Abdo Trauma

Question 1

Organs in Right upper quadrant (5)

Answer 1

liver, gall bladder, right kidney, ascending colon, transverse colon

Question 2

Organs in Left upper quadrant (6)

Answer 2

spleen, stomach, pancreas, left kidney, transverse colon, descending colon

Question 3

Organs in right lower quadrant (5)

Answer 3

ascending colon, appendix, right ovary, right fallopian tube

Question 4

Organs in left lower quadrant (4)

Answer 4

descending colon, sigmoid colon, left ovary, left fallopian tube

Question 5

Umbilical Area

Answer 5

around navel, small bowel

Question 6

Hypogastric Area

Answer 6

just above pubic bone, urinary bladder, uterus

Question 7

Epigastric (4)

Answer 7

duodenum, liver, pancreas, stomach

Question 8

Signs and symptoms of liver injury (3)

Answer 8

abdo pain, tenderness, rigidity

Question 9

Signs and symptoms of spleen injury (1)

Answer 9

40% have none

Kehr’s sign- referred pain to left shoulder tip caused by splenic haematoma causing diaphragmatic irritation

Question 10

Stomach injury

Answer 10

acidic gastric contents

Question 11

Small and large intestine injury

Answer 11

signs and symptoms are associated with other injuries

can be injured in penetrating trauma, compressive forces of MVA, shearing forces assoc with deceleration

Question 12

kidneys and ureters injury signs and symptoms (5)

Answer 12

gross haematuria, localised flank/abdo pain, palpable mass, tenderness to lower ribs upper L spine and flank, pain in groin shoulder back and flank

Question 13

Pancreas and duodenum injury

Answer 13

injury to duodenum usually assoc with pancreatic trauma

Question 14

Dissecting AAA

Answer 14

Aneurysm localised or diffuse enlargement of an artery

occurs when vessel wall becomes weakened by trauma, vascular disease or infection

Question 15

Signs and symptoms of dissecting AAA (8)

Answer 15

acute onset pain in mid upper abdo, may radiate to back, chest pain and present like AMI, hypotension, tachycardia, shock, N and V, diaphoresis, pulsatile mass

Question 16

Causes of acute abdo pain (5)

Answer 16

H haemorrhage
I infection/infarction 
P penetration 
P perforation 
O obstruction