus
|
low
|
|
|
T/F: penetrating injury may be excluded on basis of negative CT
|
false
|
|
|
difference in management of low energy penetrating injury to flank/posterior abdomen from anterior abdomen is for ___ wounds. for these, do ___.
|
asymptomatic
abdominal CT with triple contrast |
|
|
triple contrast means ___ (3)
|
oral
PR IV |
|
|
T/F: penetrating injury to R diaphragm is indication for surgery
|
false
|
|
|
surgery is not immediately indicated for penetrating R diaphragm injury because ___
|
liver may cover hole
|
|
|
in case of penetrating injury to L diaphragm do ___
|
laparoscopy
|
|
|
probability of diaphragmatic injury after penetrating chest wound triples if ___ is present
|
PTX
|
|
|
tx for patients with penetrating spleen injury
|
splenectomy
|
|
|
given CT shows spleen laceration, 4 indications for exploratory laparotomy
|
hemodynamic instability
consumes 3 units of blood/24 h peritoneal signs associated abdominal injury |
|
|
3 kinds of exclusion from conservative tx for spleen injury
|
injury-related
patient-related spleen-related |
|
|
injury related indication for operation is ___, e..g ___ (2)
|
other injuries present
pelvic fracture head injury |
|
|
2 patient related indication for operation
an example of the former is ___ (3) |
poor physiological resouces
anticoagulants COPD CHF age > 70 |
|
|
3 spleen related indications for operation
|
grade 4-5 spleen injury
active splenic bleeding on CT pre-existing spleen disease |
|
|
conservative tx for spleen injury (5)
|
admit to ICU
bed rest NPO fluids close monitoring |
|
|
in conservative tx, NPO is for ___ days
bed rest is for ___ days ___ should be checked every ___. |
1
3--5 Hb 8 h |
|
|
operation of choice for spleen
|
splenectomy
|
|
|
indication for isolated liver surgery
|
hemodynamic instability
|
|
|
imaging modality for liver injury
|
CT angio
|
