18: Abdominal Trauma And GI Emergencies Flashcards
One of the most common causes of acute abdomen + most frequent indication for abdominal surgery worldwide
Appendicitis
What do 50% of pts with esophageal food impactions have
underlying eosinophilic esophagitis
Emergent vs urgent endoscopy for esophageal FBs
- Emergent: within 6hrs - for complete obstruction, disk batteries, or sharp pointed objects
- Urgent: within 24hrs - all FBs in esophagus need removed within 24 hrs
How long will it take a FB to pass after entering stomach?
4-6 days
75% of hernias are which type?
Inguinal
Are indirect or direct inguinal hernias more common?
Indirect
Direct vs indirect inguinal hernia
- Direct: thru a weakness in transversalis fascia in Hesselbach triangle
- Indirect: from internal to external inguinal ring, through patent process vaginalis, then scrotum
How often are ruptured AAAs misdiagnosed?
30% of the time
Three pt populations who are good candidates for elective AAA repair
- AAA > 5.5cm
- Rapidly expanding intrarenal AAA (>0.5cm in 6 mo or >1cm per year)
- Pts with associated arterial disease
Injuries that can be caused by blunt trauma
Rupture of hollow organs, bleeding
Why are explosive injuries so bad?
Its like a combination between blunt and penetrating trauma + can cause inhalation injury
Most common type of abdominal trauma
BAT: blunt abdominal trauma
Two most common injured solid organs**
Spleen and liver
ATLS
Organized systematic approach to trauma care - great training for surgeons and ER docs
Primary survey of trauma mnemonic/saying
ABCDE: airway, breathing, circulation, disability/neuro, exposure
